APWU HEALTH PLAN REPS IN IOWA
Bryon Preminger - 515-283-7519
dmi44healthplanguy@yahoo.com
1200 E Euclid Ave Des Moines, IA 50316
Denise Johnston
neec1e@aol.com
PO Box 255
Cedar Rapids, IA 52406
APWU Health PLan
Medicare Flyer 2011
APWU Health Plan Adds New Features for 2012.
Bryon Preminger
Health Plan Director
The Health Plan conference was filled with lots of information. I will break them down between the down Separately.
HIGH OPTION
We had a 97% retention in the High Option and added over 5,000 new members. Anyone hired prior to May 23, 2011 (Catagory 2) will only have an increase of $2.39 for single (36.52 a pay period) and a $5.40 increase for family (82.57 a pay period).
Changes
You can get a colonoscopy after age 50 as many times as you want. No more limits. Despite my obvious humor this is a great benefit for someone that may need more than one to detect a serioux medical problem.
The plan has introduced a Weight Management Program that will pay the full cost to see a in-network Dietician or Nutrionist. This program comes with Health and Wellness coaches and a work book and tool kit to keep you track.. I love the plan's approach. Get you healthy and medical issues will decrease. We had a presentation from a Dietician at the conference and I have already made several diet changes. It only takes 21 days to change a habit and the results last a lifetime.
There is now DNA testing for Plavix. This is a drug that you may not be responding too and your doctor doesn't know it. Instead of getting worse you can get the test to see if this is the best option for your health.
Things you need to know
We have a Diabetes and Hypertention program where you get free office visits and most supplies and generic medication at no cost as long as you talk to a nurse every three months. You are mailed separate cards for these programs and you need to keep ALL CARDS! Use the card that applies to your visit. If you are there for a visit unrelated to Diabetes or Hypertention use your regular card.
You need to Preauthorize Brand name prescription drugs. Here is the scenario: Drug costs $500. No authorization you pay 25% of $200 dollars and then pay the remaining $300. If you preauthorize you only pay 25% of $200.
Hearing Aids
Starky out of Minnesota gives our members 60% off retail costs and then you get a $1,500 dollar benefit from the health plan. I was told a story of a retiree being told that their hearing aids would cost $6,000 but after they found out about this their out of pocket cost was $1,500. Amazing!
CONSUMER DRIVEN OPTION
If you are a full dues paying member of APWU you only pay $8.24 for single coverage and $18.53 for family coverage.
Changes
Enhanced Customer Service. When you have a problem you have the same customer represetative from start to finish. When you call back it is the same person. There is no reexplaining your situation to a new representive.
DNA testing for Plavix, Tamoxifen, & Warifen. This is incredible. A lot of women going through breast cancer just assume the drug is working but many find out that it doesn't work on them. This testing will insure that the treatment is working. All you have to do is submit a cheek swab.
Online
There is treatment cost estimators, enhanced personal health record, and mobile access to myuhc.com. This enables you to download a copy of your health insurance card to show them your card on your phone.
Wellness coaching
This is available online or by phone: Do you need help with Stress, Exercise, Weightloss, or Heart Wellness trained experts will help you obtain your goals.
Special Programs
The Consumer Driven plan offers a Diabetes Program, Healthy Pregnancy Program, and a Healthy Back Program. The Diabetes program offers you free visits to the doctor plus many supplies for free if purchased with an in-network provider. The Healthy Pregnancy and Healthy Back Programs provide you with Health Coaches that will help you ensure that you are getting the best treatment available.
I encourage all of our members to look at our APWU health plans. They are progressive, affordable, and are dedicated to your health.
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