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2011
Co-Pay costs: On
Jan 1, 2011, co-pays for doctor visits and
prescription drugs under the POMCO and MEDCO plans
increase.
This
document has details.
Prescription Co-Pays:
As of Dec. 30, 2008,
prescription co-pays with the MEDCO coverage have
changed for CSEA 9200 members.
This linked document explains
it in detail.
Ask your doctor to prescribe Generics to save money
for most prescriptions.
If you need Allergy and Stomach Acid drugs ask your
doctor to recommend OTC (over the counter)
non-prescription drugs to save money.
The third filling of the same prescription will
require the use of the 3 month mail order program
and will require paying 2 X (double) co-pays as
applicable.
Warehouse stores such as Costco or BJ's have the best prices
for OTC drugs.
Do PPIs (stomach acid
reducers) Have Long-Term Side Effects?
From Harvard Medical School: worth reading if
you take Nexium, Prilosec, Prevacid, or their
generic equivalents.
June
2010 Story:
Popular
Heartburn Drugs may be doing you Harm
pdf
version
CSEA
Update:
This Week
in Albany: Week Ending July 9, 2010
False
Rumors Circulate About Health Care Reform
A rumor has been circulating that starting in
2011 you will have to start paying taxes on the
total cost of your health insurance. This
rumor is 100% totally false!
Starting in 2011, your annual W-2 statement will
tell you the cost of your health insurance
policy for the previous year. However, this
amount will NOT
be added into your gross wages for tax purposes.
Starting in 2018, a 40% tax will be placed on
health insurers who issue policies that are
valued over $27,500 for families and $10,200 for
individual policies. This tax will be paid by
insurance companies, not individuals, and will
not go into effect for eight more years.
If you have any questions regarding health care
reform, please contact the Legislative and
Political Action Department.
Out
of Network (Major Medical)
This
linked document explains
the POMCO method of reimbursing for any doctor or
provider who is a non POMCO participant ('Out of
Network').
Ambulance
Costs
This
linked document explains
the POMCO method of reimbursing for any ambulance
costs.
Self
Insurance
This
linked document explains
POMCO "Self Insurance" , the Westchester
County health insurance for employees.
Health Coverage
Notice: When obtaining medical
services, please be certain that ALL medical technicians, doctors,
physician's assistants, emergency rooms, nursing care, medical transport,
anesthesiologists, testing laboratories, and all other aspects of the
medical services you receive are participants of your current health
provider plan, be it POMCO or one of the other providers.
If that is not insisted, some non-participating provider medical
expenses will not be fully covered by your plan.
Flexible Spending Plans:
Read
this notice:
November is when you may enroll in these tax saving
Flexible Spending Plans.
Enrollment
is to Dec 15, 2011 for 2012.
There is an income tax savings
benefit to anyone who participates.
Applicable to any
health plan.
The enrollment
window is once a year in November for the
Medical and Dependent Care Plans. The
Transportation Expense Plan is open enrollment at any time.
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