CHOICES REMINDER!!! OCT 31st
Updated On: Nov 04, 2009

 

LOS ANGELES COUNTY 1014

3460 FLETCHER AVE.• EL MONTE, CA 91731 • (310) 639-1014. fAX (310) 639-5314

 

October 27, 2009

Brothers and Sisters

We want to share with you some really exciting news about the changes to the

Local 1014 Health Plan. Due

were unable to announce all of the outstanding enhancements to our health plan

in the "Choices" material including our historic orthodontia and "excess" dental

benefits. However, we persevered, fought and eventually won gains in our

medical premium contributions and expanded health trust benefits! Here are the

enhancements:

• A new $2,000 lifetime orthodontia benefit not only for your children,

but for you and your spouse as well.

• A new "excess" dental benefit of up to $1,000 per person per year to

pay for eligible dental expenses that exceed the Delta Dental annual

maximum.

• New and improved We1lness and Disease Prevention benefits for you and

your family including:

o An increase in the annual Wellness Benefit from $550 to $600

o Reimbursement for all medically necessary immunizations

through the Wellness Benefit, regardless of age. Reimbursement

for all flu shots has been made retroactive to September 1, 2009.

o $250 per year for a smoking cessation program

o A reduction in the eligibility requirement for the Medically

Managed Weight loss program, making it available to more

members

o Reimbursement for instruction for self-care and disease

management for newly diagnosed diabetics up to $250

• An improved acupuncture benefit that will provide reimbursement at 90%

of the Anthem Blue Cross rate in-network after the annual deductible is

satisfied.

• An increase in the out-of-network benefit for both chiropractic and

acupuncture that will provide reimbursement of 70% of the reasonable

and customary fee after the annual deductible is satisfied.

• Improved mental health and substance abuse benefits that no longer limit

the number of outpatient visits or inpatient days for medically necessary

care.

to some protracted discussions with LA County we

These enhancements are in addition to the other fire fighter oriented benefits of

the Plan which includes a wide choice of providers, low out-of-pocket expenses,

LASIK benefit and a great VSP vision benefit to include annual exams, frames

and lenses or contacts, and expanded lens options.

In short, a premium medical pbJn which provides choice, control and peace of

mind with 90110 "in-network", 70130 "out-of-network", $200 individual1 $600

family deductible, $1,000 "in-network", $1,500 "out of network" maximum

out ofpocket•••then it's 100% ofreasonable and customary medical expenses

from there on out...remarkable!

 

Despite the much heralded skyrocketing cost of health care, the Plan was able to

keep its premium increase to 1%. This minimal premium increase combined

with the recently negotiated 8% increase in the Los Angeles County monthly

benefit allowance for 2010, resulting in more money in your pocket!

 

For those members who are still not convinced of all the advantages of the Local

1014 Plan we encourage you to review the benefits and prices contained in your

"Choices" material and talk to other members. We are sure you will agree that

the 1014 Plan is best!

 

Local 1014 Executive Board

Dave Gillotte

President

 

Local 1014 Health Trust

John Hoffman,

Chairman

 

 

 

 

FIRE FIGHTERS LOCAL


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