MEDICAL INFORMATION

Updated February, 2014

HEALTH PLAN INFORMATION

Anon Hewitt is the administrator of LANL retiree benefits including health plan information. For questions contact Anon Hewitt at 1-866-934-1200.

Blue Cross Blue Shield of New Mexico (BCBSNM) will continue to administer the Medicare and non-Medicare health plans for 2014. Delta Dental, Vision, and Legal plans all remain the same for 2014. The 2014 Health Plan descriptions and summaries are available electronically on the LANL external website at www.lanl.gov.

Please be aware of the following changes that were made to the BCBSNM health plan in 2013.

BCBSNM has a special benefit for those who must travel to receive treatment for cancer, congenital heart disease or an organ transplant. The benefit will pay up to $10,000 for travel and lodging expenses for retirees with those conditions. To qualify the recipient must be at least 50 miles from the treatment facility, must be using a "Blue Distinction" facility and have the benefit authorized by a BCBS case manager. For more information and to see if you qualify call Marsha Chandler at 505-816-2266. (posted 02/23/2013)

BCBSNM will no longer send you a paper copy of your Explanation of Benefits (EOB). You can access an electronic copy by going to BCBS's Blue Access for Members (BAM) website at www.bcbsnm.com/lanl. You can continue to receive a paper copy but you have to request it by going to the web site and changing your preferences or by calling 1-877-878-5265

Well on Target has replaced BCBS's Personal Health Manager. This is a BCBS ongoing program to promote health and wellness. You can access the details by going to www.wellontarget.com.

Effective January 1, 2013, the law requires employers to include the cost of employer-sponsored group health plan coverage on all W-2 forms. At the present time this information is for reporting only and will not impact taxable income.

Long Term Care

If you are enrolled in the CalPERS Long-Term Care program you should have received a letter alerting you that your premium for this health benefit will probably increase by approximately 85% in 2015. Your premiums will not increase in 2014. In 2014 CalPERS will offer you several options including continuing with your present plan at nearly twice the present premium. They will also offer several new plan options at your current or lower premium. If you have any questions concerning your present or future coverage you can call Customer Service at 1-877-894-2467. (updated 10/05/2013)


EEOICPA

This lengthy acronym stands for Energy Employees Occupational Illness Compensation Program Act. Part B of the EEOICPA provides lump-sum compensation and medical benefits to current and former workers who have been diagnosed with cancers, beryllium disease or chronic silicosis, and whose illness was caused by exposure to radiation, beryllium, or silica while working directly for the DOE, its contractors or subcontractors, a designated Atomic Weapons Employer or beryllium vendor. Part E of the EEOICPA provides federal compensation and medical benefits to DOE contractors and subcontractors who worked at covered facilities and sustained an illness as a result of exposure to toxic substances. Survivors of qualified workers also may be entitled to benefits.

The Resource Center staff in Espanola provides valuable information about the claims process and will assist claimants in completing the necessary forms to file an EEOICPA claims free of charge. Contact them at 1-866-282-3622 or by email at Espanola.Center@rrohio.com. (Posted 02/01/2014)


OFFICE OF NUCLEAR WORKERS' ADVOCACY

The State of New Mexico has a similiar program under the Office of Nuclear Workers' Advocacy (ONWA) which is part of the New Mexico Environmental Department. ONWA was established in 2007 and is the first of its kind in the nation. The office does essentially the same thing as described under EEOICP above with the positive exception that they can appeal a denial ruling. To contact this office call 505-827-1636 or email them at nmenv.onwa@state.nm.us.

GENERAL INFORMATION

The best site with by far the most information is the Blue Cross Blue Shield of NM site at www.bcbsnm.com/lanl. You can also contact them by telephone at 1-877-878-LANL (5265). Other sources of information are listed at the bottom of this web page.

It is recommended that you visit the BCBSNM site and register for access to their membership site which they call "Blue Access." You will need a user name and password. While you are there explore the site so you will know how to use it to collect the information you might need in the future.

Prime Theraputics is the company that provides routine mail order drug service for BCBSNM. Ordering drugs by mail is really fast because the distribution center for this area is in Albuquerque. You can access their web site by going to the BCBSNM web site and clicking on "Prescription Drugs" in the menu bar on the right hand side of the weg page. To get into the Prime Theraputics web site you will need to register with another user name and password. The ones you choose for the BCBSNM site will not work.

You should be aware that Triaessent is the company that provides specialty mail order drug service (such as many cancer drugs) for BCBSNM. If a Prior Authorization request for a specialty drug is sent to Prime Therapeutics it is denied because Prime Therapeutics does not have the authority to approve the Prior Authorization. Many providers (doctors and staff) forget about this quirk in the system.

The medical insurance card that was issued by BCBSNM is to be used for BOTH doctor visits and prescription drugs. If you have trouble when entering the id numbers from your card into an on-line form try leaving off the letters and only use the numbers. For some mysterious reason, the card has preceeding letters in the id but they are seldom used.

Mail order forms for drugs are available on the BCBSNM web site. You must have Adobe Acrobat reader installed on your computer because the form is in PDF format.


QUESTIONS?

There are several places where you can get answers about your benefit plans for 2014.

Access the Blue Cross Blue Shield of New Mexico web site, www.bcbsnm.com/lanl or call them at 1-877-878-5265. This is the best site available for insurance and drug plan questions.

For prescription drugs go to the Prime Therapeutics web site at www.myprime.com. You will need a seperate id and password from those you use to access the BCBSNM web site. You can also call them at 1-877-357-7463.

Access the Anon Hewitt Your Benefits Resources web site at www.ybr.com/benefits/lanl. You will need a user id and password to access this site. Here you can change your email address, mailing address, telephone numbers and other profile information. You can also call the Customer Service Center toll-free at 1-866-934-1200 between 8 AM and 9 PM Eastern Time, Monday thru Friday.

Access the Anon Hewitt Your Pension Resource web site at pension.hewitt.com/losalamos/Login.aspx. On this site you can plan for your retirement, estimate your pension benefit, and access information regarding your pension plan.

To contact Delta Dental of California go to the Delta Dental web site at www.deltadentalins.com/lans for information about your dental plan. You can also call them at 1-800-765-6003. You will need to use the LANS group number which is 4000.

To get information about the vision plan go to the Vision Plan web site at www.vsp.com. You can also call them at 1-800-877-7195. You will need the LANS group number which is 12-284390.

If you have the legal plan you can get information about that plan by going to the Legal Plan web site at www.araglegalcenter.com then enter the access code 14822ret. The group plan number is 14822. You can also call them at 1-800-247-4184.

For questions concerning the Medicare portion of your health insurance, call Medicare at 1-800-633-4227.

Glen Lockhart has graciously ageed to answer your questions. You can call him at 505-672-3784 or you can email your question to mandmlockhart@cs.com.