- Reimbursement of the 5% out of pocket
expenditures in excess of the catastrophic
level.
Important Information
FORMS HOTLINE: 212-539-0539
MEDICARE PART D CATASTROPHIC REIMBURSEMENT
Who is covered?
Retirees who have a Medicare Part D Prescription Drug Program and have reached the annual 5% catastrophic coverage threshold are covered. Dependents are not covered.
What is the benefit?
This benefit will reimburse the 5% out of pocket co-payments incurred in the catastrophic coverage portion of the Medicare Part D plan.
How are benefits obtained?
You must complete a Medicare Part D Reimbursement Claim Form and submit it to the Welfare Fund no later than February 1 with the letter and Explanation of Benefits (EOB) received from your Health Insurance carrier
NOTE: If you have not reached the catastrophic threshold of your Medicare Part D plan, you do not qualify for the benefit and you should not file a claim form. At the end of every year, the health plan that you are enrolled in for the Medicare Part D program will send you an Explanation of Benefits (EOB).
Where can I get the Reimbursement Claim Form?
You can obtain the form in any of the following ways:
• by calling the Welfare Fund's Hotline, which operates 24 hours a day, seven days a week: 212-539-0539; or
• by calling the Welfare Fund during business hours at 212-539-0500; or
• by downloading it from the website at www.uftwf.org.