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    January 15, 2008      
2008
Benefit Topics:
 
Official Brochure
Benefits at a Glance
Medicare at a Glance
Physicians
Hospital
Prescription Drugs
Catastrophic Protection
Other Benefits

 

 

2008 Medicare Benefits at a Glance

Refer to the 2008 NALC Health Benefit Plan brochure (RI 71-009) for complete details. 2007 Medicare Benefits at a Glance and Previous brochures are also available.

When Medicare is primary payer (Medicare Part B for prescriptions), all deductibles, coinsurances and copayments are waived, except for prescription drugs. See the chart below for a brief overview. Rely on your brochure for benefits when Medicare does not pay.

Benefit
You Pay
Hospitalization (no precertification required)

Inpatient Medical/Surgical and Mental Health

Nothing

Outpatient Nothing
Physician Care
Inpatient and Outpatient Medical and Surgical Care Nothing
Mental Health and Substance Abuse Nothing - no limitations
Prescription Drugs
*This is a mandatory generic program with a 30-day limit at local retail.
Retail:

Network Retail —
Non-network Retail —

15% of cost
50% of allowance
Mail Order: 60-day supply —

$7 generic
$20 brand name

90-day supply —

$10 generic
$30 brand name

Catastrophic Limits Nothing

When you have Medicare Part D

We waive the following at retail when Medicare Part D is the primary payer:

  • Refill limitations
  • Day supply
  • Calendar year drug deductible

This is a summary of some of the features of the NALC Health Benefit Plan. Detailed information on the benefits for the 2008 NALC Health Benefit Plan can be found in the official brochure. All benefits are subject to the definitions, limitations, and exclusions set forth in the official brochure.