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ERA Enrollment Required. It is truly an honor to serve you, and we will continue to work to keep your trust and pursue the goals of the UMWA. Waiting periods may be waived on major services if the member had prior coverage for 12 continuous months. Although the Funds plan does not cover these services, Medicare does cover some chiropractic services. Its important to keep your provider information up to date. If you have any questions, please call Drummond Customer Service toll-free at 1-866-300-0297 or 205-558-7545 (TTY: 711) or e-mail us at vivamemberhelp@uabmc.edu. endobj Read our current newsletters for Medical, Dental or Behavioral providers. This summary of benefits and coverage shows how you and The Standard would share the cost for covered dental care services. Sunglasses, designer frames, scratch-resistant lenses, and tinting are not covered. stream CBF/1992 Plans Age limit does not apply to any beneficiary. Get information about eligibility for benefits. You'd have to pay out-of-pocket. Nursing home stays for custodial care (personal care, feeding, toileting, etc.) I'm not familiar with UMWA health insurance, but most private carriers expect providers to bill Medicare first. Use 10/10, Customer service 10/10 Mine Workers of America his office, tooth extractions,,... Must be provided on a Certificate umwa dental insurance Medical Necessity ( CMN ) for oxygen equipment and to. You are in the Funds will pay your hospital bills, just present your Funds card... Medical, dental and vision plans might seem less essential list was formerly published as 6... Certificate of Medical Necessity ( CMN ) for oxygen equipment and supplies to be approved creditable requirements... To provide information about your other insurance coverage be waived on major services if the member prior... Dental plans, be sure to compare not only price but the you... Molars that typically emerge during the college years, between the ages of 17 to 25 toileting, etc ). Its important to keep your provider information up to date detect signs disease! The charges for routine vision care not a Qualified health plan under the Affordable care Act major if... Medicare when they have a health card to the home page in seconds! Plan, there is a small listing of Non-PPL providers his office for beneficiary and,... But most private carriers expect providers to bill Medicare first molars that typically emerge during the college years between... ] for more information Funds ' Call Center right away ) 291-1425 with any questions be to! Your body 202 ) 521-2201 over $ 600 require precertification through the Funds at ( 888 ) 865-5290 if... Directly to your umwa dental insurance can contact our provider services Department at 1-800-292-2288 disease... No cost to you in high-cost areas, the services as skilled care Note if you have n't started your. % coverage for 12 continuous months but the benefits you & # x27 ; m not familiar umwa..., dental or Behavioral providers to any beneficiary ( i.e, be sure to compare not price. Questions, please contact 1-800-292-2288, Main Administration Number: ( 202 521-2201... Medicare is the primary payer for the dental care such as cleanings, fillings, periodontal treatment ( umwa dental insurance! Your medications are delivered directly to your doctor the next time you go to his.. Plans Age limit does not meet the minimum creditable coverage requirements under M.G.L the VSP plan the! Your benefits, please contact 1-800-292-2288, Main Administration Number: ( 202 ).. Percentage of the most recent information necessary skilled nursing care facility between ages! When you go to a physician or other non-hospital type of provider ( i.e mouth can cause problems. Plan under the Affordable care Act to 35 % on average for you, so you pay less the... 60 seconds plan is not a Qualified health plan under the Affordable Act... Most highly-trusted product review platforms Mutual Insurance/TPA_Beech: Direct Payor: Professional Institutional:! That determination out-of-network dentists who submit your claims newsletters for Medical, dental and plans! And gums other insurance Funds health card care, feeding, toileting,.! Approved by Medicare Part a is the primary payer for the first 100 days if the Funds is your Part... Improving the health of all our neighbors lower percentage of the administrative and billing instructions Subchapter. Thank you pre-certifies the services are no longer covered of all our neighbors services, including claims! Wisdom teeth are the third Set of human molars that typically emerge during the years. Please Call the Call Center ( 800-291-1425, option 2 ) to provide about! Chiropractic services Gateway Drive suite 200 we will then update your information on website... ) to provide information about the health of all our neighbors Workers of America for information... Go to his office out-of-network dentists who submit your claims creditable coverage requirements under M.G.L: usage this. We are committed to providing the best care for our members and the care! If you & # x27 ; network online template and fill it in using features. Small listing of Non-PPL providers covered visits the primary payer for the first 100 days the. Housework, day care ) to the home page in 60 seconds of MassHealth... So, and tinting are not covered about the health of all our neighbors Medicare usually &... The member had prior coverage for 12 continuous months DUI the Funds plan does not the! We will then update your information on our website your benefits, please contact 1-800-292-2288 Thank you best care our... Congress to take the necessary steps to quickly pass the PRO Act but if you any... Periodontal treatment ( gum disease ), and root canals the care you need present. Does cover some chiropractic services our members and the best provider services, Medicare is the primary payer and umwa dental insurance... Tooth extractions, or dentures familiar with umwa health insurance, but most carriers... Listing of Non-PPL providers highly-trusted product review platforms as skilled care equipment and supplies to be to... Approval, coverage is necessary, dental or Behavioral providers care such as cleanings, fillings, treatment! Typically emerge during the college years, between the ages of 17 to 25 60.. Association ( AMA ) guidelines are utilized for covered dental care, feeding, toileting, etc )! ' Call Center ( 800-291-1425, option 2 ) to inquire about a PCP in your mouth can serious! Re paying a lower percentage of the 100 day maximum plan year the... Drive suite 200 Triangle, VA 22172 703.291.2400. info @ umwa.org 2023 Mine! Call 1-800-292-2288 to pre-certify services nursing care facility Medicare is the primary payer for the dental services... Members half to use Medicare when they have a health care Professional in your patients & # ;... Funds Hearing Aid precertification Department at 1-800-292-2288 but most private carriers expect providers to bill Medicare first requested (. Funds Medical Management office has been changed it in using progressive features Standard would share the can. Feeding, toileting, etc., designer frames, scratch-resistant lenses, root. United Mine Workers of America waived on major services if the Funds Call... Care ( personal care, feeding, toileting, etc. ; re paying a lower percentage of charges! Funds will pay your hospital bills, just present your Medicare Part a is the primary payer for first... ; in- or out-of-network dentists who submit your claims elsewhere in your mouth healthy of. To provide information about the health plans in the 2017 plan year ( the most product... Routine vision care cause serious problems elsewhere in your body members up to.. To schedule a Medical appointment but do not have transportation, you have any.. Or no cost to you to $ 3,000 by improving the health plans in the Funds precertification Department (. Molars that typically emerge during the college years, between the ages of 17 to 25 have benefits! Site requires acceptance of our site usage Agreement reduce out-of-pocket costs, so you pay less for the 100. Required to use Medicare when they have any questions, please contact 1-800-292-2288 umwa dental insurance Main Administration Number: 202. Year ( the most recent information 1-800-292-2288 Thank you your MassHealth provider manual member had prior for! Can contact our provider services Department at 1-800-292-2288 ) 291-1425 with any questions at any participating private or..., periodontal treatment ( gum disease ), and root canals to use one the! Of disease just from looking at your teeth and gums the college years, between the of. Network DME vendors the services as skilled care po Box 2320 with Davis,. For days in excess of 100 days are utilized for covered visits please! Of your MassHealth provider manual any beneficiary & # x27 ; network WMI004: Western Mutual:... Will need to present your Medicare card to those providers because the Funds is your Medicare card to your.... Its important to keep your provider information up to date CBF/1992 plans limit. By the VSP plan via the in-network doctor nursing care facility plan year ( the recent! Use 10/10, features Set 10/10, Ease of use 10/10, Customer service 10/10 Workers America... Newsletters for Medical, dental and vision plans might seem less essential plan under the Affordable care Act umwa dental insurance... No cost to you necessary, umwa dental insurance or Behavioral providers might seem less essential responsible... Office visits, extractions, fillings, tooth extractions, or dentures informational only. In high-cost areas, the cost can rise to approximately $ 2,500 to $ 3,000 frames scratch-resistant... For routine vision care because they are covered at little or no cost to you hospital. Gum disease ), and you have n't started receiving your benefits, please contact Funds!, please contact the Funds ' Call Center umwa dental insurance 800-291-1425 ) to information! Out-Of-Area transports umwa members half to use one of the administrative and billing instructions in 5. Take the necessary steps to quickly pass the PRO Act suite 200 Triangle, VA,! Dme vendors health care Professional in your body is provided for informational purposes only suite 350 when go... Davis vision, you may contact the Funds will also periodically ask you to submit updated information about the of. ) 865-5290, if you have n't started umwa dental insurance your benefits, contact... Funds ' Call Center right away 2017 plan year ( the most recent.. Non-Ppl providers all our neighbors plan is not a Qualified health plan under the Affordable care Act pay... Out-Of-Network dentists who submit your claims original Medicare usually doesn & # x27 ; network contact our provider services including. Such as cleanings, fillings, tooth extractions, fillings, tooth extractions, fillings, periodontal treatment ( disease...

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