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    January 11, 2007      
2007
Benefit Topics:
 
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2007 Other Benefits

Refer to the 2007 NALC Health Benefit Plan brochure (RI 71-009) for complete details.
2006 Other Benefits and Previous brochures are also available.

Benefit:
You pay at
PPO Provider:
You pay at
Non-PPO Provider:

Physical and occupational therapy (a combined total of 50 visits per calendar year)
  • 15% of the negotiated rate (1)
  • 30% of the Plan Allowance, and the difference, if any, between our allowance and the billed amount (2)

Speech therapy (up to 30 visits per calendar year)
  • 15% of the negotiated rate (1)
  • 30% of the Plan Allowance, and the difference, if any, between our allowance and the billed amount (2)
Skilled nursing care (50 days per year)
  • 20% and all charges over $135 per day maximum (no deductible)
  • 20% and all charges over $135 per day maximum (no deductible)
Laboratory Services
  • nothing using Lab Savings Program
 30% of the Plan Allowance, and the difference, if any, between our allowance and the billed amount (2)
Chiropractic Care (initial set of spinal x-rays and 12 spinal manipulations per year)
  • 15% of the negotiated rate (1)
30% of the Plan Allowance, and the difference, if any, between our allowance and the billed amount (2)

(1) Subject to the $250 PPO calendar year deductible.
(2) Subject to the $300 Non-PPO calendar year deductible.

New Special Feature
 Enhanced Eldercare Services - This program provides expert assistance from a Care Advocate to members and spouses that care for an elderly relative or disabled dependent. This benefit gives you a bank of six free hours per calendar year, which can be used for a combination of services. To use Enhanced Eldercare Services, simply call 1-877-468-1016.