Plan Information for UAW Trust Retirees - HAP IS HERE Helping you navigate health insurance
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2020
Plan Information for
UAW Trust Retirees
HAP Helping you navigate
IS HERE health insurance
1
Here, paving the
way for the future of
health plans
Almost 60 years ago, UAW President Walter
Reuther decided he wanted more. Rather
than offering his members traditional health
insurance, he set out to create higher
quality coverage with lower out-of-pocket
costs. To ensure his members maintained
the best health possible, he needed the best
coverage, the best doctors and hospitals,
and the best customer service. And… that’s
how HAP established its first health plan.
Since then, we’ve been making coverage
as convenient as we can. When you have a As we enter 2020, we’re still just as proud to
question. When you have a problem. When be a UAW-represented nonprofit health plan.
you just need advice, we’re here for you. Our employees, represented by UAW Locals
Because as a Michigan-based company, 600 and 1811 in Michigan, are a team of
we’re not just near you… we know you. experts serving fellow union members and
Every day, we’re collaborating with doctors, their families. Ultimately, that’s just one of
hospitals and the community. And as one of the reasons HAP is the right choice for you.
the leading integrated health plans in the
region, we’re constantly finding new ways to For more information,
offer innovative care. visit hap.org/UAWRMBT.
2 3
New to Medicare?
Here’s what you can expect.
The process
○ You’ll receive a reminder from HAP, 30-90 days before your 65th birthday.
○ When you turn 65, you’ll be automatically enrolled in Medicare Advantage.
○ New members will receive a welcome kit, along with access to a dedicated
personal service team.
○ Keep your red, white and blue Medicare card somewhere safe, as you’ll only
need your HAP ID card.
○ No monthly contribution.
For more information, visit hap.org/UAWRMBT.
The perks
○ Our Silver&Fit® program grants you a $0 membership in various fitness facilities.
To enroll now, log into your hap.org account or call (877) 427-4788 (TTY 711).
○ We’re always thinking of new ways to keep you healthy, which is why we created
the HAP Healthy Living Rewards Program for Medicare members. Earn gift cards
for screenings and services you’re probably already planning to get. Register online
at hap.org/healthyliving.
○ Enhanced Hearing Aid benefit through NationsHearing. No-cost hearing test, zero to
low out-of-pocket cost to over 800 hearing aids to pick from that meets your
lifestyle, plus, a three-year supply of free batteries. Call (877) 514-0086 to schedule
an exam with an audiologist or hearing instrument specialist near you.
4 5
Here, with more meaningful benefits HAP HMO offers benefits and savings
As a HAP member, you’ll enjoy benefits and services beyond what you’ve come to expect. Get the care you need, including these great features.
Putting your health first Supporting you along your life journey HAP HMO HAP HMO
Medicare Non-Medicare
○ You always know your out-of-pocket costs. ○ Get 24/7 access to your health plan at
No monthly contribution N/A
○ A dedicated personal service team helps HAP.org and…
support new members. • Search for a doctor. No coinsurance, so it’s easier to know
your out-of-pocket costs ahead of time
○ Exceptional customer service • Access, print and order ID cards.
representatives are based in Michigan • View health reminders, benefits and New! Silver&Fit® Exercise & Healthy
N/A
to answer questions by phone, online or Aging Program
your Explanation of Benefits.
in person.
• Send and receive secure messages New! Active&Fit Direct™ Program N/A
○ Our Silver&Fit program grants Medicare with customer service.
Advantage members a $0 membership in No limits on primary care or specialist
○ Use our HAP OnTheGo mobile app to
various fitness facilities. Non-Medicare office visits
download or view your HAP ID card, find a
Advantage members can enjoy Active&Fit
doctor or contact HAP. Coverage for routine and specialty care
for $25.
○ Our iStrive for Better Health digital Covered preventive services
○ Worldwide health care coverage is
wellness manager can help you reach your
available for medical emergencies, Worldwide emergency medical and
health and wellness goals.
accidental injuries and urgent care.* urgent care
○ Get care coordination when you’re dealing
Global emergency travel assistance and
with multiple health issues. identity theft protection through
Assist America*
○ No referrals are needed for any specialist
visits in HAP’s network. Team of personal service coordinators to
help new members learn their coverage
and how to get the most from their HAP
health care plan
* The Assist America program is valid whenever you travel 100 miles or more away from 24/7 telehealth visits**
home or outside the U.S. for no longer than 90 days in a row. Assist America does not
replace your HAP coverage. You are covered for urgent and emergency care and identity HAP member discounts on health and
wellness-related activities and services
theft protection based on your member contract.
** Copay applies. HAP OnTheGo mobile app
6 7
Benefit summary
HAP HMO HAP HMO Not your ordinary
Medicare-eligible Non-Medicare
HMO plan
Monthly contribution $0 single $17 single/$34 family When enrolled in HAP's HMO plan, you can choose
your doctor from thousands of highly qualified
Deductible* $400 single/$675 family $400 single/$675 family primary care physicians (PCPs). (Chances are,
your current doctor and hospital are already
Coinsurance No coinsurance No coinsurance part of an established network of providers). As a
HAP member you’ll choose a PCP. Your PCP may
Telehealth $25 copay $25 copay
recommend specialty services from a certain
$25 copay with no limit $25 copay with no limit specialist or facility, but you can choose to receive
Primary care office visit
on visits on visits the care you need from any HAP contracted
$35 copay with no limit $35 copay with no limit specialist without a referral.
Specialist office visit
on visits on visits
With HAP, you can change your PCP whenever you
Emergency care visit $50 copay $125 copay
want to. And everyone on your plan can select the
Urgent care visit $25 copay $50 copay PCP of their choice.
Laboratory and radiology Covered after deductible Covered after deductible
Inpatient hospital
Covered after deductible Covered after deductible
services
Outpatient surgery Covered after deductible Covered after deductible
Skilled nursing Covered after deductible Covered after deductible
Physical therapy Covered after deductible Covered after deductible
Chiropractic services $20 copay Not available
* Deductibles don't apply to protected UAW Trust members.
8 9
Here, with the top doctors
and hospitals
As a HAP member, you can choose from thousands of
doctors, in addition to Michigan’s leading hospitals.
○ Ascension Genesys Hospital
○ Ascension Providence Hospital
○ Ascension St. John Hospital
○ Beaumont Health
○ Covenant HealthCare
○ Henry Ford Health System
○ McLaren Health Care
○ Mercy Health
○ Michigan Medicine (University of Michigan)
○ ProMedica
○ Saint Joseph Mercy Health System
○ And more
Plus, if you need to see an in-network specialist,
there’s absolutely no referral needed.
Explore the options at HAP.org/doctors.
10 11Want an expert to
help you find your way?
HAP
IS HERE
If you’re a retiring UAW Chrysler, GM or Ford employee,
or a current UAW Trust member, you can join HAP by
calling Retiree Health Care Connect at (866) 637-7555
(TTY: 711).
Talk to us about the health plan that’s right for your
needs and budget.
For information on benefits for UAW Trust members,
visit hap.org/UAWRMBT or call HAP Medicare
(800) 801-1770.
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