URMBT benefit changes for 2015 announced

Effective Jan. 1, 2015, certain benefit changes take place for members who are covered under the UAW Retiree Medical Benefits Trust.

For detailed information, please check PARS or Benefit Explainer on web-DENIS.

Following are highlights of the group’s benefit changes.

Office visits

• Primary care office visits increased from four to six visits with a $25 copay for each visit.
  
  Note: This is applicable to all Traditional Care Network, non-Medicare members and dependents.

Enhanced urgent care coverage

• Urgent care facility fees are covered with a $50 copay.
• Retail health clinics are covered as an approved site of care with a $50 copay. Providers must bill with a place of service 17 (retail health clinic). Only locations listed on bcbsm.com and the Blue Cross and Blue Shield Association website (bcbsa.com) are participating retail health clinics.
  
  Note: These changes are applicable to all TCN and PPO plans. Ford Protected Plans are excluded from the $50 copay.

Cost sharing

• Increases to cost-share amounts for both in-network and out-of-network services for URMBT members
  
  Note: This is applicable to the TCN and PPO plans, with the exception of Ford Protected plans.

Diagnostic eye exam or diabetic retinopathy test

• One diagnostic eye exam or diabetic retinopathy test is covered every 12 months.
• The first exam or test is covered with a $25 copay, whether the service is in-network or out-of-network. For Ford Protected plans, no in-network cost share or copay applies.