Helping to Make Health Care Easier

Transcription

1 Helping to Make Health Care Easier 2019 Plan Information for UAW Trust Retirees Helping Make Health Care Easier 2019 Plan Information for UAW Trust Retirees

2 A shared history HAP and the United Auto Workers have a shared history. Almost 60 years ago, UAW President Walter Reuther sought an alternative to traditional health insurance for UAW members. The plan he established became HAP. We proudly continue to carry out his vision by providing high-quality and affordable plans to UAW Trust members. Retirees and their families choose HAP for comprehensive health care benefits with affordable out-of-pocket costs. We re proud to be a UAW-represented nonprofit health plan. Our employees, represented by UAW Local 600 and 1811 in Michigan, are a dedicated team of experts serving fellow union members and their families. We hope you ll see HAP is the clear choice for UAW Trust retirees. We strive to be the best health plan provider in Michigan. We want you to have the best coverage, the best doctors and hospitals and the best customer service so you can enjoy the best health possible.

3 Helping to make health care easier It s important that your health plan be easy to understand and use so you can stay healthier longer and have a better quality of life. Because health care can be complicated, we strive to make it easier for you. In addition to offering you the best member experience possible, the following are just a few ways we help you understand your health care plan: You always know your out-of-pocket costs A team of personal service coordinators to help support new members every step of the way Exceptional Customer Service representatives based in Michigan to answer your questions by phone, online or in person Worldwide health care coverage for medical emergencies, accidental injuries and urgent care Care coordination for support when you re dealing with multiple health issues No referrals needed for any specialist visits in HAP s network Digital tools put help at your fingertips 24/7 access to your health plan at hap.org. Search for a doctor Access, print and order ID cards View health reminders, benefits, Explanation of Benefits Send and receive secure messages with customer service HAP OnTheGo mobile app. Wherever you are, download or view your HAP ID card, find a doctor or contact HAP. istrive for Better Health digital wellness manager to help you reach your health and wellness goals.

4 HAP HMO offers benefits and savings Get the care you need in 2019, including these great features. HAP HMO Medicare HAP HMO Non-Medicare No monthly contribution No coinsurance, so it s easier to know your out-of-pocket costs ahead of time New! Silver&Fit Exercise & Healthy Aging Program No limits on primary care or specialist office visits Coverage for routine and specialty care Covered preventive services Worldwide emergency medical and urgent care Global emergency travel assistance and identity theft protection through Assist America Team of personal service coordinators to help new members learn their coverage and how to get the most from their HAP health care plan Telehealth 24/7 online visits HAP Member Discounts on health and wellness-related activities and services HAP OnTheGo mobile app

5 Benefit summary HAP HMO Medicare-eligible HAP HMO Non-Medicare Monthly contribution $0 single $17 single/$34 family Deductible* $400 single/$675 family $400 single/$675 family Coinsurance No coinsurance No coinsurance Telehealth** $25 copay $25 copay Primary care office visit $25 copay with no limit on visits $25 copay with no limit on visits Specialist office visit $35 copay with no limit on visits $35 copay with no limit on visits Emergency care visit $50 copay $125 copay Urgent care visit $25 copay $50 copay Laboratory and radiology Covered after deductible Covered after deductible Inpatient hospital services Covered after deductible Covered after deductible Outpatient surgery Covered after deductible Covered after deductible Skilled nursing Covered after deductible Covered after deductible Physical therapy Covered after deductible Covered after deductible Chiropractic services $20 copay Not available Silver&Fit Exercise & Healthy Aging Program Included at no cost to you Not available *Deductibles don t apply to protected UAW Trust members. **Effective Jan. 1, 2019

6 HMO plan basics All HMO members need to pick a primary care physician. Your PCP coordinates your care and keeps your medical history updated. Our HMO network gives you access to thousands of doctors and leading hospitals. With HAP, you can choose who you like, when you like. Unlike some other HMOs, you can change your PCP when you want to. Everyone on your plan can select the PCP of their choice. Your PCP can speak to specialists on your behalf. This way, you re not alone. You always have a health care team working together for your care. You can choose your doctor from thousands of our highly qualified doctors from some of Michigan s best hospital systems, including: Discover the HAP difference. Everything we do is designed to make it easier for you to stay healthy from our network of the best doctors and hospitals to the extra benefits we include in our plans. Affiliated with leading hospitals throughout Michigan With thousands of doctors in our network, chances are yours is a HAP doctor. UAW Trust members must live in one of the following counties to choose HAP: Beaumont Covenant Genesys Henry Ford McLaren Mercy Health ProMedica Providence St. John St. Joseph Mercy University of Michigan Arenac Bay Genesee Huron Iosco Lapeer Livingston Macomb Monroe Oakland Saginaw Sanilac Shiawassee St. Clair Tuscola Washtenaw Wayne

7 Contact us Visit hap.org/uawrmbt HAP HMO Medicare: (800) (TTY: 711) October 1 through March 31: Seven days a week, 8 a.m. to 8 p.m. April 1 through September 30: Monday-Friday, 8 a.m. to 8 p.m. HAP HMO Non-Medicare: (800) (TTY: 711) Monday-Friday, 8 a.m. to 7 p.m. Join HAP by calling Retiree Health Care Connect at (866) (TTY: 711) Visit hap.org/doctors to see if your doctor is with HAP. You can see a list of doctors and compare them based on what s important to you.

8 Individual Group Medicare Medicaid hap.org hap.org/blog Subsidiaries Alliance Health and Life Insurance Company ASR Health Benefits HAP Midwest Health Plan HAP Preferred Inc. HAP and its subsidiaries do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation or health status in the administration of the plan, including enrollment and benefit determinations HAP a nonprofit company 0M 8/