Local 2195

2017 Benefit Update for GM Retirees

Benefit Changes for 2017
This is the new benefits changes for 2017:
Preventive Immunization: Flu, Pneumonia, Shingles and Tdap ( whooping cough, Tetanus, and Diphtheria)
Will be covered at a Tier 1 co-payment of $12 starting 8/1/2017. In Pharmacy need to show Express Script card.
Medicare Advantage PPO Enhancement:
Only change is out of pocket Max use to be $3000. and will be $1500 in 2017
In network:
single $245 per person
10% co-ins
Family $630 per person
Out of network:
$490 per person
30% co-ins
Family $1395 per person
Elimination of co- ins for DME Supplies.
BC/BS TCN went up $15 for single and $25 for Family
In network
$400
10% co Ins
out of pocket max;
$800 single
$675 Family
10% co Ins
$ 1475 Family
Out of network no change:
$1000 single
30% co-Ins
out of pocket max: $3000
$1475 Family
30% co- Ins
$5000

Prescription Drug:
Mail Order: Tier 1 no change
Tier 2 increase $5 - 2017 will be $85 for 90 days
Tier 3 increase $30- 2017 will be $230 for 90 days
Retail Pharmacy:
Tier 1 co-pay increase $2 to $14 for 30 days
Tier 2 $5 increase -$45 for 30 days
Tier 3 $15 increase to $115 for 30 days
You will be receiving highlights to all the changes in the mail starting in early August. Please review a lot of good material to read.
VERY IMPORTANT: AUDIT WILL GO OUT IN SEPTEMBER 12, 2016, YOU WILL NEED TO RETURN REQUESTED DOCUMENTS BY OCTOBER 31, 2016 TO AVOID ANY CANCELATION OF ANY DEPENDENTS.

Thanks
Debbie Garcia
Region 8
Special Assigned Ben Rep

 

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