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C.R.'s Honeybuns

^               1581-1596 of 1596  1565-1580 >>
Barbara George
05:38 PM ET (US)

I am on straight Medicare. My only supplement is our AA Retireemail Plan, the only for $50,000; and then the Supplemental Plan as a backup. The AL Plan kicked in in 2016, as I had a hip replacement and paid my total deductible.
S WebberPerson was signed in when posted
09:59 AM ET (US)
Update. Nothing has changed, except the "committee" is still "reviewing the issue". I was sent an appeal form, but since no one on the "committee" will include me on the "investigation, I don't know what to "appeal". It has been 50 days since I initiated my query as to why we hadn't received our billing. It seems very fishy that, after a high (rare) medical bill, my eligibility is in question.No ongoing medical problems, generally extremely healthy. Any one else going through this with HealthFirst coverage? (It is actually AA Benefits, but one can only speak to their "plan administrator", which is now Aon Hewitt.
S WebberPerson was signed in when posted
02:19 AM ET (US)
Hi Sandy, I won't be 65 until next year, so am not eligible for Medicare yet. The supplemental (HealthFirst) became my primary insurance after I reached my 50,000 maximum. There are no networks, it is very different, and they pay whatever the "reasonable and customary fee" for a given service in the area where that service is received. It has turned out to be quite good. There is a $500,000 lifetime maximum, only a $250 annual deductible, and $1000 annual max out-of-pocket.... so yes everyone pay your $180 per person bill if you get it for the supplemental.... well worth the amount.... hopefully they won't try to take it away from you :-(
Sandy Phelps
11:21 PM ET (US)
I had to retire early at 54 (pesky IOD) ended up filing SS disability...a 2 year process. Luckily I kept medical file AND all canceled checks. DFW SS office said I wasn't candidate...I went directly to head of dept in Austin, plopped a very hefty file on desk and said your research is done. They awarded 75% disability in 90 days which rolled over to regular Medicare at 65.
The point is ANYTHING from day one of your health problem needs to be compiled in notebook. Call Chicago again, ask for head of department and don't take no for an answer send canceled checks as proof you weren't denied before as they had No problem cashing your checks for supplemental...If this doesn't work call Medicare ask for Medicare complete plan (supplemental is included). Aetna/Humana have similar plans BUT you cannot have supplemental as theirs covers it. These offer more than Medicare as vision/dental and silver sneakers is offered too.
Also check into SSD you'd be surprised who qualifies.
Just get your med files/prescriptions/canceled checks together and go from there.
Good luck!
S WebberPerson was signed in when posted
09:48 PM ET (US)
Thanks for the response. Suddenly HF no longer has my (formerly active) member ID is no longer valid ..... SO Health First can't help.(so they say) I am the spouse of a TWA/AA Retiree, formerly IAM member, (don't recall AA Union for plant maintenance... he would.)1 who retired in 2002 if I remember correctly. He is over 65, I am not. We started paying into the Supplemental Ins as soon as it was offered and have bn paying annually ever since. As I said,I reached my Lifetime Max benefit in the regular retiree plan towards the beginning of 2014. When we mentioned to HR Benefits at the time that we had been paying "x" amount annually, we found out about the supplemental plan that kicks in once your maximum is reached. After that, there was conflicting info from UHC, our retiree medical insurer, as to whether or not the max was reached. We did whatever we were told we had to do to get onto the HF plan. Finally, after a few months, and much anxiety and communication (on our part) it was verified that I was eligible for coverage. Now I am told I may have been put on in error (!!!!) because what they are being told is that I dropped the retiree medical. So now we hv been told that an investigation is being done, and also that we can do an appeal in writing. I mentioned to my husband that he should contact the union, and he may, depending on the outcome of the "investigation". We have been trying to have a conference call with all the parties involved but have been told that is not something that is done. Very frustrating. I will let you know what happens.
Edited 01-20-2017 09:54 PM
Sandy Phelps
03:24 PM ET (US)
Is everyone on a straight Medicare plan?
Sandy Phelps
03:23 PM ET (US)
Read posting #1576 as a Health First referral.
Sandy Phelps
03:19 PM ET (US)
Gosh.. I haven't a clue what to do. You might call Health First as I understands its still under the new plan. Also, if you were an APFA member in good standing at retirement you are a life-long the union, retirement division.
S Webber
10:07 PM ET (US)
When inquiring to AA Benefits as to when we would receive the bills for supplemental insurance, after being covered under HF since mid 2014, I am suddenly being told I am not eligible, even though I confirmed with a HF rep (after dealing with aa benefits health (which is actually aon hewitt!)that I AM covered, and my name was on list sent over (to AonHewitt?) in December. Calling AABenefits re: health insurance always puts me through to the AonHewitt (new billing entity) though I call the AA Retiree Benefits phn #. I keep being told I am not eligible and "tickets" have bn created for review with same answer "case closed" each time . Sorry, my head is spinning. I am being told I was dropped from the retiree health plan in march of 2014. That is when I reached my $50,000 maximum, and due to conflicting info way back then from UHC to AA medical, it was several months before things were resolved and supplemental kicked in. Is ANYone ELSE having thiss problem??? I am being told all I can do is go through a written appeals process.
Edited 01-18-2017 12:55 AM
Sandy Phelps
09:00 PM ET (US)
You're welcome... Happy New Year to you and rest of QT's too!!
05:48 PM ET (US)
Thank you so much. Happy New Year
Sandy Phelps
04:28 PM ET (US)
Read message 1575, it's yearly billing for supplemental insurance thru HEALTH FIRST, $180/year. If you didn't get it at retirement you missed out. If you don't have it, enroll in MEDICARE COMPLETE, it includes supplemental, you have to use doctors in region BUT it does cover when you travel.
04:16 PM ET (US)
What is this 180.00 dollar payment for? Am I missing a payment for something? Retired in 2008/ HELP Georgette Ross Thanks for your help
04:32 PM ET (US)
Thank you

Sent from my iPhone
Sandy Phelps
01:41 PM ET (US)
Thanks for the address
Susan Harrigan
09:34 AM ET (US)
American Airlines
PO Box 1346
Carol Stream IL 60132

Address for health checks
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