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Home > Medicare Supplement > How the Plan Works

How the Plan Works

After you meet a $100 annual deductible (or a $200 family deductible), the plan pays 80% of reasonable and customary expenses - in or out of the hospital - not reimbursed by Medicare, including the Part A and Part B deductibles.

If you are traveling outside the United States and require treatment because of illness or accident, the plan also pays 80% of covered expenses after the deductible. Generally, Medicare does not cover treatment received outside the United States.

Annual Deductible

The deductible is the amount you pay each year before the plan begins to pay benefits for you or your covered spouse. The plan deductible is $100 for each covered person each calendar year.

To help you meet your deductibles, the plan has the following features:

First Year Credit
When you first become covered under the Major Medical Medicare Supplement Plan, you will receive credit toward your deductible for any deductible expenses you have met under your current Company medical coverage during the same year.

Three-Month Carryover
If you or your covered spouse do not meet the Major Medical Medicare Supplement Plan deductible by the end of the calendar year, any expenses incurred during the last three months of the calendar year may be "carried over" and applied to the following year's plan deductible.

Common Accident
Only one deductible applies to all eligible medical expenses resulting from an accident in which you and your covered spouse are injured.

Last updated: Thursday April 21 2005
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