ANSWERS to YOUR QUESTIONS Q: Who can I call if I have questions? Q: How are my medical claims paid? A: Please contact the Amwins Group Benefits A: As long as your physician accepts Medicare you Customer Care Center toll-free at 1-888-883-3757, will not have to send in any claim forms. Present Monday through Friday, from 8 a.m. to 8 p.m. ET. your ID card along with your Medicare card to your doctor. Medicare pays the provider of the Q: How does the plan work? Medicare portion of your claim and forwards the A: Medicare has coverage gaps which are the costs balance due to the claims administration that you must pay, like coinsurance, co-payments, department. Remaining amounts will be billed to and deductibles. This plan helps fill those gaps. You you. may go to any doctor, specialist, or hospital that accepts Medicare. Medicare pays its share and Q: Do I still need my Medicare ID Card? then your plan pays based on your plan’s benefits. A: Yes. You will continue to use your Medicare ID You will receive a Medicare Summary Notice in the card with this plan in conjunction with your Plan ID mail (in most cases each month), including card. information on the amount paid on your behalf and any additional amount due. Q: Do my prescription drug co-payments count toward my medical plan deductible? Q: Can my age 65 spouse enroll if I am not yet age A: No. Any co-payments you make for prescription 65? drugs do not count toward deductibles or out of A: Yes. As long as your spouse is eligible to pocket maximum amounts for your medical plan. participate in the Program and is age 65 or over. As soon as you become Medicare eligible, you can Q: How do I get my prescriptions filled? enroll on the first day of the month in which you A: Simply present your ID card and prescription to reach your 65th birthday. a participating pharmacy in the plan network. You will also receive information about mail order Q: My spouse is not yet 65. What will happen to prescriptions when you enroll. You can find more coverage for my spouse after I enroll in this plan? information about your prescription coverage by A: Your spouse will continue coverage under the visiting www.Express-Scripts.com or by calling pre-Medicare early retiree plan. Two months prior Amwins Group Benefits at 1-888-883-3757. to your spouse attaining age 65, a Medicare enrollment packet will be mailed. At that time, Q: Where can I get information on using Mail your spouse should contact Social Security to enroll Order Services? in Medicare Parts A and B in order to be eligible to A: Once you enroll in the plan, you will receive a enroll in the group Medicare Plan. fulfillment kit in the mail which will include mail order through the Express Scripts Pharmacy. Please Q: Will I have to re-enroll in the Plan next year? be aware that you will need to obtain new A: No, once you enroll, you remain in the plan until prescriptions from your Doctor before ordering you elect or terminate coverage. prescriptions from this new mail order program. The necessary forms and instructions on how to Q: When will I receive my ID Cards? order prescriptions through the mail order service A: ID cards will be sent once we process your will be included in your fulfillment packet. Please enrollment materials. Medical and Prescription expect your package and materials to arrive shortly Drug ID cards will arrive in two separate packages. before your plan effective date.
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