Changes for UAW Retiree Medical Benefits Trust non-Medicare members

Beginning Jan. 1, 2019, the UAW Retiree Medical Benefits Trust Traditional Care Network and PPO plans will transition to the Enhanced Care Plan for non-Medicare UAW hourly auto retirees. This plan offers the same quality with enhanced benefits and services, which will address gaps in coverage for non-Medicare members.

The Enhanced Care Plan, or ECP, features:

• Unlimited office and outpatient visit coverage with a participating primary care physician and a $25 copay
• Unlimited office and outpatient visit coverage with participating specialists and a $35 copay
• Facility clinic fee coverage for office visits
• New health management programs
• Personalized member servicing by HealthGuide

Members will receive new ID cards, which will indicate they are in the Enhanced Care Plan and will feature HealthGuide’s phone number.

The new health management programs include prior authorization for medical oncology and radiation oncology (in addition to the current prior authorization requirement for high-tech radiology through AIM Specialty Health as mentioned in the October Record article). They’ll also feature the new diabetes management program (Fit4D), in-home assessments and a shopper program for MRIs and CT scans. More information on the shopper program can be found in the November Record article.

Specialty drugs will also require prior authorization, which will be administered by Blue Cross Blue Shield of Michigan.

UAW Retiree Medical Benefits Trust members with Medicare will continue with their current TCN plan.

Always be sure to check benefit and eligibility information on web-DENIS. You can also continue to call our provider service phone numbers for assistance. Visit our Contact Us page for more details.