COVID-19 Benefits Under the TAC Group Health Plan

We are praying for continued health and complete healing for all those impacted by the COVID-19 virus during this difficult time.   

Please review the following specific benefits for COVID-19 testing and treatment for participants in the TAC Group Health Plan:   

  • Testing for COVID-19 will be covered at 100% in-network or 100% of maximum allowable charge out-of-network for all Standard PPO and High Deductible PPO Plan participants.  This would include both the testing and administration (office visit, ER, Urgent Care, drive-through or other COVID-19 testing locations).  Please be aware that in-home COVID-19 test kits are not FDA approved and will not be covered under plan benefits.

Teladoc visits related to COVID-19 will also be covered at 100% for High Deductible PPO Plan participants.  High Deductible PPO Plan participants will pay the normal $45 office visit fee at the time of service and will be automatically reimbursed by Boon-Chapman.  Teladoc visits for all Standard PPO plan participants are already covered at 100% with no co-pay. 

If you or a family member need testing, please contact your health care provider, clinic or hospital in advance for their guidance with regards to testing locations and availability.

  • Treatment for participants diagnosed with COVID-19 would be according to normal plan benefits with any applicable co-pays, deductibles, and/or co-insurance owed for both Standard PPO and High Deductible PPO Plan participants.

Prescription Benefits:  To assist members in reducing the number of retail pharmacy visits needed due to the COVID-19 epidemic: 

  • Effective Monday, March 23, 2020, members may receive up to a 90-day fill or refill for acute or maintenance prescriptions at retail pharmacies with the standard one co-pay/co-insurance for each 1-30 day supply (two co-pays/co-insurance for a 31-60 day supply and three co-pays/co-insurance for a 61-90 day supply). This excludes controlled substances or specialty medications.This waiver of the standard one-month retail prescription fill limit will remain in effect until May 31, 2020, at which time it will be re-evaluated and extended if needed.

For further information, please contact the TAC Benefits Staff below.  Please be aware that we are working remotely with limited office schedules during this time and will respond as quickly as possible.


Teladoc

Teladoc® is a telehealth medicine program that gives TAC GHB participants access to quality medical care via phone 24 hours a day, seven days a week, 365 days a year. It is a convenient alternative to urgent care and ER visits. It is also helpful when you are on vacation, on a business trip, or away from home.

The doctors in this program are U.S. Board Certified in Internal Medicine, Family Practice, or Pediatrics. Teladoc® physicians can treat many medical conditions such as cold and flu symptoms, allergies, bronchitis, skin problems, respiratory infections and sinus problems, and can prescribe medications for short-term conditions. 

There is no charge for Teladoc services for TAC Standard PPO Plan participants. There is a $45 charge per consultation for High Deductible Plan participants.

To access this program, either visit www.teladoc.com or call 1-800-Teladoc (835-2362).


Questions?  For further information, contact:

Barbara Kilby, TAC Benefits Administrator / HIPAA Privacy Officer:  bkilby@txcumc.org; 713-533-3702, 1-800-606-0350

Marianela Chinea, Group Health Benefits Specialist:  mchinea@txcumc.org or 713-533-3721

Patricia Goforth-Rakes, Senior Benefits Specialist, Pensions and Retiree Health Benefits: pgrakes@txcumc.org or 713-533-3723

Nancy Slade, Administrative Assistant, Virgin Pulse Walking Program:  nslade@txcumc.org or 713-533-3722

Mark Hellums, Controller, Pension and Health Benefits:  mhellums@txcumc.org or 713-533-3703

 

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