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UFCW LOCAL 1776 and
PARTICIPATING EMPLOYERS HEALTH and WELFARE FUND |
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In order for a claim to be considered for payment, it must be submitted within a certain time frame. Read the information in the following sections carefully to determine the specific claim filing deadline for each benefit. If you file a claim after the deadline, it will not be paid by the Plan. After you file a claim, it must be approved or denied within 120 days after it is received. Dental Claims must be filed no later than 1 year from the date of service. Prescription Drug Claims for reimbursement must be filed no later than 90 days from the date the prescription is dispensed. Prescription Incentive Program Claims for earned credits and for reimbursement of out-of-pocket costs for using “other prescription drug coverage” must be filed no later than June 30 immediately following the calendar year in which the “other prescription drug coverage” was used by you or your eligible dependents. Also, claims for reimbursement of medical expenses incurred during the calendar year must be filed no later than June 30 immediately following that calendar year. Vision It is the GVA participating provider’s responsibility to file the claim no later than 30 days from the date of service. |