Be sure you’re clear on the ins & outs of enrolling in a Medicare Part D prescription drug plan.
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You should never get a bill for services that are authorized. If a bill from a doctor or medical facility arrives in the mail, then it may be a mistake and PacFed can fix it.
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Temporary suspensions of certain participant deadlines, such as those for electing COBRA continuation coverage, making COBRA premium payments, requesting HIPAA special enrollment after a qualifying event such as birth, adoption, or loss of other group coverage, and for filing claims and appeals, will end on July 10, 2023, which is 60 days after the end of the COVID-19 National Emergency, unless your plan specifically provides otherwise.
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California state laws add six months to the federal COVID-19 public health emergency requirements on health plans to continue covering COVID-19 tests, vaccines and therapeutic treatment from any licensed provider (in- or out- of-network) with no prior authorization or enrollee cost sharing. The public health emergency ends on May 11, 2023, and state laws extend these requirements for six months through Nov. 11, 2023.
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The Trustees have made significant efforts to help the current medical enrollees to retain their coverage for 2022, while continuing to protect and preserve the financial future of the Trust for the coming years.
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The Trustees are aware that the COVID-19 pandemic deeply affected musicians. During the last two and a half years, the Trust paid for musicians’ premiums out of Fund reserves in order to ensure that musicians continued to receive health coverage, despite the gross reduction in employer contributions. However, the Trustees, after much careful deliberation, determined there was a need for changes.
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Beginning January 15, 2022, and in accordance with new federal guidance, the Plan will cover the cost of FDA-approved over-the-counter COVID-19 diagnostic tests, or “rapid antigen home tests,” purchased without a health care provider’s order or individualized clinical assessment.
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Have you recently lost your employer-sponsored health insurance coverage? While this situation may seem stressful and overwhelming, these tips can make it easier to select the best coverage options for you and your family.
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Participants get a lot of value from their benefits, but it is important to use those benefits wisely. Here are some ways to save money while keeping the Professional Musicians, Local 47 & Employers’ Health & Welfare Fund strong for everyone.
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As part of Blue Shield’s ongoing initiative to improve and enhance our members’ digital experience, Blue Shield of California has made updates to our online account, making our member portal easier to use.
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Musicians who qualify for enrollment as Participants with the benefit plans offered by the Fund may sometimes decline enrollment in the Fundʹs benefit plans for themselves or their dependents.
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This notice explains COBRA continuation coverage, when it may become available to you and your family, and what you need to do to protect your right to get it and how this right has been modified to deal with the COVID‐19 outbreak.
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