TEAMSTERS LOCAL 641 WELFARE & PENSION FUNDS

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TEAMSTERS LOCAL 641 WELFARE & PENSION FUNDS

TEAMSTERS LOCAL 641 WELFARE & PENSION FUNDSTEAMSTERS LOCAL 641 WELFARE & PENSION FUNDSTEAMSTERS LOCAL 641 WELFARE & PENSION FUNDS
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  • Pension Fund
  • Welfare Fund
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  • Contact the Union

COVID-19 UPDATES

Effective January 1, 2021, and for so long as the COVID-19 Public Health Emergency remains in effect, the Plan-wi1l cover immunization that is intended to prevent or mitigate coronavirus disease (COVID-19) and that is, with respect to the individual involved:


Practices of the Centers for Disease Control and Prevention (CDC), which has been adopted by the Director of the CDC, (a "Qualifying Coronavirus Preventive Service") on an in-network and out-of-network basis, without participant cost sharing (such as a copayment, coinsurance, or a deductible), prior authorization, or other medical management requirements.


As of January 15, 2022, in accordance with the latest federal mandate, the Trustees of Teamsters Local 641 Welfare Fund will cover at-home, self-administered COVID-19 test kits for our Plan members without a prescription. The most convenient way to obtain these kits, at no cost to you, is to use your Express Scripts Pharmacy card at any participating pharmacy. You may also be reimbursed for purchased kits by forwarding a reimbursement claim form to Express Scripts. Claims and instructions may be obtained at https://express-scripts.com/covid-19/resource-center


Details: 

Coverage is limited to eight at home over the counter self-administered COVID-19 tests per covered individual in a household per 30-days without a healthcare provider order or clinical assessment. If multiple tests are sold in one package, (one package includes two tests), it counts as two tests toward the quantity limit. 


To be eligible for reimbursement, of purchased COVID-19 tests:

  - Must be purchased on or after January 15, 2022  -Must be for personal

     diagnostic use  

  - Must be used to identify the potential COVID-19 infection 

  - May not used for employment purposes  

  - May not used for surveillance testing  

  - Must be self-administered with results that can be self-read  

  - Must not be resold, given, or supplied to persons other than family

     members covered under the same policy 

  - Will not be reimbursed by any other source but through Express Scripts

     Pharmacy Network 

  - Reimbursement amount for each individual test is $12.00, regardless o

     cost. 


PLEASE NOTE:  that residential households may also order four free tests through USPS at the following website: https://special.usps.com/testkits .For additional details on the requirements, please visit https://www.cms.gov/files/document/faqs-part-51.pdf


If you are covered under Medicare Part B

 - Medicare Part B will cover a COVID-19 test received at a hospital, laboratory, pharmacy, 

    or doctor's office if it is ordered by a doctor or another authorized health care 

    professional

 - Medicare Part B does not pay for over-the-counter COVID-19 tests at this time.

 - Free Home Tests can be obtained at the above USPS site and some community Centers

We will let you know if Medicare changes the above coverages.


If you have any questions on the above enhancements to our Plan, please do not hesitate to contact us at the Welfare Fund Office at (908) 687-4488.

MEET OUR ANALYSTS

NANCY FRADELLA - CLAIMS ANALYST

ALICE RYAN - CLAIMS ANALYST

your coverage

Horizon Blue Cross Blue Shield of NJ PPO

Click here to find a provider

Express Scripts

Click here

Delta Dental PPO of NJ

Click here to find a provider

Davis Vision

Click here to find a provider

printable FORMS

2022-Open Enrollment Reminder (pdf)Download
2022 Family Information Form (pdf)Download
2021 Family Information Form (pdf)Download
2020 Family Information Form (pdf)Download
Disability Claim Form (pdf)Download
Census Form (pdf)Download
Express Scripts-Manual Drug Reimb Form (pdf)Download

LETTERS

2022-HIPPA (pdf)Download
2021-0930-Annual Notices-C&W Health, Grandfather, Newborn, Spec Enroll (pdf)Download
2021-0930- Medicare Part D (pdf)Download
2021 Summary Benefit Coverage (pdf)Download
2020-0301-Delta-PPO Plus Premier Booklet (pdf)Download
2020-Davis Vision-Coverage (pdf)Download
Non Discrimination Law (pdf)Download
Horizon BCBSNJ Expands Its Lab Network (pdf)Download
Walgreens (pdf)Download
Metlife Grief Counseling Brochure (pdf)Download

Summary of Material Modifications & Newsletters

SMM-2022-0215-COVID Test Kits (pdf)Download
SMM-2021-1223-Rehab Group Sessions (pdf)Download
SMM-2021-0930-Emerg Rm & Provider Reimb (pdf)Download
SMM-2021-0301-COVID-19 Vaccine (pdf)Download
SMM-2021-0219-Delta-Cone Tomography (pdf)Download
SMM-2020-0918-COVID19 Testing & Tentanus & Hepatices B (pdf)Download
SMM-2019-0919 (pdf)Download
SMM-2019-0101 (pdf)Download
SMM-2018-1212 (pdf)Download
SMM-2017-1215 (pdf)Download
SMM-2016-1220 (pdf)Download
SMM-2016-0627 (pdf)Download
SMM-2015 (pdf)Download
Newsletter-2020-0720 (pdf)Download
Newsletter-2019-1219 (pdf)Download

SUMMARY PLAN DESCRIPTION AND ANNUAL FORMS

Summary Plan Description-2015 (pdf)Download
Summary Plan Description -2008 (pdf)Download
SAR-2021 (pdf)Download
SAR-2020 (pdf)Download
Inserts 2012-2014 (pdf)Download
Inserts 2008-2011 (pdf)Download

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