V. Clinical Services Benefit

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Your family has access to a variety of important healthcare services provided directly by TeamstersCare through its own dedicated facilities or through specialized providers.

These services include:

• pharmacy and prescription drugs

• dental care

• vision care

• hearing care

• mental health & substance abuse care

• wellness programs and adult health screenings

These services are made available to you through TeamstersCare—not through the HMO’s or Out of Area Option.

 

Pharmacy Benefit

When you need prescription drug services, you have three basic alternatives:

(1) You can have your prescriptions filled at one of TeamstersCare’s two inhouse  pharmacies—for a $5 (generic)/$15 (brand name) TeamsterShare Payment per prescription.

(2) You can use a RESTAT network pharmacy—but you’ll need to pay a higher copay and, in some instances, coinsurance.

(3) You can use a non-network pharmacy, but you’ll be required to pay the full amount of your prescription at the point of sale, including the appropriate copay. You then submit a claim—within 60 days—for that amount. TeamstersCare sends you a check for the Plan’s share of the cost, based on the RESTAT network rate, less the amount of your copay.

FImportant Note: As a way of holding down Plan costs—and your costs as well—TeamstersCare pharmacies will stock and fill prescriptions for brand named drugs only when there is no generic equivalent for a given medication. If a generic equivalent for your prescription exists, but you want the brand name, you’ll have to go to a RESTAT network pharmacy, or to some other non-network retail pharmacy. In either case, you’ll need to pay some share of the cost. Therapeutic generic alternatives are now available for virtually every major class of brand name medications. Talk to your doctor or a TeamstersCare Pharmacist about choosing medically sound—but less expensive—generic alternative medications.

Prescription Drug Costs

 

TeamstersCare Pharmacies

The TeamstersCare Pharmacies at Charlestown and Stoughton dispense prescriptions for you and your family for a $5 (generic)/$15 (brand name) TeamsterShare Payment per prescription. This benefit offers you an easy, cost-effective way to fill prescriptions, including those you use on an ongoing basis, such as heart or blood pressure medication and diabetic supplies.

Whenever permissible, you can have your prescriptions filled for up to a 90-day supply. However, sometimes when a new maintenance medication is prescribed, it may not work as anticipated. When this occurs, your doctor may change the dosage or prescribe a different drug to achieve better results. For this reason, when you fill a prescription for a new maintenance medication, you can choose to receive up to a 30-day supply at no cost to you. If the medication works for you, and you wish to fill the balance of the prescription, you can obtain a refill (for up to a 60-day supply) for a $5 (generic)/$15 (brand name) TeamsterShare Payment.

To have a prescription filled by the TeamstersCare Pharmacy, you may:

• take your prescription to the Pharmacy in Charlestown or Stoughton

• have your doctor call in the prescription to the TeamstersCare Pharmacy

• have your doctor fax the prescription to the TeamstersCare Pharmacy

• ask the TeamstersCare Pharmacist to call your doctor on your behalf

• mail in your prescription and your TeamsterShare Payment—either a check made out to TeamstersCare or a Credit/Debit Card Authorization Form (to obtain an Authorization Form, call a TeamstersCare Pharmacy or Charlestown Member Services for a postage-paid reply)

FImportant Note: The Charlestown Pharmacy can send your medication directly to your home or office via UPS or the U.S. Mail. However, Stoughton offers walk-in pick-up service only.

Please note that the hours of operation for our two TeamstersCare inhouse Pharmacies are slightly different.

 

RESTAT Network Pharmacies

If you wish, you can use a retail pharmacy that’s part of TeamstersCare’s RESTAT network. Access to the RESTAT network is a valuable option if for any reason you can’t get to our Charlestown or Stoughton facilities.

The RESTAT Card that TeamstersCare issues is nationally recognized. When you use a RESTAT pharmacy, you’ll need to show your RESTAT card to the pharmacist. You’re limited to a 30-day supply of medication. You’ll pay a copay and a share of the cost for a brand name when a generic is available.

 

Non-Network Pharmacies

If you use a retail pharmacy that is not associated with RESTAT, you’ll pay full price for your prescription. Also, for reimbursement, you’ll need to submit a claim to Charlestown Member Services within 60 days of purchase. TeamstersCare will send you a check equal to the RESTAT allowed rate, less the amount of your copay. In most cases, you’ll end up paying more than you would have paid at a RESTAT pharmacy.

 

What Prescriptions Are Covered

In general, TeamstersCare provides prescription drug benefits that are “medically necessary.” This means that the product or service must:

• be essential for the diagnosis or treatment of the sickness or injury for which it was prescribed

• meet generally accepted standards of medical and pharmaceutical practice

• be ordered by a physician or authorized practitioner acting within their normal scope of practice

What Prescriptions Are Not Covered

TeamstersCare does not cover:

• any medication available without a prescription—except insulin

• Minoxidil—or other treatments for hair loss

• medication for cosmetic use

• smoking cessation products

• experimental medications

• experimental use of approved medications

• medication covered by Workers’ Compensation, in cases where your illness or injury is work-related

• prescriptions older than one year from the date originally prescribed

• immunization agents, certain vaccines, blood or blood products

• illegal drugs

• any of the following, unless dispensed from our TeamstersCare Charlestown or Stoughton Pharmacies—

– drugs for testing or treating infertility

– tretinoin (Retin A)

– growth hormone

– diabetic supplies (test strips, lancets, etc.)

– certain other medications not covered by the Plan—call a TeamstersCare Pharmacy for a list

FImportant Note: In cases where there may be therapeutic alternatives to medication, TeamstersCare reserves the right to require medical documentation and prior authorization by the TeamstersCare Medical Review Committee.

TeamstersCare reserves the right to limit covered therapies and deny coverage for specific medications. At your request and at no charge to you, TeamstersCare Pharmacies will provide you with the list of medications that the Plan limits or does not cover, or medications that require prior authorization.

Important Notes: 

FNew drugs are introduced into the marketplace daily. As the FDA approves new drugs for use in the United States, TeamstersCare will assess the feasibility of covering these drugs and consider the applicability of any restrictions and/or limitations.

FAny prescription medication benefits you receive from TeamstersCare count towards your lifetime benefit maximum of $1,000,000.

 

Dental Benefit

Under the TeamstersCare Plan, you and your eligible dependents have three basic options when you need dental care.

Option #1: TeamstersCare Dentists. You can use our inhouse Charlestown, Chelmsford, or Stoughton facilities for your dental work—with no claim forms to file. Preventive visits are available at no cost to you. You make a TeamsterShare Payment of $10 for filling visits and $20 for denture, root canal, and extraction visits.

Option #2: Dentists in the DeltaPreferred Network. TeamstersCare has an agreement with DeltaPreferred, a network of “private” dentists who provide us with services at discounted rates. When you use the DeltaPreferred network, you have to pay part of the cost, but the dentist will file the claim.

Option #3: Non-Network Dentists. You can use any “private” dentist you like. Again, you’ll have to share the cost (generally, higher than DeltaPreferred costs), and you may be required to file a claim.

FImportant Note: Some dentists who are in the Delta Dental Plan may not be in the DeltaPreferred network. You can use these other Delta dentists, but your share of the cost will be higher.

Option #1: TeamstersCare Dentists

You and your family have a convenient option for basic dental services: complete access to our TeamstersCare Dental Offices in Charlestown, Chelmsford, and Stoughton. When you use a TeamstersCare dentist, there is no cost to you for preventive care visits. You make a TeamsterShare Payment of $10 for filling visits and $20 for denture, root canal, and extraction visits.

TeamstersCare Dental Offices are staffed with professional dentists, hygienists, and dental assistants. Some of our TeamstersCare dentists teach at Tufts and Boston University Dental Schools.

Making Appointments
The Charlestown, Chelmsford, and Stoughton Dental Offices all have the same schedule:

• Monday through Thursday—8 a.m. to 8 p.m.

• Fridays—8 a.m. to 5 p.m.

• Saturdays—8 a.m. to 4 p.m.

 

To make an appointment, call the TeamstersCare Dental Office you plan to visit, using one of the following numbers:

When you make an appointment, the TeamstersCare Dental Offices set aside time exclusively for you. You will be required to pay $10 if you do not:

• show up for your appointment, or

• call at least 24 hours ahead of time to cancel

Services Provided at TeamstersCare Inhouse Dental Offices

The following general services are available at our three TeamstersCare Dental Offices:

• dental examinations and x-rays (preventive)

• fluoride treatment (preventive)

• cleaning and scaling (preventive)

• sealants

• fillings—amalgam and composite

• root canals—limited to front six upper and front six lower teeth

• simple extractions—limited to loose primary or permanent teeth

• dentures—full or partial, no more frequently than once every five years

• denture repair and reline

• second opinions

• emergency care during office hours—so long as the evaluations and treatment of dental problems are within the scope of the services provided at our TeamstersCare Dental Offices

Option #2: DeltaPreferred Network Dentists

TeamstersCare has contracted with Delta Dental, a group of private dentists who provide both routine and specialty services and, at the same time, help you save money on dental care.

Our main relationship is with a Delta Dental group called DeltaPreferred. The DeltaPreferred network, located throughout Massachusetts, gives us the largest discounts. You may use other Delta Dental dentists (for example, a dentist who is a member of the DeltaPremier group, rather than the DeltaPreferred group), but you won’t get the same discounts.

Generally speaking, when using someone other than a TeamstersCare inhouse dentist, you’ll pay the least out of your own pocket when you use DeltaPreferred. In this Answerbook, we refer to DeltaPreferred dentists as “network dentists.” All other dentists are “non-network,” even if they belong to a Delta Dental network other than DeltaPreferred.

Your DeltaPreferred ID Card
You will receive a DeltaPreferred ID card that you must show whenever you visit a dentist—whether or not that dentist is part of the DeltaPreferred network.

• for a DeltaPreferred dentist—the card ensures you receive the TeamstersCare discount

• for any other private, non-network dentist—the card provides information the dentist will need for accurate billing

To determine whether a particular dentist is in the DeltaPreferred network, call Delta Dental’s Customer Service: 1-800-872-0500. Have your DeltaPreferred ID card available so you can refer to it for TeamstersCare group information.

 

Option #3: Non-Network Dentists

You do not have to use a DeltaPreferred network dentist. You can use any “private” dentist you wish. However, when you go outside the DeltaPreferred network, you’ll generally have to pay an even larger share of the cost, and you may be involved in some paperwork.

 

Your Costs for DeltaPreferred and Non-Network Dental Services

TeamstersCare’s Contribution
TeamstersCare has a pre-set Fee Schedule of the dollar amounts it will pay for covered dental procedures when those procedures are performed by any dentist other than our own inhouse practitioners in Charlestown, Chelmsford, and Stoughton.

Your Share
For any given procedure, the Plan always pays the same amount, regardless of whether you go to a DeltaPreferred or a non-network dentist. In either case, you pay a portion of the bill. The difference is, most likely the DeltaPreferred dentist will charge you less to begin with, because of our TeamstersCare contract with Delta Dental. Thus, the balance you pay to a DeltaPreferred dentist—after TeamstersCare makes its pre-set contribution—will almost certainly be smaller than the portion you’d have pay to a non-network dentist.

Examples

Example 1: DeltaPreferred

If a DeltaPreferred dentist charges $150 for a particular treatment, TeamstersCare pays its pre-set Fee Schedule amount for that procedure ($100), and you pay the remaining one-third ($50).

Example 2: Non-Network

Suppose a non-network dentist charges $250 for that same service. TeamstersCare still pays the pre-set Fee Schedule amount of $100. However, the balance you now have to pay is $150.

Note: Both examples assume you’ve already met your individual $50 calendar year deductible.

Dental Benefits Fee Schedule
The TeamstersCare pre-set Fee Schedule generally changes each April. To obtain a current copy, contact Charlestown Member Services.

Deductibles and Calendar Year Maximum
Except for diagnostic and preventive services, any dental treatment you receive outside of the TeamstersCare Dental Offices is subject to a $50 per person/maximum $100 per family calendar year deductible. Also, there is a calendar year maximum benefit of $2,000 per person.

 

Dental Treatment in the Hospital

If you have a serious medical condition and therefore can’t be treated in a dental office, your dentist might recommend that you be treated in a hospital. Generally, the TeamstersCare dental benefit will share the cost of the dental services you receive in the hospital—but not any related medical costs. For medical coverage and claims, you’ll need to follow whatever procedures are appropriate for the particular TeamstersCare Medical Option you have chosen for yourself and your family.

 

Orthodontic Benefit

TeamstersCare provides orthodontic benefits for you, your spouse, and your eligible dependents. For orthodontic services you receive from a DeltaPreferred or non-network dentist, the Plan pays 50% of the cost, up to $1,500 lifetime maximum per person.

 

Dental Expenses Not Covered

TeamstersCare does not provide dental benefits for the following:

• services or supplies in a hospital operated by the U.S. government or a government agency

• services under any government law or program to which you might be entitled

• treatment of a work-related condition

• cosmetic dental services—unless the procedure is required because of an accident that happens while you are covered by TeamstersCare

• treatment by anyone other than a licensed dentist or physician—or a qualified dental technician working under a dentist’s or physician’s direction

• training or supplies used for dental care education

• treatment for temporomandibular joint (TMJ) syndrome—except for specific medical conditions verified by x-ray or other diagnostic tests

• dental implants or experimental procedures

• charges above any amounts listed in the TeamstersCare Dental Benefits Fee Schedule

• charges you or your family members are not obligated to pay

• services provided for injuries that result from a war, declared or undeclared

• charges for missed appointments

 

Pre-Treatment Dental Estimates

TeamstersCare provides a service that helps you estimate your share of dental expenses before you’re actually treated.

If your dentist recommends treatment that will cost $250 or more, the dentist can submit to Delta Dental a Pre-treatment Estimate Form that will enable Delta Dental to estimate your share of the cost. Getting the estimate is voluntary, but it can help avoid surprises about the amount you’re responsible for. You can then plan the treatment and manage your expenses accordingly.

 

Filing a Dental Claim

When you use a TeamstersCare inhouse dental facility, you file no claim forms.

Delta Dental handles any claim submitted by DeltaPreferred dentists. Delta also administers our non-network claims.

If you have to submit a DeltaPreferred or non-network claim yourself, the appropriate forms should be available at your dentist’s office. Otherwise, call Delta Dental Customer Service directly, at 800-872-0500.

FImportant Note: You must submit dental claims within 12 months of the date when service was provided.

Dental claim forms, either for DeltaPreferred or non-network services, should be addressed to:
Delta Dental Plan

P.O. Box 9695
Boston, MA 02114

If you have any questions about how a claim should be handled, call Delta Dental at 800-872-0500.

 

Coordinating with Other Dental Plans

If you or a dependent has other dental coverage—such as through your spouse’s plan—any benefits you receive from that other plan will be coordinated with your TeamstersCare benefit. Taken together, total payments from all plans cannot be more than 100% of the charges. (See Coordination of Benefits, click here.)

 

 

Vision Benefit

TeamstersCare has contracted with Davis Vision to provide you and your family with benefits that help protect your eyesight—while also managing the cost of caring for your vision.

 

Davis Vision Network

Davis Vision is a national network with participating providers throughout the United States. Under TeamstersCare’s Plan, you can visit any Davis Vision provider for a broad range of eye care services and supplies—generally, at no cost to you.

For a list of participating providers, call Davis Vision at 800-999-5431, visit www.davisvision.com, or contact Charlestown Member Services for a list of New England providers.

 

Your TeamstersCare Vision Benefit

Participating Davis Vision professionals can provide you and your family members with the following:

• routine eye examinations, at no cost to you

– for you and your spouse—one exam each during each 24-month period

– for eligible children—one exam during each 12-month period

• either eyeglasses from the Plan’s eyewear selection, at no cost to you

• or contact lenses, for a $25 copay

FImportant Note: When choosing either glasses or contacts, you must make your full selection at the time you have your authorized eye examination.

 

 

Eyewear You Can Select

The Plan offers a wide assortment of eyeglasses, all with a one-year warranty. You can select:

• at no cost to you—eyeglasses; a wide variety of frames and lenses; prescription sunglasses; safety glasses (for members only), or

• for a $25 copay 

– standard, daily-wear soft contact lenses

– a three-month supply of disposable lenses with a cleaning kit

– all visits needed to fit the lenses and provide follow-up care

TeamstersCare’s eyewear options differ for you and your dependents:

• As a Plan member, you can receive as many as three pairs of eyeglasses during any consecutive 24-month period. You must select all three pairs at once, at the time of your examination. The following options apply to the combinations you can select:

– One of your three pairs can be safety glasses, either prescription or non-prescription.

– One of your three pairs can be sunglasses, either prescription or non-prescription.

– Prescription lenses—two of your three pairs can have any combination of special lenses (e.g., invisible bifocals; trifocals; photo-gray tinting; premium anti-reflective coating; transitional, progressive, or intermediate vision lenses). However, if you select prescription lenses for all three pairs, then at least one pair must be single vision lenses.

• Your spouse can receive two pairs of eyeglasses, during any consecutive 24-month period, in any combination of lenses. Both pairs must be prescription and both must be selected at the time of the eye examination.

• Your dependent children can receive one pair of prescription eyeglasses every 12 months. The eyeglasses must be selected at the time of the eye examination.

If You Choose Contact Lenses
You can select either contact lenses or eyeglasses, but not both. If you choose contact lenses, you then have to wait 24 months before you can select eyeglasses from the Plan. Also, once the contact lenses are fitted, you cannot exchange them for eyeglasses.

The Plan does not cover extra contact lenses, replacements, or contact lens insurance. However, if you select disposable lenses, Davis Vision may offer additional lenses for a discount. For information on this option, call 1-800-LENS123.

For contact lenses, you have to pay a $25 fee directly to the Davis Vision provider. If you need a type of contact lens not available from the Plan, TeamstersCare will pay for your eye exam, but you must pay all other costs.

Laser Vision Correction
TeamstersCare has negotiated a 25% discount off the usual and customary fee if you choose to have laser vision correction surgery done at a participating Davis Vision facility. Please note: TeamstersCare and the TeamstersCare HMO’s do not cover the cost of laser vision surgery.

 

Making an Appointment

To schedule an appointment, call a local Davis Vision office directly or check the Davis Vision website at www.davisvision.com.

When you call, the Davis Vision professionals will help determine whether you’re eligible for an examination and eyeglasses under the Plan. In general, you can check on your eligibility for an exam or glasses by calling 1-800-283-9374.

You should have received a List of Participating Davis Vision Providers in your enrollment kit—or subsequent updates of the List through the mail. However, if you need another copy or more information about contacting Davis Vision, call Charlestown Member Services.

FImportant Note: For vision care, it’s important to remember that equipment, services, and supplies are covered only through the TeamstersCare Plan at a Davis Vision network provider.

 

 

Mental Health & Substance Abuse Benefit

The TeamstersCare Mental Health & Substance Abuse (TMH) benefit provides confidential, professional help for you, your spouse, and your dependents, if you encounter personal problems that disrupt your lives. Such problems can include mental illness, substance abuse, family and marital difficulties, childhood and adolescent concerns, financial and other pressures.

TMH benefits are available to you regardless of which TeamstersCare Medical Option you choose. These services are made available to you through TeamstersCare’s own inhouse TMH professionals—not through the HMO’s or Out of Area Option.

 

TeamstersCare Mental Health & Substance Abuse Benefit:
In-House Resources

TMH provides services through a staff of mental health professionals. TMH staff members are trained to help you identify and evaluate personal problems and, if appropriate, refer you to outside professionals for help. When that happens, your TMH counselor will monitor the progress of your treatment plan and authorize any additional care that may be needed.

Consultation with a TMH staff professional, for either personal or family assistance, is provided at no cost to you. You simply need to call TeamstersCare Mental Health for assistance or to schedule an appointment. Indeed, anytime you or a dependent needs help, you should contact a TMH counselor for proper authorization and to ensure that you’ll receive maximum benefits.

You can reach TeamstersCare Mental Health & Substance Abuse at either of these numbers:

• TMH 24-Hour Hotline: 800-851-8326

• in the 781-calling area: 781-321-6526

If you have any kind of emergency related to mental health or substance abuse, you (or someone acting on your behalf) can call our TMH Hotline, day or night. Also, feel free to call if you need further information or have questions about your mental health or substance abuse benefits. TMH staff keeps all member communications confidential.

 

TeamstersCare Mental Health & Substance Abuse Benefit:
Covered Services

The TeamstersCare Mental Health & Substance Abuse benefit covers treatment of mental illness and substance abuse, whether on an inpatient or outpatient basis.
The level of your benefit varies, depending on whether:

• you are referred by one of TeamstersCare’s own TMH professionals

• you call TMH in advance and get pre-approval for your treatment

• you are treated on a inpatient basis (e.g., you’re admitted to a hospital) or an outpatient basis (e.g., you’re treated in an office setting or some other health facility, but not admitted to the hospital)

FImportant Note: TeamstersCare mental health & substance abuse services are made available to you through TeamstersCare’s own inhouse TMH professionals— not through the HMO’s or Out of Area Option.

Treatment as an Inpatient in the Hospital

If you or any eligible dependent must be admitted to the hospital for treatment of mental illness or substance abuse, you—or someone acting on your behalf—must call the TMH Office for pre-approval before the admission. In an emergency, it’s usually best to go to the nearest hospital emergency room. The pre-approval process can be completed from the emergency room.

FImportant Note: Unless you obtain pre-approval, the Plan cannot cover any mental health treatment you receive as an inpatient in the hospital.

Treatment as an Outpatient
You may obtain outpatient mental health treatment in one of two ways:

(1) The preferred way is through TMH’s pre-approved providers. When you use a
pre-approved provider, your own cost will be less, and you’ll be eligible for a greater number of visits.

(2) The second way is when you do not get pre-approval through TMH. In this case, your own contribution will be higher, and you won’t be eligible for as many visits.

The following chart outlines the various levels of coverage available to you depending on the kind of services provided and whether or not you secure pre-approval.

 

Chart: Mental Health Benefit

 

Chart: Substance Abuse Benefit

 

R.A.F.T.

TeamstersCare sponsors a program called R.A.F.T. (“Referral and Follow-Up Treatment”), made up of volunteers who help their fellow members fight against alcohol and drug abuse. R.A.F.T. meets regularly at designated TeamstersCare sites. For more information—on an absolutely confidential basis—call R.A.F.T.’s Program Director at our TMH Office in Malden: 781-321-6526 or 1-800-851-8326.

 

Mental Health & Substance Abuse Benefit: Individual Maximum Coverag

Dollar Limits: Mental Health & Substance Abuse
Substance Abuse benefits are limited to $50,000 per individual, per lifetime.

Mental Health and Substance Abuse benefits are included in the Plan’s overall medical lifetime maximum of $1,000,000 per individual, per lifetime.

Outpatient Visits: Mental Health & Substance Abuse
On an outpatient basis, with TMH pre-approval, you are eligible for up to 18 visits annually, combining all visits for mental health and substance abuse treatment. Without TMH pre-approval, you are eligible for up to nine visits annually, combining all visits for mental health and substance abuse treatment.

Admissions: Substance Abuse
There are lifetime maximums for the number of substance abuse admissions. Each individual is entitled to two full-time in-patient or four intermediate admissions.

 

 

Wellness Benefit

The TeamstersCare Medical Director and Wellness Staff believe that the early detection of health problems can often lead to more successful treatment and cure. TeamstersCare offers a variety of wellness services to help maintain good health. These services are provided free of charge to members and their spouses (whether enrolled in either one of the TeamstersCare HMO’s or the Out of Area Option) at any of our TeamstersCare Wellness Offices.

 

Wellness Screening Services for Members & Spouses

Health screenings, performed at the TeamstersCare Wellness Offices by registered nurses, check for many common health problems, including:

• high blood pressure

• heart problems

• diabetes

• high cholesterol

• hearing loss

• glaucoma

• thyroid problems

• hemochromatosis

• some forms of cancer

• osteoporosis (for women)

A typical screening can include: blood work, cardiograms, urinalysis, breathing tests, etc. Also, as appropriate and with pre-approval, TeamstersCare Wellness Offices can arrange for you to have mammograms done at certain outside facilities.

A full wellness screening includes a battery of more than a dozen tests. However, you do not have to take every test that would normally be included in a comprehensive screening. Based on your age, gender, and clinical history, TeamstersCare staff will help you identify those tests that are likely to be most helpful. You make the final decision about your testing.

Screening results are strictly confidential and will be summarized by the Medical Director in a personal report to you. If test results indicate a need for follow-up tests or treatment, or you have a question about your results, the Wellness Staff is available to discuss your situation. At your request, the Wellness Staff will forward the test results to your doctor.

 

Other Specialized Wellness Benefits

In addition to our ongoing wellness screening services, each year TeamstersCare conducts a number of specialized wellness programs at our Wellness Offices. These include:

• prostate cancer screening (PSA blood test and digital rectal exam by a urologist)

• osteoporosis screening (for women)

• flu and pneumococcal vaccinations

• diabetes screening

• blood pressure monitoring

Health Information Services

In addition to screenings, TeamstersCare Wellness also provides health care information. In the battle to “stay well,” knowledge is a powerful weapon. If you have specific questions, or a personal concern, or you simply want information about a health-related issue, start with us.

 

Health Services Not Included in Screenings

Screening services are for preventive purposes only and do not include emergency medical care or testing that is part of treatment for illness or injury. Specifically, TeamstersCare screening services do not include:

• primary medical care

• physical exams for pre-employment with any organization, including
Department of Transportation physicals

• emergency medical care

• diagnosis or treatment of an injury or illness

• prescriptions for medications

Scheduling Screenings

TeamstersCare has Wellness Offices in Charlestown, Chelmsford, and Stoughton.
Call the Office most convenient for you in order to:

• schedule a comprehensive health screening

• schedule any individual test or combination of tests

• ask about health-related issues

• get more information about our specialized wellness programs

 

 

Hearing Care Benefit

Once each year, you, your spouse, and your children can have comprehensive hearing testing done at the Charlestown Audiology Office. Routine hearing examinations, diagnostic evaluations, and middle ear analysis are provided at no cost to you. You pay a $10 TeamsterShare Payment per visit for all other types of services, including hearing-aid related visits.

This benefit is available to you if you’re enrolled in either one of the TeamstersCare HMO’s or the Out of Area Option.

Our TeamstersCare Staff Audiologist can provide the following services:

• ear examination

• diagnostic hearing evaluation

• middle ear analysis

• hearing aid analysis, fitting, and follow-up

To schedule an appointment for a hearing exam,
call the Appointment Desk in Charlestown at
617-241-9220 ext. 1 (LOCAL);
800-442-9939 ext. 1 (TOLL FREE IN MA);
800-225-6135 ext. 1 (TOLL FREE OUT OF STATE)

 

Hearing Care Benefits Outside of New England

Ordinarily, hearing care equipment, services, and supplies are covered only when they’re provided through our TeamstersCare Charlestown Audiology Office. However, if you or your family members live outside New England, you can be authorized to receive certain hearing care services from a private audiologist, provided our TeamstersCare Audiologist conducts a pre-treatment review.

TeamstersCare will use the results of the review to identify and pre-approve reimbursable costs for services and devices from the outside provider. As appropriate, certain reasonable and customary allowances may apply. For more information on this option, call the Audiology Office in Charlestown.