Prescription Drug Plan
Mo-Kan Sheet Metal Workers Welfare Fund has added a new benefit for
over-the-counter medications under the prescription drug
program. Members are
now able to purchase certain over-the-counter medications at $10.00
retail co-pay and $20.00 mail order copay. In order to receive the
appropriate generic co-pay, you must present a
prescription from your physician, for the over-the-counter
product, to your pharmacist to process the claim.
You
may have heard in the news, many prescription brand medications now
have an over-the-counter alternative that have the same, or similar,
active ingredients. Just a few examples are listed below. OTC options can offer you,
the member, significant savings.
| If you are
currently taking one of the following prescription
drugs..... |
the following
are potential over-the-counter (OTC)
alternatives: |
| Nexium, Aciphex,
Prevacid, Protonix |
Prilosec OTC,
Pepcid AC, Tagamet |
| Zyrtec,
Allegra |
Alavert,
Claritin |
| Lipitor,
Zocor |
Corowise
(avail. ONLY thru WellDyne/RXWest
mail order) |
| Celebrex,
Naprosyn |
Aleve |
We certainly hope you take advantage of this new, cost
savings benefit. If you
have any further questions, please contact us at 816-531-0334 or
1-866-531-5488.
Below is information that will allow you to search to determine if your provider(s) are participating in the Blue Cross Blue Shield PPO nationwide network. Also, learn how to register for an account with BCBSKC and look up your current claims and more.
Search for participating PPO providers.
Go to the website www.bcbskc.com.
Once there, on the home page, follow the instructions below to look for your provider(s).
Click on the link “Find a doctor or hospital” located in the upper right-hand corner of the home page.
On the next screen, select the third blue line down “BlueCard Provider Directory”.
Click “Continue” (this is a notice to the member that they are transitioning to our BlueCard PPO network).
Click “Guest” on the next page and then “Find Providers”.
The next screen will provide a very detailed search engine where you can look up a provider by name and/or specialty in the city and state where you reside.
Please note, the information on the web site is subject to change; therefore, it is important you verify provider participation in the BlueCard PPO network prior to receiving services.
Within the BCBSKC service area you can also search on the www.bcbskc.com web site and click the link “BCBSKC Provider Directory” and then highlight “Preferred Care Blue” to confirm network doctors and hospitals within the Preferred Care Blue PPO network.
Register for an Online Account with Blue Cross Blue Shield.
Go to the website www.bcbskc.com.
Once there, on the home page, follow the instructions below to look for your provider(s).
Click on the link “Register Now” button located under the Log In area.
On the next screen, you will need your Member ID Card to answer the questions to complete the registration. (ID #, Suffix and Group #)
Click “Continue”, you will need to provide a vailid email address and create a username and password. Be prepared to select a security image and question.
You have completed the Registration process.
Dental administration will also continue under this new arrangement. Effective January 1, 2009 we will utilize the Preferred-Care dental network within the BCBSKC service area. All dental claims should be sent to BCBSKC.
For prescriptions, the Welldyne/RXWest website has much useful information.
The Summary Plan describes the procedures to be followed for filing a claim, in addition to a listing of the benefits provided by the Plan.
The Claim Forms section describes how to fill out each type of claim form for medical, dental, vision, and loss of time forms. You can follow the on-line guide and print the form you need to submit to the fund office.
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