CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental Hospital Medical and Surgical Benefits Claim Form 2020-2025 free printable template
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This form is intended for retirees, their dependents, or survivors enrolled under Medicare Parts A and B to claim hospital, medical, and surgical benefits.
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How to fill out CA ILWU-PMA Coastwise Indemnity Plan Medicare
How to fill out CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental
01
Obtain the CA ILWU-PMA Coastwise Indemnity Plan application form.
02
Fill in personal information including your name, address, and Medicare number.
03
Provide details of any other health insurance plans you may have.
04
Select the coverage options you wish to include in your plan.
05
Review and confirm that all information is accurate and complete.
06
Sign and date the application form.
07
Submit the completed form to the designated address provided in the application instructions.
Who needs CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental?
01
Individuals who are retired or currently working in the longshore industry.
02
Members of the ILWU (International Longshore and Warehouse Union) who are eligible for Medicare.
03
Dependents of ILWU members who require additional health coverage beyond Medicare.
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People Also Ask about
What insurance is ILWU?
ILWU-PMA Benefit Plans administers healthcare and pension benefits to the active and retired longshore workers of the West Coast, as well as their dependents and survivors.
What is the phone number for Coastwise claims provider?
For the latest Schedule of Allowances, contact your Local or the Benefit Plans office, or call the Claims Office at (415) 543-0114 or (800) 955-7376.
What is the ILWU PMA Coastwise indemnity plan?
The ILWU-PMA Coastwise Indemnity Plan is a self-funded indemnity plan, which allows you to obtain services from any licensed doctor or hospital. Benefits are paid ing to a Schedule of Allowances under Basic Benefits and under Major Medical.
What is the ILWU pension plan in San Francisco?
ILWU-PMA Pension Plan is a non-contributory defined benefit union pension fund based in San Francisco, California. Established in 1951, the plan provides retirement coverage for the participants of the plan and their eligible beneficiaries.
What are the health benefits of ILWU?
Plan participants have full access to a wide range of health care benefits. For instance, the plan provides hospital, medical and surgical care, prescription drugs, dental and vision care, hearing aids, substance abuse recovery programs and disability benefits.
What is the ILWU-PMA Coastwise indemnity Plan?
The ILWU-PMA Coastwise Indemnity Plan is a self-funded indemnity plan, which allows you to obtain services from any licensed doctor or hospital. Benefits are paid ing to a Schedule of Allowances under Basic Benefits and under Major Medical.
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What is CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental?
The CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental is a health insurance program designed to provide additional coverage for individuals who are already enrolled in Medicare. It helps cover costs that are not fully paid by Medicare, such as deductibles, co-payments, and co-insurance, specifically for members of the ILWU-PMA.
Who is required to file CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental?
Individuals who are members of the ILWU-PMA and are enrolled in Medicare are required to file for the CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental. This includes active and retired members who wish to receive the additional health benefits provided by this plan.
How to fill out CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental?
To fill out the CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental, participants must complete the provided application form with accurate personal information, including their Medicare number, coverage details, and any other required documentation. It's important to follow the specific instructions provided with the application to ensure proper filing.
What is the purpose of CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental?
The purpose of the CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental is to enhance the health insurance coverage of ILWU-PMA members by covering additional medical expenses that Medicare does not fully pay. This plan aims to ensure that members have financial protection against high healthcare costs.
What information must be reported on CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental?
The information that must be reported on the CA ILWU-PMA Coastwise Indemnity Plan Medicare Supplemental includes personal identification details, Medicare enrollment information, any existing health conditions, preferred healthcare providers, and any other pertinent medical history that may affect coverage under the plan.
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