FDX - Medical -- I want Cigna back!!!
#21
No health insurance choice in Hawaii. You get HMSA (the local Blue Cross plan) or nada. If the mainland plans are paying off like HMSA does, I wish you luck. You can always try getting the R & I folks involved as well.
Personally, UAL's insurance is far better than FedEx Express's so we just use my wife's plan. Go figure.
Personally, UAL's insurance is far better than FedEx Express's so we just use my wife's plan. Go figure.
#22
Gets Weekends Off
Joined APC: Apr 2008
Posts: 204
Just spent 45 minutes on the phone with BCBS (spoke with someone on the other end of the world I think). Considering the language barrier (theirs), what I got was this:
You have to call them (the number on the insurance card) and tell them that your dependents are not covered by other insurance. Supposedly this was caused by our employer (not sure why that is) who didn't file the proper paperwork with them. I couldn't get a clear answer as I dug deeper, so I called the Union, and the nice lady there will look into it so the rest of the 4500 odd pilots don't have to go through this.
So, if you get these kickbacks from your pharmacy or doctor bills, call BCBS and let them know that yes, they are the primary provider of healthcare for your dependent.
Good luck!
You have to call them (the number on the insurance card) and tell them that your dependents are not covered by other insurance. Supposedly this was caused by our employer (not sure why that is) who didn't file the proper paperwork with them. I couldn't get a clear answer as I dug deeper, so I called the Union, and the nice lady there will look into it so the rest of the 4500 odd pilots don't have to go through this.
So, if you get these kickbacks from your pharmacy or doctor bills, call BCBS and let them know that yes, they are the primary provider of healthcare for your dependent.
Good luck!
#23
Line Holder
Joined APC: Apr 2007
Position: 767
Posts: 41
#24
After reading this thread, I checked up on our family's status with BCBS.
My wife had gotten a couple of EOB's and bills from the providers stating that a couple of her claims had not been paid.
She then called and updated her info, but our kids' had not been updated.
All it took was a quick phone call to update everyone's status (no other insurance)
When I asked her if this was a problem for the entire FedEx pilot group, the BCBS rep (english speaking - very professional/nice) told me that when we (FedEx pilots) were switched over on 1/1/08, BCBS sent a letter/survey out to everyone asking us to confirm for their records whether or not our dependents had other insurance that might be primary.
She said they had not received my personal survey back, so they defaulted to not paying the claims until the other insurance was verified (you can do this verbally over the phone)
Honestly, I have no clue if we every got a survey or not?
But, all it took to "fix" the problem was a relatively painless phone call to the 866# on the card.
we'll see when we get our next E.O.B. if it is really fixed or not......
your mileage may vary.....
My wife had gotten a couple of EOB's and bills from the providers stating that a couple of her claims had not been paid.
She then called and updated her info, but our kids' had not been updated.
All it took was a quick phone call to update everyone's status (no other insurance)
When I asked her if this was a problem for the entire FedEx pilot group, the BCBS rep (english speaking - very professional/nice) told me that when we (FedEx pilots) were switched over on 1/1/08, BCBS sent a letter/survey out to everyone asking us to confirm for their records whether or not our dependents had other insurance that might be primary.
She said they had not received my personal survey back, so they defaulted to not paying the claims until the other insurance was verified (you can do this verbally over the phone)
Honestly, I have no clue if we every got a survey or not?
But, all it took to "fix" the problem was a relatively painless phone call to the 866# on the card.
we'll see when we get our next E.O.B. if it is really fixed or not......
your mileage may vary.....
#25
Another version
When I asked her if this was a problem for the entire FedEx pilot group, the BCBS rep (english speaking - very professional/nice) told me that when we (FedEx pilots) were switched over on 1/1/08, BCBS sent a letter/survey out to everyone asking us to confirm for their records whether or not our dependents had other insurance that might be primary.
She said they had not received my personal survey back, so they defaulted to not paying the claims until the other insurance was verified (you can do this verbally over the phone)
Honestly, I have no clue if we every got a survey or not?
[. . . . .]
your mileage may vary.....
She said they had not received my personal survey back, so they defaulted to not paying the claims until the other insurance was verified (you can do this verbally over the phone)
Honestly, I have no clue if we every got a survey or not?
[. . . . .]
your mileage may vary.....
Just got off the phone with an Anthem rep, checking to make sure they were reprocessing unpaid/denied claims (professional, pleasant, english exchange). They redid and paid everything.
I asked why they were paying benefits and then suddenly stopped around June. He said that Anthem mgt consciously decided to pay all benefits for the first 90 days and then ask the "other insurance" question. I said we received no letter and he replied that he had heard that a lot from us (FDX). I told him that he should forward a note up the chain that they should send out a separate letter confirming our "other insurance" status.
In reviewing everything, I did see an extra note on many of my EOBs since June that said if you have other insurance, you should tell us-- I said to myself: Self, no action required on my part. And IMHO, a note on an EOB is certainly not a valid survey/letter. Well, evidently, Anthem interpreted my and your non-answers as a 'yes' and stopped paying claims 45 days after the 90 days (mid-May).
Per Sleepy, I also called ALPA Ann to let her know what I found out. Hopefully, they can apply some appropriate pressure to cure this problem before someone else gets surprised with non-payment of legit claims.
Best advice: Everyone needs to make the phone call and check your status.
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