Gaseta Newsletter Volume 11 Issue 2
Wednesday, May 22, 2013
Frequently Asked Questions
Health Insurance Inquiries:
Q: I am currently an AETNA Global Benefits (AGB) member under the Group Health Insurance plan (GHI). How do I cancel my coverage?
A: You may request the GHI/AGB “Enrollment / Waiver / Change Request” form from your personnel/human relations office, and mark "TERMINATE" to cancel your coverage. Sign this form & turn it in to our office.
Q: I have recently acquired a dependent and wish to add him/her under my health plan, what are the requirements and enrollment period?
A: A subscriber has 30 days from the date of birth or adoption of a new dependent, or 30 days from marriage, to add that dependent to his/her policy. The Government Group Health Insurance/AGB “Enrollment / Waiver / Change Request” form must be signed and accompanied by either the birth certificate, the adoption decree, or marriage certificate. If you miss the 30-day deadline, you may add a dependent during "Open Enrollment," normally held in November. "Open Enrollment" notices are sent to all departments and published in the local newspapers.
Q: What is the age attainment that would require a dependent child to be a full-time student to be eligible for coverage and up to what age?
A: Age 19, eligible for coverage up through age 24 provided the dependent remains a full-time student. Should the dependent cease to be eligible for health insurance, the subscriber must complete the “Enrollment / Waiver / Change Request” form, mark “Remove Dependent Child” in order to cease coverage, and possibly pay a smaller premium for health insurance coverage.
Q: I paid health claims in full at my clinic. To file for reimbursement, what forms do I need and where do I submit them?
A: Reimbursement forms are in the package provided to subscribers at the beginning of their enrollment; additional forms are also available from our office.
Q: I have questions about my unpaid medical billings – to whom do I direct my questions?
A: Claims are sent by medical providers and pharmacies to and processed only by AGB. You may inquire about your claims by calling their 24/7 toll free number - 1(800) 231-7729.
Q: How do I register online with the Aetna Navigator tool?
A: You can register with their Navigator tool by going online and in your web browser type: www.aetna.com.
You will be brought to the members home page and as you scroll down on the left side of the page, point your mouse to the “Member Log In” box and CLICK on Register. The process is fairly simple and will take 15-25 minutes.
Retirement Fund Inquiries:
Q: What do I need to do to get my retirement contributions refunded after I’ve left employment with the government and how long after submission of complete documents will I be able to receive my refund of contributions check?
A: You must submit an Official Personnel Action indicating “Separation” (resignation, termination, expiration of contract, etc…) from the Office of Personnel Management (OPM), or issued by your former agency, with an “Application for Refund of Contributions” and a “Clearance for Refund of Contributions”. These forms are available from the Fund Offices and through the Fund website. Refunds will be made available approximately 90 days given the submission of required documents are complete and no other issues arise.
Q: When do retirees get paid?
A: Payday is the 15th and last day of the month. When these days fall on a weekend or holiday, benefits will be paid on the preceding work day. Due to modern technology, annuitants receiving benefits by allotment (electronic transfer of funds) normally receive their benefits a day, sometimes 2 days earlier.
Q: I am currently an AETNA Global Benefits (AGB) member under the Group Health Insurance plan (GHI). How do I cancel my coverage?
A: You may request the GHI/AGB “Enrollment / Waiver / Change Request” form from your personnel/human relations office, and mark "TERMINATE" to cancel your coverage. Sign this form & turn it in to our office.
Q: I have recently acquired a dependent and wish to add him/her under my health plan, what are the requirements and enrollment period?
A: A subscriber has 30 days from the date of birth or adoption of a new dependent, or 30 days from marriage, to add that dependent to his/her policy. The Government Group Health Insurance/AGB “Enrollment / Waiver / Change Request” form must be signed and accompanied by either the birth certificate, the adoption decree, or marriage certificate. If you miss the 30-day deadline, you may add a dependent during "Open Enrollment," normally held in November. "Open Enrollment" notices are sent to all departments and published in the local newspapers.
Q: What is the age attainment that would require a dependent child to be a full-time student to be eligible for coverage and up to what age?
A: Age 19, eligible for coverage up through age 24 provided the dependent remains a full-time student. Should the dependent cease to be eligible for health insurance, the subscriber must complete the “Enrollment / Waiver / Change Request” form, mark “Remove Dependent Child” in order to cease coverage, and possibly pay a smaller premium for health insurance coverage.
Q: I paid health claims in full at my clinic. To file for reimbursement, what forms do I need and where do I submit them?
A: Reimbursement forms are in the package provided to subscribers at the beginning of their enrollment; additional forms are also available from our office.
Q: I have questions about my unpaid medical billings – to whom do I direct my questions?
A: Claims are sent by medical providers and pharmacies to and processed only by AGB. You may inquire about your claims by calling their 24/7 toll free number - 1(800) 231-7729.
Q: How do I register online with the Aetna Navigator tool?
A: You can register with their Navigator tool by going online and in your web browser type: www.aetna.com.
You will be brought to the members home page and as you scroll down on the left side of the page, point your mouse to the “Member Log In” box and CLICK on Register. The process is fairly simple and will take 15-25 minutes.
Retirement Fund Inquiries:
Q: What do I need to do to get my retirement contributions refunded after I’ve left employment with the government and how long after submission of complete documents will I be able to receive my refund of contributions check?
A: You must submit an Official Personnel Action indicating “Separation” (resignation, termination, expiration of contract, etc…) from the Office of Personnel Management (OPM), or issued by your former agency, with an “Application for Refund of Contributions” and a “Clearance for Refund of Contributions”. These forms are available from the Fund Offices and through the Fund website. Refunds will be made available approximately 90 days given the submission of required documents are complete and no other issues arise.
Q: When do retirees get paid?
A: Payday is the 15th and last day of the month. When these days fall on a weekend or holiday, benefits will be paid on the preceding work day. Due to modern technology, annuitants receiving benefits by allotment (electronic transfer of funds) normally receive their benefits a day, sometimes 2 days earlier.