Page 14 - Teamsters Local 237
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Retiree Benefits at a Glance Benefits that Differ for
Prescription Drugs Supplemental Medical Plan Retirees Who Live Outside
Cap depends on age and/or disability and This is the only benefit that is available
your health insurance plan. solely to retired members. This benefit is
provided when Medicare or your secondary of the NYC Metro Area
Dental Benefits insurer denies coverage in whole or in part
Annual Cap/Year of $1250 for each member for the following
and eligible family members. Two Optical Benefits Options Learn more about
• Wheelchair, surgical stockings,
Eye Exam and Eyeglasses orthopedic shoes, leg braces, hospital 1. Reimbursement for services: $45 exam, Retiree Benefits
Once every 2 years for each member and beds, oxygen equipment, blood, private $105 for materials or $150 allowance for
eligible family members. duty nursing (in hospital only) and other contact lenses out of network. Retiree FAQs
durable medical equipment or supplies
Hearing Aid 2. General Vision Services, a co-payment
$1000 once every 5 Years • The annual cap is $2500 per family. The is required for exam and the purchase Para hablar con un representante en espanol
benefit is paid at 80% of the reasonable of frames and lenses. 800-VISION1 or por favor llame al 866-492-6983
Death Benefit and customary charges general vision.com
$2500 for member only
Medicare Advantage Plans (Rx Rider) Dental Benefit
For Medicare eligible participants who
elect a health plan such as HIPNIP HMO. • $1250 Yearly Max Annual Benefit/Family
All prescriptions are received with your Member. (cap)
health card from the health insurer. • 5000+ Dentists on the HealthPlex Metro
(Medicare Advantage Plan) Panel PPO. (NY Metro area) Frequently Used
The Retirees’ Fund provides partial • No charge for services listed on the Retiree Forms
reimbursement for anyone who chooses this schedule of benefits, when you use a
option, payments are; participating dentist Change of Address Form
• $24 a month for single coverage and • HealthPlex National Panel for those who
$36 a month for family coverage live outside of the NY Metro area Retiree Enrollment Form
• Checks are sent out twice yearly usually • No forms needed. An ID card is provided Health Benefits Application
February and August to eligible participants
• Single $144 and Family $216 reflect
six months of premium reimbursement Optical Benefit
• Once every 2 years a $150 Benefit is
available to retired members and eligible
family members
• Eligibility and claim forms are now
obtained from vendors in the CPS
Optical Network
Visit the CPS website: cpsoptical.com or call
CPS at: 212-675-5745 for vendor locations.
14 Teamsters Local 237 Member Benefits Brochure 15
