| PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO |
| BLUE ADVANTAGE HMO BLUE ADVANTAGE HMO BLUE ADVANTAGE HMO |
| Q&A Q&A Q&A |
| ACS ACS ACS ACS ACS ACS ACS ACS ACS ACS ACS |
| Dental Dental Dental |
| HUMANA HMO HUMANA HMO HUMANA HMO |
| HMO UNICARE HMO UNICARE HMO UNICARE HMO UNICARE |
| Contract Contract Contract |
| Leave Medical Leave Medical |

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| BCBS PPO Medical Here are a few good reasons and example of why you should choose a network provider: Your out-of-pocket costs are less because network physicians accept Blue Cross and Blue Shield’s payment as payment in full, less any UAW CONTRACTUAL Co-pay's, Deductibles or Co-insurance. Network physicians have signed agreements with Blue Cross Blue Shield to accept our approved amount as payment in full for covered services. This also applies to any services not covered by our contract. Refer to the Allowed amount on your Explanation of Benefits or E.O.B. This amount will indicate the contractual rate for services. Example: Medical Care or office visits are not a covered benefit BUT, you are only responsible for the allowed amount. Let's say the Medical care visit amount is $92.00 as indicated in the Charged amount column and the Allowed amount column indicates $55, you would be responsible for the $58.06 for a In-Network Provider. EXAMPLE OF EOB PATIENT: NORMA RAE PROVIDER: COMMUNITY CARE CENTER CLAIM: 0000111122222 DATE CHARGED ALLOWED CO-PAY AMOUNT PAID 11/13/08 MEDICAL CARE $92.00 $58.06 $58.06 $0.00 Network physicians must accept Blue Cross Blue Shield’s payment as payment in full. This means you are not responsible for any charges over what Blue Cross Blue Shield reimburses the provider. It is in you best interest to take control of your health care and apply a consistent PROACTIVE approach to all of your benefits. |

| Renee Robertson-Hood UAW Benefit Representative E-Mail: rbraithw@ford.com Plant: (708) 757-5700 ext. 288 Toll Free Plant: (800) 346-8759 ext. 288 Plant Fax: (708) 756-6618 7am Plant - 11am Hall UAW Local #588 21540 Cottage Grove Ave. Chicago Heights, IL 60411 Union Hall: (708) 758-3100 Union Fax: (708) 758-1578 |
| Renee Robertson-Hood UAW Benefit Representative E-Mail: rbraithw@ford.com Plant: (708) 757-5700 ext. 288 Toll Free Plant: (800) 346-8759 ext. 288 Plant Fax: (708) 756-6618 7am Plant - 11am Hall UAW Local #588 21540 Cottage Grove Ave. Chicago Heights, IL 60411 Union Hall: (708) 758-3100 Union Fax: (708) 758-1578 |
| Active Employees Unicare HMO to be Terminated 3/1/10 Members need to make a new insurance election by the end of January 2010!! |
| SVS Vision Benefit or 1-800-225-3095 |
| Attention Active Members and Family Members First Wednesday of each month, your insurance plan representative will be available at the Local 588 Union Hall 10:30am to 2:00pm. Please utilize this personal service for insurance issues, claims or questions you may have. All members and their families are encouraged to participate. |
| Durable Medical Equipment or 1-800-831-0999 to find a provider |
| Merck Medco Mail Order Pharmacy or 1-800-778-0735 |
| www.myfordbenefits.com or 1-800-248-4444 |