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Humana Benefit Kit

 

Document Name

Link
1. Humana Customer Care Team
An introduction to Humana, including important contact numbers.		 Download the Humana Customer Care Team
2. Enrollment Flyer
Provides retirees with information on how your electronic enrollment will work for your Humana plan.		 Download the Enrollment Flyer
3. Medical Summary of Benefits
Provides a summary of what Humana covers and what retirees should expect to pay for services received. This doesn’t include every covered service, limitation, or exclusion.
Download the Medical Summary of Benefits
Worldwide Emergency Benefit
4. Medicare Advantage Plan Preauthorization and Notification List 
The list represents services and medications (i.e., medications that are delivered in the physician’s office, clinic, outpatient or home setting) that require preauthorization prior to being provided or administered.
Prior Authorization Tip Sheet
Download a List of Services that Require Prior Authorization
Download the Prior Authorization Tip Sheet
5. Rx Summary of Benefits
Provides summary of Rx benefits associated with the plan. Includes copays, coinsurance, deductible, maximum out of pocket and services covered. This doesn’t include every covered service, limitation, or exclusion.		 Download the Rx Summary of Benefits
6. Prescription Drug Guide (Abbreviated)
List of the most common Drugs covered on the plan.		 Download the Prescription Drug Guide
7. Member to Provider Flyer
This flyer provides information to the retiree’s provider about their coverage for the plan year. Information includes details about the retiree’s transitional PPO plan.		 Download the Member to Provider Flyer
8. Humana Extra Benefits and Wellness
Extra Benefits and Wellness guide.
Silver Sneakers Program Flyer
Download the Extra Benefits and Wellness Flyer
Download the Silver Sneakers Flyer
9. FAQs and Important Definitions Download the FAQs
10. Health and Well Being Assessment Download the Health and Well Being Assessment Information Flyer
11. Evidence of Coverage Download the Evidence of Coverage
12. Online Humana Resources Download the Online Humana Resources Flyer

UCC Medicare Advantage Plan with Rx

Humana Benefit Kit

You can download your Humana Benefit Kit documents now.

Download the documents


The Pension Boards is committed to offering you the most comprehensive and cost-effective health benefits coverage.

The UCC Medical Plan has partnered with Humana to offer you and your Medicare-eligible dependents a Plan that covers both medical and prescription drug costs, and with access to a preferred provider organization (PPO) network of health care providers.

The links below will help you find a physician covered by Humana:

  • Humana's Physician Finder
  • Has your provider told you they do not participate with Humana? Click here for information on how they can still submit claims for you. You can still use your same UCC Medicare Advantage Plan Benefits.

Members not currently enrolled in the plan should complete the UCC Medicare Advantage Plan Enrollment Form and return it to PBUCC with a copy of their Medicare card via email to This email address is being protected from spambots. You need JavaScript enabled to view it. or by fax to 212-729-2701. Applications must be received during the open enrollment period.

Please visit the Rate Locator Page for information on the rates for the UCC Medicare Advantage Plan w/Rx.


How to Register for MyHumana


Step 1:

  • Click the Medicare link
  • Enter your Humana Member ID number
  • Type your date of birth
  • Type your five-digit ZIP code
  • Read the Online Services Agreement and Humana Web Confidentiality Agreement and click Continue to accept the terms


Step 2:

  • Type and confirm your email address
  • Create your username
  • Type and confirm a password
  • Select a security question and response
  • Click Submit. The procedure is complete.

HIPAA

The Pension Boards-United Church of Christ, Inc. is committed to maintaining the privacy of personal health information under the UCC Medical and Dental Benefits Plan in accordance with HIPAA standards.

Rate Locator

Participants and/or their employers wishing to change coverage (among Medical Plan A, B, and C options) for the upcoming Plan Year must do so in writing by November 15 of the current Plan year. Notification should be emailed to This email address is being protected from spambots. You need JavaScript enabled to view it. or sent via fax to Member Services at 212-729-2701.



Rates shown are approximate and are provided for budgetary purposes only.
Your actual rate may vary slightly due to age and location.
If you elect to have coverage, your bill will reflect the exact amount.

Learn More

Foreign Medical Care

Participants of the UCC Non-Medicare Health Plan are covered for inpatient and outpatient medical services while traveling internationally.

If you need information on available local hospitals or physicians at your travel destination before your trip, call 1.800.810.2583 or access the information at www.highmarkbcbs.com under BlueCard Doctor and Hospital Finder.

If you require medical attention when traveling outside the U.S., call BlueCard Global Core at 1.800.810.2583 or call collect at 1.804.673.1177. A medical assistance coordinator, in conjunction with a nurse, will arrange hospitalization, if necessary, or make an appointment with a physician. In an emergency, you should go directly to the nearest hospital.

Please remember to bring your Highmark identification with you while traveling. Note that medical evacuation and repatriation of remains are not covered services. If you require additional information, please contact a Pension Boards' Health Services Representative at 1.800.642.6543.

UCC Medical Plan Includes Hearing Aid Benefit

The UCC Non-Medicare Plan and UCC Medicare Advantage Plan with Rx offer hearing aid coverage to participants and their covered spouse/partners and dependent(s). Because this is a Plan enhancement, there is no need to enroll or apply separately for this coverage.

Coverage provides a maximum allowance of $3,000 every three years and includes:

  • hearing exam;
  • fitting;
  • device(s) for one or both ears;
  • follow-up evaluations and adjustments;
  • repairs.

UCC Medical Benefits Plan

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The UCC Medical Benefits Plan offers a schedule of comprehensive benefits to assist participants in maintaining healthy lifestyles, with emphasis on preventive care, wellness, and chronic condition management. The Plan offers flexibility and choice, including:

  • Three Medical Plan options (Plans A, B, and C) that offer varying levels of benefits and premiums to fit each participant's individual needs
  • A Medicare Advantage Plan with Rx for Medicare-eligible participants 
  • Access to nationwide Preferred Provider Organizations (PPOs) for cost-effective medical and pharmacy care, as well as flexibility for the participant to use in-network or out-of-network providers

We are pleased to partner with the following vendors to provide Plan participants with greater access to care through nationwide provider networks:

Participants or interested applicants with additional questions are encouraged to contact a Health Services Representative by calling 1.800.642.6543.

I've Lost My ID Card - Now What?

To report a lost ID card and request a replacement, contact the following vendor(s):

Medical Coverage:         Highmark Blue Cross Blue Shield at 1.866.763.9471

Dental Coverage:           United Concordia at 1.866.851.7576

Prescription Coverage:  Express Scripts at 1.800.939.3781

Note:  VSP does not issue ID cards for the vision plan.  Participants interested in printing an ID card my do so by visiting www.vsp.com, but an ID card is not required for services.

Non-Medicare Health Plan

The UCC Non-Medicare Health Plan provides participants with comprehensive medical benefits and a choice of three plans to meet their needs (Plans A, B, and C). You are eligible to participate in the Non-Medicare Health Plan if you are not eligible for Medicare and meet the Plan's eligibility requirements, outlined in the Non-Medicare Plan Highlights booklet.

You may access medical plan coverage details here:

For the Summary of Benefits and Coverage:


Where to Call for Pre-Certifications:

  • Call Highmark Healthcare Management at 1.800.452.8507 to initiate pre-certification for inpatient hospital services.


HIPAA

The Pension Boards-United Church of Christ, Inc. is committed to maintaining the privacy of personal health information under the UCC Medical and Dental Benefits Plan in accordance with HIPAA standards.