Non-Medicare Benefits & Plans

Non-Medicare Member Benefits

Watch this video to learn more about how your UAW Retiree Medical Benefits Trust coverage works when you are not enrolled in Medicare. 

Primary Plan: ECP

The Enhanced Care PPO (ECP) plan is the primary plan for non-Medicare Trust members. This nationwide health plan provides unlimited primary care physician (PCP) and specialist physician office visits at a flat dollar copay, as well as other helpful programs. Offered through Blue Cross Blue Shield (BCBS), the ECP plan offers more benefits than other plan options while providing access to a national network of PPO doctors and hospitals.

In addition, this plan features personalized, convenient resources to help you navigate the health care system. You have access to a personal, dedicated health guide who can help you find hospitals and doctors, answer questions about what’s covered under the plan, assist with provider billing questions, as well as connect you to a supporting team of clinical staff, care managers, and specialized programs.

Learn More
For coverage details, participating providers, and more, contact BCBS Health Guide at 866-507-2850.

Plan Types

It’s important to understand the plan options available to you depend on where you live and can vary based on your Medicare enrollment. Also, plan options are reviewed annually to determine if they will be renewed. Often, there are annual changes communicated to you in the Benefit Highlights newsletter mailed in the fall.

ECP 

HMO

Enhanced Care PPO

Health Maintenance Organization

Eligibility

Non-Medicare Members

Eligibility

Non-Medicare (and Medicare members) living in regions within these states: California, Colorado, Georgia, Maryland, Michigan, Minnesota, Oregon, Washington D.C., Washington (state), and Virginia where an HMO is offered.

About the Plan

This is the primary plan for Non-Medicare members. Based on a nationwide network of providers, the ECP plan allows services to be performed both in-network and out-of-network.

About the Plan

HMO plans are offered in limited areas where they are able to be competitive with the Enhanced Care PPO (ECP) plan. HMO plans are based on a regional network of providers and do not offer out-of-network benefits (emergency services may be covered).

Cost

May have copays, deductibles, coinsurance and out-of-pocket maximums—refer to Benefit Highlights.

In order to receive the highest level of benefits with the lowest out-of-pocket cost, you should receive services from an in-network provider.

Cost

May have copays, deductibles, coinsurance and out-of-pocket maximums—refer to Benefit Highlights.

In order to receive the highest level of benefits with the lowest out-of-pocket cost, you need to receive services from an in-network provider.

More Info

Refer to Benefit Highlights or contact BCBS at 877-832-2829.

More Info

Refer to the evidence of coverage or contact your plan carrier at the number on the back of your medical ID card.

Cost Share

Before reviewing more details on your available plan options, it’s important to understand all Trust provided plans have copay and cost share elements. As a member of the Trust, you are responsible for paying certain health care coverage costs including a monthly contribution, annual deductible, coinsurance, copayment and annual out-of-pocket maximum. Understanding how these work will help you know when they apply and how much you will have to pay for care.

Copay elements are fixed dollar amounts for services such as Primary Care Physician (PCP) office visits, specialist visits, urgent care visits and emergency room visits. Cost share elements can include deductibles, coinsurance and out-of-pocket maximums. Want more detail on what these terms mean? Visit the Health Care Glossary

 

Benefit Materials for Download

Below are the main documents you will need to understand and utilize your benefits.

2022

Benefit Highlights

2020

Summary Plan Description
(SPD)

2022

Health Care

Benefit Summary

2022 Benefit Highlights
2020 Summary Plan Description  2022 Health Care Benefits Summary
All Members All Members All Members

Learn about your 2022 cost share and benefit coverage updates.

An addendum to the SPD, Benefit Highlights includes year-to-year changes in cost share and benefit coverage, mailed every fall.

A summary of the Plan Document. This is written to be more easily understood and is typically updated and mailed to Trust members every five years (the current version was published in 2020).  

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Changes made in the years between the Summary Plan Description (SPD) and the current Benefit Highlights are detailed in the Health Care Benefits Summary.