MEDICARE INFORMATION

ready to

enroll for 2020?

ANYONE LIVING IN FLORIDA MUST COMPLETE A NEW ENROLLMENT FORM!!

Review or Download the 2020 Enrollment Book

(click here)

PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN.

Please review the Enrollment Book for detailed information on Medicare options!

We have established Group Medical plans for Retirees in the Auto, Airline and Steel Industries eligible for Medicare, regardless of their age, that have worked for any Airline, Auto or Steel Company for at least 5 years and can provide documentation of their eligibility. Unlike the Pre-65 plans we offer, it is not necessary that the former employers have their plan trusteed by the Pension Benefits Guaranty Corporation (PBGC) in order to qualify for Medicare group plans established by Cone Retiree Healthcare Group through the Airline, Auto and Steel Industries as well as the Dental and Vision plans.

Retiree Eligibility for Medicare Plans

Eligible retirees have the ability to enroll in the plans offered through the Trust.  You did not have to work for a company that declared Bankruptcy to be eligible to enroll in these plans.

 

You will find we have excellent healthcare options available to ALL US Steel Retirees through these plans.

Medicare-eligible retirees, spouses, domestic partners, survivors and their families who have worked at least 5 years for one of the companies eligible to participate in the Trust. 

Spouse

Domestic Partner

Your legally married spouse, including a declared common-law spouse.* Only one spouse or same gender domestic partner may be covered at any time. *Where recognized by the state.

The individual who lives in the same household and shares the common resources of life in a close, personal, intimate relationship with a retiree if, under state law, the individual would not be prevented from marrying the retiree due to age, consanguinity, or prior undissolved marriage to another. An eligible domestic partner must be of the same gender as the retiree. Only one spouse or same-gender domestic partner may be covered at any time

Annual Enrollment Periods
The Annual Enrollment begins October 15 – December 31 each year.  We recommend that you enroll as soon as possible after October 15 to ensure that you receive your insurance cards in a timely manner.  Don’t confuse the Trust’s open enrollment period with the Individual Market’s open enrollment period which is from October 15th to December 7th.  The Steel Industry Trust is a Group plan, we are able to extend the annual open enrollment period until December 31st of each year.

Enrollment for New Retirees or Retirees becoming Medicare Eligible
If you are retiring or becoming Medicare eligible, your enrollment period to enroll in a Medicare plan will follow the same timeline that you would follow if you were enrolling in the individual market.  Your Pre-65 insurance will typically end on the last day of the month prior to your 65th birthday.  You will have up to 3 months prior to your 65th birthday and 3 months following your 65th birthday to enroll in a Medicare plan.  If you do not enroll in a Medicare plan during that time period, you may be subject to permanent penalties from Medicare for not enrolling in a timely manner, so make sure that you take the proper steps to get enrolled in the time allowed.

 

Important Reminders for Medicare Eligible Retirees Enrolled in Group Plans

Retirees that turn 65 and continue on group coverage with their spouse or through another company, are not required to enroll in Medicare until spousal coverage terminates or the Retiree  leaves group coverage through another plan without incurring a penalty assessment.

Medicare Eligibility Change

Under Age 65 - Your spouse/domestic partners are only eligible for the Medicare Advantage Plans, the Standalone Prescription Drug Plans, and the Dental and Vision coverage through this Trust in 2019.  The Supplemental Medical Plans are available to Medicare eligible plan participants over the age of 65 only.

Medicare-eligible (over the age of 65 ONLY for 2019) - You must be over the age of 65 to be eligible to enroll in the supplemental medical plans.  People that are under 65 & on medicare remain eligible for medicare advantage plans available through the Trust for 2019.  This is a change from 2017 ,if you are enrolling in the Medicare medical and prescription drug plans offered through the Trust, each plan participant has the ability to enroll in benefits coverage tailored to their specific needs. It is not necessary for the retiree and the spouse to be enrolled in the same benefits plans.

1.  Return to Original Medicare from an existing Medicare   Advantage(MA) plan if you are currently enrolled in a Medicare            Advantage plan

2.  Enroll in Medicare Plan D (prescription drug plan) or move to another coverage level in the Trust

3.  Drop your Plan D coverage if you plan to get your prescription drug coverage through a private insurance provider.

4.  Switch from one Medicare Advantage plan to a different one

5.  Make changes to your Dental or Visions options  available to the eligible plan participants

Please give us feedback on our NEW Website! :  www.mymedplans.com   

Is there something we are needing to add? ... Let us know!

It is very important to have the most up to date contact information for Steel Retirees that are eligible to participate in the healthcare programs the Steel Industry offers.   

Don’t Forget to Update Your Contact Information!

To update your contact information, click on the “Join our Mailing List” 

Keep your Contact Information Up to Date

What Can I Change  During Open Enrollment?

​New Provider for 2020 for Medicare Advantage Plans providing both Medical and PDP all in one package with Silver Sneakers and many other Extras included, Packets will be mailed to your home with the plans rates and additional information. 

If you need help in selecting your plans or have questions about the plans, please call Benistar, the Plan Administrator for assistance

@ 1-800-236-4782.

 

​We also continue to have Aetna for our Medicare Prescription Drug Standalone Plans and paired with the Medicare Supplemental plans.

 

​This will be our second year for the Supplemental Plans to be offered through The Hartford.  The plans offered will be The Hartford Premium Choice/Plan F and Premium/Plan G.

 

​Blue Cross Dental and Blue Vision will have the same plan designs for 2020.

EXTRA

The Board of the Trust is pleased to announce Silver Sneakers or Silver&Fit benefits you will receive at NO COST to the eligible participants in 2020, when enrolling in a Retiree Medical Plan or a Medicare Advantage Plan through the Steel Trust.

NO COST TO THE ELIGIBLE PARTICIPANT:

· FREE Silver Sneakers Eligibility for each member participating in the Medicare Advantage Plans!

· Free Hearing Test when enrolling in the Aetna Medicare Advantage Plans through the Trust

· Enhanced Benefits at No additional Cost when enrolling in The Hartford Retiree Medical Plan “G” in most States where the Plan is offered through the Trust! 

Within this section you will find the rates for the various Medical, Dental, and Vision plans that are available to you.   We offer cafeteria style benefits, you have the ability to select each of our healthcare options as standalone plans (Medicare Supplement Plans, Medicare Advantage Plans and Dental/Vision plans).  We also offer a Medicare Advantage Plan that includes a Prescription Drug Plan.

 

In addition, *Dental and Vision must be selected together when choosing these products without Medical or Prescription drug coverage options. They are only offered as bundled coverage.

Choose the Right Plan for You!

4 Plan
to 
choose from

Aetna Medicare Advantage Plans

The Hartford Medicare Retiree Plans

Aetna Standalone Prescription Drug Plans

Blue Cross Blue Shield Dental and Vision Plans

THE HARTFORD RETIREE MEDICAL PLANS / AETNA RX PLANS

· The Hartford offers 2 Medical Plans in 2020.  Premium Choice Plan/Plan “F” and Premium Plan/ Plan “G”

· Aetna will continue to provide the same 3 Standalone Prescription Drug Plans in 2020

The Trust offers two (2) The Hartford Medical plan options, and two (3) Aetna Medicare Prescription Drug plan options (PDPs) in all states where the plans are offered. You decide which, if  any of these plans, best meet your needs. We do not require you to enroll in a “bundled” plan with both a medical and prescription drug plan. We allow you to decide what medical and prescription drug plans best meet you needs, understanding that “one size does not fit all ”.

While The Hartford provides excellent options for your medical needs and Aetna provides great options for prescription drug plans, the choice is yours, to select a medical  and prescription drug plan through this Trust, or elect a medical plan through another provider.

 

The Hartford Medical plans mirror the Medigap plans. These plans work with original Medicare to pay for some or all of the remaining balances for Medicare approved services after Medicare’s payment.

The Hartford Retiree Medicare Plans are non-network plans, you have access to any Medicare-eligible provider. To find a doctor or hospital participating in Medicare and who accepts or does not accept Medicare assignments visit http://medicare.gov.

TRAVEL BENEFITS INCLUDED IN THE HARTFORD MEDICAL PLANS

Another important benefit for Steel Retirees enrolling in the The Hartford Retiree Plans through the Steel Trust for Retirees is the coverage for travel, you will pay a $250 deductible and then 20% up to a $50,000 maximum lifetime benefit.

THE HARTFORD MEDICAL PLAN COST PREMIUM CHOICE/PLAN F AND PREMIUM/PLAN G 

Retirees are eligible to join these Transamerica Supplemental Medicare plans at anytime. This is a group plan offering flat rates, no age bands for retirees over the age of 65 only (except the state of Florida).  These Medicare Plans are always open for enrollment, unlike an individual plan, which has an open enrollment window.  Contained within this section you will find the rates for the various Medical, Dental, and Vision plans that are available to you.   We offer cafeteria style benefits, you have the ability to select each of our healthcare options as standalone plans (Medicare Plans, Medicare Advantage Plans and Dental/Vision plans).  We also offer a Medicare Advantage Plan that includes a Prescription Drug Plan.

 

In addition, *Dental and Vision must be selected together when choosing these products without Medical or Prescription drug coverage options. They are only offered as bundled coverage.

ANYONE LIVING IN FLORIDA MUST COMPLETE A NEW ENROLLMENT FORM!!

The Enrollment form is for all States, with the exception of Florida.

PLEASE CONTACT BENISTAR CALL CENTER IF YOU ARE ENRO:LLING AND LIVE IN FLORIDA.

1(800) 236.4782

MONTHLY Rate for The Hartford Medical Plans

Plan G

Must Meet Deductibles

and out of Pockets

5 YEAR BANDS

UPON THE 1ST DAY OF YOUR BIRTHDAY MONTH 

PREMIUM CHOICE PLAN

(Mirrors Plan F)

NEW AGE BANDED THIS YEAR

PREMIUM PLAN

(Mirrors Plan G)

Plan F

$0 Deductible

$0 Out of Pocket

Under 

65

65-69

70-74

75-79

$294.21

$178.73

$209.43

$239.45

80+

$249.15

$277.29

Under 

65

$161.80

65-69

$192.50

70-74

$222.53

75-79

$232.22

80+

Total Per Month

Total Per Member

Plus $14.95 Admin Fee already included (plan administration, billing and claims)

THE HARTFORD Medical Plans

The 2020 Coverage Gap (Donut Hole) and what it means for your cost when purchasing Prescription Drugs

The donut hole is a gap in the Part D coverage of your prescription drug costs.  The Initial Coverage Limit (the negotiated retail dollar value of a senior’s prescription drug purchases used to determine when a person enters into the Donut Hole or coverage gap phase of their Medicare Part D plan).

Medicare beneficiaries will enter the donut hole or coverage gap when the total negotiated retail cost of their prescription drug purchases reaches the initial coverage limit that is determined each year by CMS.  In 2020, the donut hole begins when your total out of pocket cost including the cost to your provider is $4,020. -True Out-of-Pocket Costs (the actual dollar figure a person spends to get out of their donut hole or coverage gap, excluding monthly premiums) – The out-of-pocket threshold (or TrOOP) will usually increase each year by CMS.  People who reach their donut hole will receive a discount on brand-named drugs while in the coverage gap.  However, the full retail cost of medications purchased in the donut hole will still count toward meeting a person’s total out-of-pocket expense limit. 

 

Coverage in the “Coverage Gap” for 2020 is 25% for Generics and 25% of the cost of the Drugs for Brand and Preferred Brand Drugs.  Once an enrollee reaches the total out-of-pocket limit during the coverage gap of $6,350, they are bumped into “catastrophic coverage.” 

 

Catastrophic coverage guarantees that once an enrollee has spent up to his or her plan’s out-of-pocket limit for covered prescriptions the person will only pay a nominal coinsurance fee or copayment for their drugs for the rest of the year.  This currently works out to the enrollee paying about 5% or $3.60 whichever is greater for Generics, and $8.95 for all other drugs.   

Medicare’s Program for Extra Help with Medicare Prescription Drug Plan  Costs

Low Income Subsidy (LIS): Social Security  provides the Program for extra help with Medicare Prescription Drug Plan Costs, also called the Low Income Subsidy (LIS), for people who have limited income and resources. To learn more about this program, please visit  www.ssa.gov/prescriptionhelp or you can call  Social Security at 1-800-772-1213 (available 24/7).

Prescription Drug (Part D) Coverage is Important even for those not currently using Drugs!

Please remember, everyone on Medicare must  be enrolled in a Part D Prescription Drug plan  when you become eligible for Medicare, or you will be subject to a penalty that will affect your  premium for the rest of your life, if you fail to enroll  in a timely manner. It does not matter if you do not use drugs or you purchase your drugs at a local pharmacy such as Wal-Mart and you only require generics. You must be enrolled in a Part D plan to meet Medicare requirements when you become Medicare eligible.

Enrolling in The Hartford Medical  Plans and Prescription Drug Plans

To enroll in one of The Hartford Medical plan and/or a Prescription Drug Plan, please complete, sign and date the Enrollment forms and return them to Benistar at the address on the form.

Enrollment Form indicating your selections

•The Hartford Premium Choice/Plan F, or Premium/Plan G

•PDP High, PDP Low, PDP Value or neither

•Blue Dental/Blue Cross Blue Shield Dental

•Blue Vision (VSP)

A copy of any document(s) providing your employment in the Steel Industry for at least five (5) years or your retirement from the Auto Industry.

After Enrolling in the Supplemental  Medical and/or Prescription Drug Plan and/or the Dental and

Vision Plans

WATCH FOR YOUR ID CARDS!

The Hartford Medical Plans

The Hartford ID card

Certificate of coverage

Member discount brochure

Blue Cross Blue Shield Dental and Vision Plans

Blue Cross Blue Shield ID cards for Dental and Vision

Plan Prescription Drug Plans

Aetna ID card

New Member Welcome Packet

Prescription Drug Plans

PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN.

Stand Alone Part D RX Plan

PLAN 1

PLAN 2

PDP High RX (11S8)

PDP Low RX (1203)

AETNA Prescription Drug Plans

PDP Value RX (1303)

Medicare Advantage Plans

How They Work...

Are They Right For You?

Medicare Advantage Plans

What is a Medicare Advantage Plan 

(also called Medicare Part C)?

Depending on where you reside, you may be eligible for either the Aetna Medicare℠ Plan (PPO) or the Aetna Medicare℠ (PPO) plan with an Extended Service Area (ESA).

Medicare Advantage is a plan in which a private insurance company contracts with and is approved by Medicare to  provide covered healthcare services. With this type of plan,  you receive all Medicare Parts A and B benefits and additional benefits in one plan. Two common types of Medicare Advantage plans that may be available are PPOs or HMOs, which work differently than Supplemental plans. If you elect to join an Aetna Medicare Advantage PPO plan offered through the Trust, the plan will provide all of your Part A (hospital insurance) and Part B (medical insurance)  benefits and will include Medicare prescription drug coverage (Part D).

You must continue to be enrolled in Part A and Part B of Medicare to be eligible to enroll in a Medicare Advantage plan.  In addition, since the Aetna Medicare Advantage PPO plans offered are group Medicare plans, you have the ability to enroll now or at another time during the year when you experience a life event.  When moving to a group plan you don’t have to wait for the “Medicare Annual Enrollment  Window”.

 

The Centers for Medicare and Medicaid Services (CMS) regulate the Medicare Advantage plans and determine the rules by which the contracted insurance carriers, such as Aetna, are required to follow. Your out-of-pocket costs for benefits or services you receive can vary by Medicare Advantage plan. The plans will also have predefined rules for how you get services (for example whether you need a referral to see a specialist, or if you have to go only to plan-specific doctors, facilities, or suppliers for non urgent care or nonemergency ). These rules can change each year. The two Aetna Medicare Advantage PPO plans the Trust offer are (1) Aetna  Medicare $20 PPO with the Medicare Prescription Drug  Plan 11S8 (High), and (2) Aetna Medicare $25 PPO with the Medicare Prescription Drug Plan 1203 (Low).

This plan offers high-quality benefits beyond Original Medicare.  It also includes special services and programs only available to Aetna members. This plan allows you to see a doctor and/or visit a hospital in or out of the plan’s nationwide network. Covered services received from in-network providers will generally cost less. Our providers have completed a detailed credentialing review process, giving you an additional level of assurance that you are receiving quality care. (A higher cost may apply for covered services received from out-of-network providers.)

Members who reside within the Aetna Medicare PPO network can elect the following options:

•Medicare 20 PPO with High Rx (11S8)

•Medicare 25 PPO with Low Rx (1203)

Medical $20 PPO with High RX (11S3)

Medical $25 PPO with LOW RX (1203)

Dental Plan

Network  Access Information

With Blue Dental PPO Plus, members can choose any licensed dentist anywhere . However, they'll save the most money when they choose a dentist who is a member of the Blue Dental PPO network.

Blue Dental PPO Network

Blue Dental members have unmatched access to PPO dentists through the Blue Dental PPO network, which offers more than 260,000 dentist locations nationwide.  PPO dentists agree to accept our approved  amount as full payment for covered services - members pay only their applicable coinsurance and deductible amounts.  Members also receive discounts on noncovered services when they use PPO dentists  (in states where permitted by law). To find a PPO dentist  near you, please visit mibluedentist.com  or call 1-888-826-8152.

1 Blue Dental uses the Dental Network of America (DNoA) Preferred Network for its dental plans.

2 A dentist location is any place a member can see a dentist to receive high-quality dental care. For example, one dentist practicing in two offices would be two dentist  locations.

Blue Par SelectSM Arrangement 

Most non-PPO dentists accept our Blue Par Select arrangement, which means they participate with the Blues on a "per claim" basis. Members should ask their dentists if they participate with BCBSM before every treatment.  Blue Par Select dentists accept our approved amount as full payment for covered services - members pay only applicable coinsurance and deductibles . To find a dentist who may participate with BCBSM, please visit mibluedentist.com.

 Note: Members who go to nonparticipating dentists are responsible for any difference between our approved amount and the dentist's charge.

Vision Plan

Vision Benefit Information

Blue Vision benefits are provided by Vision Service Plan (VSP), the largest provider of vision care in the nation. VSP is an independent company providing vision benefit services for Blues members. To find a VSP doctor, call 1-800-877-7195 or log on to the VSP Web site at vsp.com. 

Note: Members may choose between prescription glasses  (lenses and frame) or contact lenses, but not both.

These Rates do NOT include the admin fee

If purchased separately must be bundled with Dental plan and pay admin fee of $4.25

These Rates do NOT include the admin fee

if purchased separately must be bundled with Dental plan and pay admin fee of $4.25

1(800) 236.4782

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We Look Forward to Serving You!

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BENISTAR

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Fax:  (860)408-7025