Local 1014 Open Enrollment 2020- Benefits Changes

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"My wife and I chose to make the switch to the Local 1014 Health Plan after our 2-year old daughter became chronically ill and was diagnosed with Autism. Our previous health plan would not approve treatment for her and she continued to get progressively sicker. As soon as we made the switch, we were able to see a range of specialists including a world-class neurologist. The Local 1014 Health Plan along with their excellent staff and the Health Trust Board of Trustees was committed to getting my daughter the care she needed to improve. Today she is healthy and continues to still improve. There is no doubt in my mind that without the excellent coverage and personalized care we received from The Local 1014 Health Plan my daughter would have never received the treatment she needed. The Local 1014 Health Plan was the best decision we ever made for our family.”

LA COUNTY CHOICES OPEN ENROLLMENT 2020

OCTOBER 1 - 31, 2019

OCTOBER 1 - 31, 2019

CHOOSE THE PLAN MADE FOR FIREFIGHTERS & THEIR FAMILIES

80% OF OUR ACTIVE MEMBERS

96%

THE ONLY PLAN YOU CAN TAKE WITH YOU “AS IS” INTO RETIREMENT OF OUR RETIRED MEMBERS CHOOSE THE LOCAL 1014 HEALTH PLAN FOR THEIR FAMILIES

- Retired LACoFD Assistant Fire Chief, Mark Nelson

DragottoFamily

“At 4-months old, our beautiful daughter, Gianna, had a grand mal seizure. At one-year-old, Gianna was diagnosed with a severe form of epilepsy called Lennox-Gastaut Syndrome. Our beautiful baby girl was having over 1,000 seizures a day -- her prognosis was terminal. The Local 1014 Health Trust and their staff were there for us as we continued our mission to determine the root cause of Gianna’s illness. Finally, at 2-years old, after seeing dozens of doctors, we were able to nd a specialist who diagnosed Gianna’s underlying medical condition. We appealed to the 1014 Health Trust Board to get her a series of specialized treatments. Within several treatments, our daughter, who up until this moment never interacted with us, was now able to recognize us and respond to our voices for the rst time. Today Gianna is 15-years old and off all but one seizure medication. We often think about how it would have been if we did not have the Local 1014 Health Plan. Without the support of 1014, she would not be where she is today. ”

TO LEARN MORE ABOUT THE LOCAL 1014 HEALTH PLAN, CALL 800-660-1014. ENROLL IN THE LOCAL 1014 HEALTH PLAN AT MYLACOUNTYBENEFITS.COM.
- LACoFD Firefighter David Dragotto and Natalie Dragotto Nelson Family

THE LOCAL 1014 HEALTH PLAN THE LOCAL 1014 HEALTH PLAN

A PLAN FOR FIREFIGHTERS, BY FIREFIGHTERS A PLAN FOR FIREFIGHTERS, BY FIREFIGHTERS

A high-quality plan tailored to meet Firefighters’ and Fire Service Personnel’s unique needs

The Local 1014 Health Plan now offers 24/7 access to your personal benefits details and status through MemberXG. Now you can find answers to questions about your medical benefits anytime using your computer, tablet, or smartphone. Sign-up is quick, easy and FREE. Visit local1014medical.org for more information.

OPEN ENROLLMENT

IF YOU ARE NOT CURRENTLY ENROLLED IN THE LOCAL 1014 HEALTH PLAN, SIGN UP DURING OPEN ENROLLMENT: OCTOBER 1 - 31, 2019 AT MYLACOUNTYBENEFITS.COM TO LEARN MORE ABOUT THE LOCAL 1014 HEALTH PLAN, CALL 800-660-1014.

HEARING

Are you in need of a hearing aid or a hearing aid upgrade? The Local 1014 Health Plan has partnered with EPIC the premier provider of hearing care to provide members with exciting new bene ts including:

• $2500 allowance per year

• Name brand hearing aids at a signi cantly reduced prices

• 45- day trial period with a complimentary 3-year warranty and a 1-year supply of batteries

DENTAL

Do you need a crown, root canal, or llings? The Local 1014 Health Plan has made it easier to get your dental expenses reimbursed. This bene t is available regardless of the underlying dental plan in which you are enrolled. Receive up to $1,500 in excess dental care each year and receive a separate lifetime $2,500 allowance for dental implants.

CHIROPRACTIC/ACUPUNCTURE/ OCCUPATIONAL THERAPY

Have a bad back or knee pain? The Local 1014 Health Plan has doubled the amount of chiropractic, acupuncture and occupational therapy visits allowed each year. You can now have 30 chiropractic and 30 acupuncture visits each year for a total of 60 visits per year. That’s more than one per week. We have also doubled our occupational therapy visits allowed to 12 visits per year.

THIS EXAMPLE EVENT INCLUDES SERVICES LIKE:

Primary care physician o ce visits (including disease education)

Diagnostic tests (blood work)

Prescription drugs

Durable medical equipment (glucose meter)

In this example, Joe would pay:

Under The Local 1014 Health Plan, Joe has the liberty of selecting the doctors and specialist of his choice without having to obtain referrals. It’s the peace of mind that comes with knowing that you are getting the best care possible for you and your family to thrive.

IF YOU ARE NOT CURRENTLY ENROLLED IN THE LOCAL 1014 HEALTH PLAN, SIGN UP DURING OPEN ENROLLMENT: OCTOBER 1 - 31, 2019 AT MYLACOUNTYBENEFITS.COM TO LEARN MORE ABOUT THE LOCAL 1014 HEALTH PLAN, CALL 800-660-1014 .

WEIGHT LOSS

Did you know the loss of as few as 20 pounds can help the management of heart disease, hypertension and diabetes? The Local 1014 Health Plan has removed the dollar-limits for medical weight loss programs. We have also eased the requirements to qualify allowing more members access to these programs.

INTRAUTERINE INSEMINATION (IUI)

Looking to start a family? The Local 1014 Health Plan now covers IUI for all member couples. The Local 1014 Health Plan now provides a $10,000 lifetime bene t for diagnosis and treatment and a $10,000 lifetime bene t for drug therapy.

BODY SCAN

Did you know Fire ghters are at a higher risk that the general public for developing illness such as heart disease and lung cancer? We are pleased to announce that the Local 1014 Health Plan has extended the Body Scan bene t, now available until August 31, 2020.

HOSPICE

Looking into end-of-life care options for yourself or a loved one? We have removed the dollar-limit for Hospice Services in order to provide support during the most dif cult time for members and their families.

OCTOBER 31, 2019

For more information about The Local 1014 Health Plan or for more details on how to sign-up, please call member services at 800-660-1014.

Guerra
Juan
MANAGING JOE’S TYPE 2 DIABETES ( a year of routine in-network care of a well-controlled condition
)
THE PLAN’S OVERALL DEDUCTIBLE $200 SPECIALIST COPAYMENT $0 HOSPITAL (FACILITY) COINSURANCE 10% OTHER COINSURANCE $0 $200 $300 $490 $0 Cost Sharing Deductibles* Copayments (RX copays) Coinsurance What isn’t covered Limits or exclusions The total Joe would pay is $990 1014 HEALTH PLAN $5,400 TOTAL EXAMPLE COST
ENROLLMENT
OPEN
ENDS:
(Your actual costs
on the
you receive)
Here’s
an example of how the medical treatment below will be covered by our plan.
will vary depending
care

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