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Detailed Table of Contents |
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| Index | |
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Introduction
Who Is Eligible
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Enrolling for Coverage
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Program Premium Cost
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Your Rights and Responsibilities
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How the Retiree Group Health Program Works
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| 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 |
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| What Is an Expense That May Be a Covered Expense – Medical Program |
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| 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
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| 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 |
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| How to Fill Your Prescriptions Through the Mail Service Pharmacy |
Your Legal Right to Continuation Coverage
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Coordinating Benefits With Other Programs
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How to File a Claim
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ERISA Claims and Appeals Procedures
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Situations Affecting Your Benefits
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| Right to Reimbursement, Assignment of Rights, and Duty to Notify |
Administrative and Contact Information
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Your ERISA Rights
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Retiree Medical, Prescription Drug and Mental Health and Substance Abuse Programs - RR Donnelley
How the Retiree Group Health Program Works
Retiree Group Health Program Design – Medical Programs
Urgent Care
If urgent care symptoms are present, call your doctor. He or she will direct you or your spouse to the most appropriate type of care – emergency room, urgent care center, or office visit.
Situations that are not usually considered emergencies or that would not typically require urgent care should be handled through a scheduled office visit with your doctor. These situations include:
 | Routine physicals; |
| Immunizations; |
| Colds or flu; |
| Follow-up checks on injuries or broken bones; and |
| Prescription drug needs. |
Post-emergency follow-up visits may be covered at the out-of-network benefit level (applicable for the CIGNA Open Access Plus option) if the treating emergency room provider is not a participating provider.
If you or your spouse has questions about urgent care coverage, call the claims administrator at the phone number listed on your medical ID card.
