Page 21 - 2020 HEICO Enrollment
P. 21
2020
The Heico Companies, LLC Benefits Enrollment
Question Answer
If I had a physical in December of Services from your October 2020 exam will be paid under the preventive care beneit as
2019 and scheduled my next one long as they occur in a diferent plan year and your doctor codes them as preventive.
for October 2020, will I have to wait The plan year runs from January 1 to December 31 .
until December or will my 2020
physical be paid as preventive?
What should I do if I go in for Your doctor needs to understand you have preventive care paid at 100% . If your
preventive care and my doctor inds doctor inds a condition during the same visit or test, both the condition and preventive
something and puts that diagnosis diagnosis for the test should be coded on the claim submission .
on my claim?
I had colon polyps several Colonoscopy tests that are part of a preventive care exam will be paid at the preventive
years ago. My doctor ordered level as long as the test falls within the frequency of preventive care guidelines and
a colonoscopy as part of my your doctor codes the test as preventive .
preventive exam. How will it
be paid?
If I’m at my doctor's oice for a Preventive care beneits are paid based on how your doctor codes the claim when
follow-up on a recurring ailment being submitted to BCBS. If you have a recurring ailment and are at the doctor’s oice
or surgery and my doctor performs for a routine follow-up and receive a lu vaccine or a cholesterol test, those two tests
a preventive service, how will the should be covered as preventive, as long as the physician codes them as such .
preventive test be paid?
What does “recommended by your Some preventive screenings do not need to be performed every year . Your doctor
doctor” mean and how does it afect and the National Guide for Screenings decide when and how often preventive care
preventive care services? screenings should be performed . Tests that are coded as preventive and do not exceed
the annual limit should be paid at the preventive care level of 100% . If the test is to
check the progress of a diagnosed condition, the screening will be paid subject to the
deductible and coinsurance .
Tobacco Surcharge
Question Answer
What is the tobacco surcharge? The tobacco surcharge is a $75 monthly pre-tax surcharge on medical premiums for
employees who use tobacco products . At this time, the surcharge does not apply to
covered spouses or dependents .
Why is there a tobacco surcharge? The goal of this surcharge is to support the health and wellness of employees by
discouraging the use of tobacco products .
Who has to pay the surcharge? An employee who currently uses tobacco products on a regular basis, i .e . at least once
a week on a recurring basis, and is enrolled in the medical plan, will have to pay an
additional $75 per month for medical contributions .
My spouse and I both currently You will have to pay $75 per month in addition to your regular medical plan deduction .
use tobacco, how much do I have The $75 surcharge is applied only to covered employees enrolled in the medical plan
to pay? who choose not to engage in a tobacco cessation program .
What is considered a Tobacco products include but are not limited to: cigarettes, cigars, cigarillos, pipes,
tobacco product? chewing tobacco, snuf, dip, E-cigarettes, and loose tobacco smoked via pipe, hookah
or hand-rolled cigarettes .
How do I certify that I am (or am All employees enrolling in the medical plan will have to sign an aidavit. An
not) a regular tobacco user? aidavit will also need to be completed for those employees whose tobacco status
has changed .
21
The Heico Companies, LLC Benefits Enrollment
Question Answer
If I had a physical in December of Services from your October 2020 exam will be paid under the preventive care beneit as
2019 and scheduled my next one long as they occur in a diferent plan year and your doctor codes them as preventive.
for October 2020, will I have to wait The plan year runs from January 1 to December 31 .
until December or will my 2020
physical be paid as preventive?
What should I do if I go in for Your doctor needs to understand you have preventive care paid at 100% . If your
preventive care and my doctor inds doctor inds a condition during the same visit or test, both the condition and preventive
something and puts that diagnosis diagnosis for the test should be coded on the claim submission .
on my claim?
I had colon polyps several Colonoscopy tests that are part of a preventive care exam will be paid at the preventive
years ago. My doctor ordered level as long as the test falls within the frequency of preventive care guidelines and
a colonoscopy as part of my your doctor codes the test as preventive .
preventive exam. How will it
be paid?
If I’m at my doctor's oice for a Preventive care beneits are paid based on how your doctor codes the claim when
follow-up on a recurring ailment being submitted to BCBS. If you have a recurring ailment and are at the doctor’s oice
or surgery and my doctor performs for a routine follow-up and receive a lu vaccine or a cholesterol test, those two tests
a preventive service, how will the should be covered as preventive, as long as the physician codes them as such .
preventive test be paid?
What does “recommended by your Some preventive screenings do not need to be performed every year . Your doctor
doctor” mean and how does it afect and the National Guide for Screenings decide when and how often preventive care
preventive care services? screenings should be performed . Tests that are coded as preventive and do not exceed
the annual limit should be paid at the preventive care level of 100% . If the test is to
check the progress of a diagnosed condition, the screening will be paid subject to the
deductible and coinsurance .
Tobacco Surcharge
Question Answer
What is the tobacco surcharge? The tobacco surcharge is a $75 monthly pre-tax surcharge on medical premiums for
employees who use tobacco products . At this time, the surcharge does not apply to
covered spouses or dependents .
Why is there a tobacco surcharge? The goal of this surcharge is to support the health and wellness of employees by
discouraging the use of tobacco products .
Who has to pay the surcharge? An employee who currently uses tobacco products on a regular basis, i .e . at least once
a week on a recurring basis, and is enrolled in the medical plan, will have to pay an
additional $75 per month for medical contributions .
My spouse and I both currently You will have to pay $75 per month in addition to your regular medical plan deduction .
use tobacco, how much do I have The $75 surcharge is applied only to covered employees enrolled in the medical plan
to pay? who choose not to engage in a tobacco cessation program .
What is considered a Tobacco products include but are not limited to: cigarettes, cigars, cigarillos, pipes,
tobacco product? chewing tobacco, snuf, dip, E-cigarettes, and loose tobacco smoked via pipe, hookah
or hand-rolled cigarettes .
How do I certify that I am (or am All employees enrolling in the medical plan will have to sign an aidavit. An
not) a regular tobacco user? aidavit will also need to be completed for those employees whose tobacco status
has changed .
21
