| Navigation Options | |
 |
|
| Table of Contents | |
|
|
|
Detailed Table of Contents |
|
|
| Index | |
|
|
Introduction
Who Is Eligible
 |
|
 |
|
|
|
|
|
Enrolling for Coverage
|
|
|
Program Premium Cost
| Determining an Annual Premium for You and Your Spouse/Domestic Partner |
|
|
|
|
Your Rights and Responsibilities
|
|
How the Retiree Group Health Program Works
|
|
|
|
|
|
|
|
|
|
|
| Retiree Group Health Program Design – Mental Health and Substance Abuse Program |
| A Summary Chart of the Retiree Group Health Program – CIGNA Open Access Plus |
| A Summary Chart of the Retiree Group Health Program – CIGNA Indemnity |
| A Summary Chart of the Retiree Group Health Program – CIGNA Post-65 Medicare |
|
|
|
|
|
|
|
|
|
|
| What Is an Expense That May Be a Covered Expense – Medical Program |
|
|
|
|
|
| What Expense is Excluded From Being a Covered Expense – Medical Program |
| What Is an Expense That May Be a Covered Expense – Mental Health and Substance Abuse Program |
| What Expense is Excluded From Being a Covered Expense – Mental Health and Substance Abuse Program |
How the Prescription Drug Program Works
|
|
|
|
| What Is an Expense That May Be a Covered Expense – Prescription Drug Program |
| What Expense Is Excluded From Being a Covered Expense – Prescription Drug Program |
|
|
| How to Fill Your Prescriptions through the Mail Service Pharmacy |
Your Legal Right to Continuation Coverage
|
|
|
|
|
|
Coordinating Benefits With Other Programs
|
|
|
How to File a Claim
|
|
ERISA Claims and Appeals Procedures
|
|
Situations Affecting Your Benefits
|
|
| Right to Reimbursement, Assignment of Rights, and Duty to Notify |
Administrative and Contact Information
|
Special Rules for Certain Participants
|
|
|
|
|
|
|
| Wallace, Litho, Nielsen Retiree Group (retired on or after January 1, 2004) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Skilled Nursing Facility/Inpatient Rehabilitation Facility Services |
| Spinal Treatment, Chiropractic, and Osteopathic Manipulative Therapy |
|
|
|
|
|
|
|
|
| Experimental or Investigational Services or Unproven Services |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Your ERISA Rights
|
|
|
|
|
|
Retiree Medical, Prescription Drug and Mental Health and Substance Abuse Programs - Moore Wallace
How the Prescription Drug Program Works
General Information
The Prescription Drug Program described throughout this SPD is available to you and your spouse/domestic partner, provided you enroll yourself and your spouse/domestic partner for coverage under the Retiree Group Health Program. Regardless of the Medical Program you select, CVS Caremark is the claims administrator and pharmacy network manager for your prescription drug coverage.
If you or your spouse/domestic partner is Medicare-eligible and you or your spouse/domestic partner enrolls in the CIGNA Post-65 Medicare coverage option, you and your spouse/domestic partner are reminded not to enroll in Medicare Part D. If you or your spouse/domestic partner signs up for coverage under Medicare Part D, you or your spouse/domestic partner will lose coverage under the Prescription Drug Program.
If you or your spouse/domestic partner is eligible for Medicare, you or your spouse/domestic partner should have received a Notice of Creditable Coverage. If you or your spouse/domestic partner received this notice, you or your spouse/domestic partner can enroll in Medicare Part D in the future with no penalty. If you or your spouse/domestic partner is eligible for Medicare and didn’t receive the Notice, or you or your spouse/domestic partner has questions related to Medicare Part D, please contact the Benefits Center. Benefits Center Representatives who specialize in Medicare Part D-related questions are available to assist you or your spouse/domestic partner.
The Prescription Drug Program covers most outpatient prescription drug expenses, provided the claims administrator considers the drug to be a covered expense.
