2012 Health Care Plans/Rates

 

Churchwide Health Care premium rates for 2012 have been finalized.

 

For our members who joined the CCHCBT prior to December 31, 2009, the following applies:

·        If you are 50 or older, you will have a rate hold for 2012

·        If you are 49 and younger, you will rate increase of 2%

·        If you have reached a milestone age ending in a “0” or “5”, your increase will be greater than above.

 

For our members who joined the CCHCBT after January 1, 2010, you will see a rate increase of 5% in 2012.  

 

To request your specific rates, please send an email to HCT@pension.disciples.org or contact us toll free at (866) 495– 7322.   

Medicare Participants

Click Here

 

 

Preventive Schedules & Authorizations

 

2012 Highmark Preventive Schedule

 

PHI Authorization Form

 

Health Allergy Medication Questionnaire

 

  

 Application for Coverage

Click Here

 

 

Claim Forms

 

Highmark BCBS Claim Form

Benesight Claim Form

 

 

 

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