HAVE YOU MADE
ANY CHANGES IN YOUR
FAMILY STATUS? ADDRESS?
PHONE?
If you have made any changes in your
family status, address or phone # please notify the Office.
Changes
Include the Following:
A. Address (Diane).
B. Phone
number (Diane).
C. Family
status: (Frank).
1.
Married or Divorced.
2.
Children:
A.
New
born or adopted.
B.
College:
Leaving
home going to college:
Children
are considered a dependent as long as they are taking the proper
number of credits in an accredited school to be qualified as a
full time student. Children
are a dependent for health insurance up to age 25.
Have
they graduated?
Once they
graduate they go off the plan.
However, if you notify Wellmark Adm., your child is
entitled to COBRA.
E
O B ‘s ((Explanation of Benefits))
Every time a
bill is submitted to Wellmark Adm. for a claim you will receive
an EOB. It is
your responsibility to check it over and if you don’t
understand part of it or think that there is something wrong
please get in touch with your Office and ask for our help.
Whenever you go
to a NON-Wellmark Administrators Inc. provider (doctor,
hospital, clinic, etc.) they can request that you pay them.
They may and they may not send a bill to Wellmark
Administrators Inc. It is your responsibility to see that the bill is sent
to Wellmark Administrators Inc.
Any time a NON-Wellmark provider is used, the check is
issued to you the participant and it is your responsibility to
pay the clinic, doctor, etc.
The check will be sent to you along with the EOB.
Checks issued
for prescriptions also come back to you.
PLEASE, take a
little time and check over anything you get from Wellmark
Administrators Inc. There could be a check inside, an EOB or they could be
asking you for some information in order to process the claim.
If you do not respond when they ask for information they
then close the file and the bill is not paid.
If you have any
questions, call, email or stop in and talk to me.
Frank
Heinen
Benefits Coordinator
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