PAX Centurion - Spring 2019

www.bppa.org PAX CENTURION • Spring 2019 • Page 53 Eire Pub 795 Adams Street Dorchester, MA 02124 also require that retirees reside within a service area; Massachusetts for the two plans offered by the City. All of the plans offered by the City also provide coverage for emergency or urgent care coverage while traveling outside of the United States. Many retirees are not aware that original Medicare does not provide any coverage for injury or illness when traveling internationally. In these instances, the health insurance carrier (Blue Cross Blue Shield Massachusetts, Harvard Pilgrim Health Care or Tufts Health Plan) will provide the primary coverage. Since other countries do not recognize Medicare, retirees who need treatment for an illness or injury while traveling outside of the United States will be required to pay the doctor or hospital directly after treatment is received. A listing of itemized charges in English (if possible) should be requested as it will be necessary for reimbursement by the health plan. Each health insurance carrier has a claim reimbursement form that will need to be completed and sent via mail along with the itemized billing of medical services received and proof of payment. Proof of payment can be a copy of the credit card or bank statement reflecting the charges or a receipt reflecting cash was paid at the time of the visit. Claim forms may be obtained by calling the Customer Service phone number on the back of the health plan ID card, or on their website under the Member information section. Customer Service Representatives at each health insurance company will be able to assist with how to complete the claim form and reviewing the process. The claim form must be completed by the retiree or retiree spouse who received the medical services. It is important that photocopies of all documents (claim form, itemized medical bill, and proof of payment) be kept for reference, and in the event resubmission is required. Processing of a reimbursement by the health insurance carriers generally takes approximately four to six weeks if all the information is provided. The amount reimbursed would be based upon the out of pocket costs for the medical services received minus the appropriate copayment (i.e., doctor’s office, urgent care center, hospital). Once the claim is processed by the health plan, a physical check is mailed to the member who was listed on the claim form and incurred the medical services. The Health Benefits and Insurance (HBI) Department is available to assist with understanding the Medicare enrollment process as not every situation is the same. Medicare enrollment may occur after 65 for those that continue to work or have a spouse and dependent under age 26. The staff is available to review each retiree’s situation and discuss the benefits of the different health plan options. Retirees can stop by the department at City Hall Room 807 or via phone at 617- 635-4570. S P O R T S By Bill Carroll See Sports Trivia Answers on page 58 1. Can you name the switch-hitter who hit the most career home runs in MLB history? 2. How many times has the Super Bowl been played in California? 3. Who was the first wild card team to win the Super Bowl? 4. What NHLGoaltender holds the record for most career shutouts? 5. What NHLGoaltender has appeared in the most shootouts? 6. Can you name the NHL goalie who holds the record for most points scored in a game? 7. Who holds the record for the most assists in an NBAgame? 8. Who is the only Masters Champion to never miss the cut in the tournament? 9. Can you name the manager of the 2019 Toronto Blue Jays? 10. What major leaguers played in the most World Series games? Directors of the Retired Patrolmen’s Division of the BPPA: John Murphy David Mackin Joe Vannelli Billy Flippin Jay Connolly