Retiree Coverage

Non-Medicare-Eligible Retiree Medical Coverage

As a retired member of the Teamsters Security Fund for Southern Nevada – Local 14, you have access to retiree health care coverage through Anthem Blue Cross Blue Shield until you become eligible for Medicare.

Here’s an overview of how the Retiree Plan works:

  • For care received at a Family Wellness Center: You’ll pay $0, even if you haven’t met your deductible yet!
  • For care NOT received at a Family Wellness Center: You’ll first have to meet a deductible, except for preventive care.
    • Once you meet the deductible, you and the Plan will share in the cost of services. For care received at an in-network provider, you’ll pay the copay shown in the table below.
    • You and the Plan will continue to share the cost of services until you meet the out-of-pocket limit. Once you meet this limit, you’ll pay $0 for covered services for the rest of the plan year. Note: There are separate out-of-pocket limits for medical and prescription drug expenses.
    • If you need to fill a prescription, you must use an Elixir in-network pharmacy, which includes Walgreens, CVS, Costco, Raley’s, Safeway, Vons, and Smith’s pharmacies. If you see a doctor at the Family Wellness Center, certain generic drugs may be available at no cost.

In-Network Coverage Overview

The costs listed below are what you pay for in-network care.

Retiree Plan  Cost
Deductible1 Single: $500
Family: $1,500
Out-of-Pocket Limit Medical:
Single: $6,000
Family: $12,000
Prescription drugs:
Single: $1,500
Family: $3,000
Family Wellness Center $0
Primary Care $50 copay
LiveHealth Online $10 copay
Specialty Care $65 copay
Urgent Care $100 copay
Emergency Room $250 copay
Lab Testing $25 copay
X-Ray $30 copay

1 All plan benefits are paid after the deductible is met, unless otherwise noted.

Prescription Drugs

  Retail (up to a 30-day supply)2 Mail Order (up to a 90-day supply)
Generic $25 copay $50 copay
Preferred Brand $50 copay $100 copay
Non-Preferred Brand $75 copay $150 copay
Specialty $100 copay $200 copay

2  You pay the lesser of the copayment or the cost of the drug.

Note: If you are seen at the Family Wellness Center certain generic drugs may available at no cost.

 

There is an annual benefit maximum of $1 million per retiree per year—meaning that, once the Plan spends $1 million on your care for that year, you’ll be responsible for any additional expenses.

This is just a brief overview of some of the covered services. See the Retiree Plan Document for a complete benefit table, including what you pay for care received out-of-network.

Options for In-Network Care

Our Retiree Plan is all about bringing you a wide provider network. That way, you can make your own decisions about where to get care.

The Family Wellness Centers – Your First Stop for Care

The Teamsters Local 14 Family Wellness Centers offer retirees and their covered dependents high-quality, confidential medical and preventive care. From physicals to condition management for chronic illnesses, the centers are here to support you with services provided by board-certified primary care physicians (PCP), including:

Primary and preventive care: Annual physicals and checkups, sick visits, flu shots, health coaching and goal development, and help with managing chronic conditions

Lab and blood work: Test for allergies and determine diagnoses

Medical prescriptions: Approximately 50–75 generic medications available onsite

Care received at the Family Wellness Centers is FREE. Appointments are required, but generally, same-day appointments are available. When necessary, Wellness Center providers will refer you to cost-effective, high-quality specialists and outside services.

Henderson Family Wellness Center

2739 Sunridge Heights Parkway
Henderson, NV 89052

702-728-5806

Northwest Las Vegas Family Wellness Center

2831 Business Park Ct., Suite 120
Las Vegas, NV 89128

702-844-8143

Other In-Network Providers

Outside of the Family Wellness Centers, under the Retiree Plan, you have access to all these providers at in-network coverage levels.

Telemedicine

LiveHealth Online
888-548-3432
livehealthonline.com

Medical

Anthem
702-851-8286
anthem.com

Mental Health/Substance Abuse Treatment

Harmony Healthcare EAP
702-251-8000
800-363-4874
harmonyhc.com/eap/accounts/teamsters-14

Prescription Drugs

Elixir
800-361-4542
elixirsolutions.com

Finding In-Network Providers

Hospitals: Choose Health Services Coalition providers from the list at lvhsc.org/coalition.

Mental health/substance abuse treatment: Call the Harmony Healthcare EAP at 702-251-8000 or use
the online provider directory.

Prescription drugs: Use the Elixir Pharmacy Locator or call 800-361-4542.

All other providers: Visit anthem.com and select “Find Care” at the top right of the screen. Scroll down to the “ID number or prefix” box and enter “JTF.” Complete the requested information and select “Search.”

Medicare-Eligible Retiree Medical Coverage

Once you are eligible for Medicare, Via Benefits is available to assist you in locating medical, prescription drug, dental, vision, and supplemental life and accident insurance plans. To get started, call 888-825-2645 or
visit my.viabenefits.com/lasvegasteamsters.

Retiree Dental and Vision Coverage

Dental and vision coverage is the same for retirees as it is for active members. Learn about the dental and vision benefits on their respective pages of this website.

Have a question? Call the Fund Administrator at 702-851-8286.

Retiree Overview Brochure