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2009
Other Benefits
Refer
to the 2009 NALC Health Benefit
Plan brochure (RI 71-009) for complete details. 2008
Other Benefits and Previous brochures are also available.
Benefit: |
You
pay at
PPO Provider: |
You
pay at
Non-PPO Provider: |
Physical, occupational
and speech therapy (a combined total of 75 visits per calendar year) |
- $15 copayment per visit and all charges after 75 visit limit
|
- 25% of the Plan
Allowance, and the difference, if any, between our allowance
and the billed amount and all charges after 75 visit limit
|
| Home health services (50 days per year) |
- 10% and all
charges over $135 per day maximum (no deductible)
|
- 25% and all
charges over $135 per day maximum (no deductible)
|
| Laboratory Services |
- nothing using Quest Diagnostics
- 10% other lab facilities
|
- 25% of the Plan
Allowance, and the difference, if any, between our allowance
and the billed amount
|
| Chiropractic Care (initial set of spinal x-rays and 12 spinal manipulations per year) |
- 10% of the negotiated rate (1)
|
- 30% of the Plan
Allowance, and the difference, if any, between our allowance
and the billed amount
|
| Chiropractic Care (initial office visit) |
|
- 25% after $300 deductible
|
(1) Subject to
the $250 PPO calendar year deductible.
(2) Subject to the
$300 Non-PPO calendar year deductible. |
Enhanced Eldercare Services - This program provides expert assistance from a Care Advocate to members and spouses that care for an elderly relative or disabled dependent. This benefit gives you a bank of six free hours per calendar year, which can be used for a combination of services. To use Enhanced Eldercare Services, simply call 1-877-468-1016.
Weight Management Program - Changing your lifestyle is challenging and sometimes we need help to reach our personal goals. This weight management program is a voluntary program that helps you manage your weight and change your lifestyle for a healthier you. It assists you in building confidence, becoming more active, eating healthier and changing habits. You can select from two convenient options, a telephone program or an online program-or you can use both!
You may call at 1-877-220-NALC (6252) or click here to go online.
QuitPower Smoking Cessation Program - Quitting smoking isn't easy-especially with all of the stresses that life can bring. When you want to quit smoking, there is a smoking cessation program available through the QuitPower® Program. This is a voluntary program that is at no cost to you! This program provides you with a personal coach for ongoing information and support. You receive an eight-week supply of over-the-counter nicotine replacement therapy.
You may call 1-877-Quit-PWR (1-877-784-8797) or click here to go online.
In addition to this program, we now cover prescription medications for smoking cessation under our prescription drug benefits.
Healthy Rewards Program - When you choose to make healthy choices we can provide you with discounts to help you save money. Various companies and products are available with the Healthy Rewards Program to receive discounts for weight programs, exercise activities, fitness clubs, books, magazines, and oral hygiene products. There are also discounts on some vision and hearing services. For more information, you may call 1-800-870-3470 or click here to go online.
Dental Program - CIGNAPlus Savings SM is a dental discount program that provides members with discounted fees when you use a participating provider. This is not insurance, but a discount program. You must enroll and pay a monthly premium to receive these savings. For additional information regarding this program, to locate a participating provider, or to join call 1-877-521-0244.
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