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2006 This is your last chance. If you are married and have not returned your “Spouse Health Insurance Verification Form”, your dependent spouse’s eligibility that was terminated on January 1, 2007 will remain terminated and their claims will be denied. Your spouse’s eligibility will remain terminated until you complete and submit this form to us before January 31, 2007. This form must be completed for all dependent spouses. If your spouse does work for a non-contributing employer and is eligible for health benefits at their work, they have until January 31 to enroll for benefits at their job to remain covered as a dependent of the Culinary Health Fund. Your spouse should take the “Certification of Group Health Plan Coverage” form we sent to you to their employer. Under the HIPAA Portability Rights, your spouse has the right to a special enrollment through their employer to accept late enrollees if you request enrollment within 30 days. Click here to get a copy of the “Spouse Health Insurance Verification” Form. You can also come into our Customer Service office to complete the form, or get a form from the Union office. You MUST return this form to our Customer Service office before January 31. If you have additional questions or would like to receive a copy of the “Certification of Group Health Plan Coverage” form, please contact our Customer Service office at (702) 733-9938.
The Culinary Pharmacy at its new location! The Culinary Pharmacy moved to a new building just a few doors away.
Come and visit us in our new location! Remember, all drugs in this pharmacy will cost you nothing. Everything is FREE! How to Reach Us: · For questions on your prescription benefits: Culinary Health Fund – (702) 733-9938 Monday – Friday 8am to 6pm
· For questions about prescription problems: Catalyst Rx – 1-866-611-5960 – www.catalystrx.com 24 hours a day, seven days a week To log on to the Catalyst Rx website, enter the eligible employee’s Social Security number as the “Member ID” and the date of the birth in the “Members Login” box located on the right side of the screen. Then click “Login”.
Effective January 1, 2007, if your dependent spouse is eligible for health benefits from a non-contributing employer (with at least 2,500 employees in Las Vegas), they must enroll for benefits at their job to remain covered as a dependent of the Culinary Health Fund. Your children do not have to be covered under the other insurance to remain Culinary dependents, only your spouse. To verify if your spouse is affected by this eligibility rule change or for the list of the non-contributing employers, please contact our Customer Service office at (702) 733-9938. Forms needed to ensure your spouse remains a dependent are being mailed to each household the week of December 4th. You must return the form (Spouse Health Insurance Verification Form) we sent to your home for your spouse to remain eligible. If you did not get this form in the mail, click here to print the form and submit it to us before December 31. Otherwise, your spouse’s Culinary coverage will be terminated on January 1, 2007 and claims will be denied. This form must be completed for all dependent spouses. Along with this form is a “Certification of Group Health Plan Coverage” form. If your spouse does work for an employer the Fund identified, your spouse may need to take this form to their employer in order to enroll for health benefits at work. Once enrolled at work, the Fund will reinstate your spouse as a dependent on the Culinary Plan. For additional information, please call our Customer Service office at (702) 733-9938.
LabCorp for your laboratory services Just a reminder that LabCorp is the only lab provider you should use for your lab tests. If you use other labs such as Quest for lab work, you will have to pay for your services. LabCorp just opened another location. Click here to see the list of LabCorp locations and hours. Keep checking here for new locations and hours. A list of all LabCorp locations will be available in our Customer Service office and the Union. If you have any questions, please contact our Customer Service office at (702) 733-9938.
It’s that time of the year! Get a FREE flu shot from Culinary. Free flu shot available for all eligible Culinary participants and dependents.
If you have additional questions, call our Customer Service at (702) 733-9938.
Eligibility Rule Change - Effective January 1, 2007 Eligibility rule change coming in January 2007. If your spouse works for a non-contributing employer with at least 2,500 employees in the Las Vegas area, please make sure you read the following:
For additional information, please call our Customer Service office at (702) 733-9938.
Culinary Care Assistance Program Update Starting July 1, 2006, Harmony is the new benefit manager for the Culinary Care Assistance Program. There are NO changes to your benefits – you will get the same great benefits now provided. What is Changing?
Should you have any questions, please contact the Fund Customer Service Office at (702) 733-9938. Remember that mental health benefits after July 1, including counseling services, provided outside of the Harmony Healthcare network will not be covered.
New Self-Pay Rate, effective June
1, 2006
NEW Culinary ID and prescription news The Culinary Health Fund is pleased to announce that Catalyst Rx will manage your prescription benefit program effective June 1, 2006. Other than your new medical/prescription card, there are no changes to your existing prescription benefits. Watch for your new Culinary medical/prescription cards in the mail. If you do not get your cards in the mail by the end of May, we probably do not have your correct address. To get your new cards, please call our Customer Service office at (702) 733-9938. With your new card, let your covered dependents know that they will need the covered Employee's Social Security Number to give to the pharmacy or doctor. Social Security Numbers have been taken off the cards to protect your privacy. In addition to your new cards:
If you have any questions, please contact:
REMINDER! LabCorp is the ONLY contracted Culinary Provider for laboratory services. Culinary patients using other labs such as Quest for labwork will have to pay for services. LabCorp is the only lab provider you should use for your lab tests. LabCorp now has eleven lab service centers in Las Vegas. LabCorp and the Culinary Health Fund are working together with your doctors to get your lab work orders moved to a LabCorp service location. Click here to see the list of LabCorp locations and hours. Keep checking here for new locations and hours. A list of all LabCorp locations will be available in our Customer Service office and the Union. If you go to Quest and have any issues or questions, please contact our Customer Service office as soon as possible at 733-9938.
The generic form of Oxycontin is now available in all doses. As you know, generics are safe, effective, and FDA approved. They just cost less than brand name drugs. To control the rising costs of prescriptions, your Plan will only cover the generic, once a generic is available. Your doctor may still prescribe Oxycontin if he is unaware of the new generic. If so, the pharmacist will change your brand name Oxycontin prescription to the generic version. If you do not allow a generic substitution for Oxycontin, you will have to pay the difference in cost between the generic version and the brand name. If you have medical requirements preventing your from taking the generic form, you and your doctor will need to submit medical evidence to the Fund justifying the use of the brand name versus the generic drug. If you have any questions, please call our Customer Service office at (702) 733-9938 and ask for Brenda.
NEW 24-HOUR URGENT CARE CLINIC As of December 1, 2005, the Southwest Medical Associates Urgent Care Clinic on Rancho Drive is part of the Culinary provider network. This is a 24-hour Urgent Care Clinic. Your copay will be $35 only at this urgent care location. Southwest Medical Associates 888 S. Rancho Drive Las Vegas, NV 89106 (on the Northwest corner of Rancho and Charleston) (702) 877-8600 Please remember that other Southwest Medical locations are NOT part of the Culinary Network, and will be paid at out-of-network rates, which will cost you more. Please also remember that while Urgent Care clinics provide convenient services after hours, and can help you avoid an unneeded emergency room visit, they are not designed to replace your regular doctor. And Urgent Care visits cost you more than a regular doctor visit. Click here to find a regular doctor or to get a list of doctors contracted with the Culinary Health that either accept Culinary patients if you walk in, or will make an appointment for you to see a doctor the same day that you call them.
LABCORP LOCATION ON RUSSELL ROAD - TEMPORARY CLOSURE Due to road construction, the LabCorp Patient Service Center, on Russell Road will be temporarily closed and will reopen on March 1. For the nearest location, please call our Customer Service office (702-733-9938) or click here for a complete list.
Announcement! As of January 1, 2006, the Health Help Desk will no longer be available from our website or Customer Service. If you saved any health file information that you want to keep from the Health Help Desk, click here to send your request to us. Provide the following information on your request:
Remember, you do not need to go the Health Help Desk for your Claims and Eligibility information. You will need to have your claims and eligibility password in order to have access to these. Click here to get to your Claims and Eligibility information. If you have
any questions, please contact our Customer Service office at (702)
733-9938 or
send us an email. |
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