Medicare Retirees
Visit our Latest Developments Page for the latest Up-to-date information on the Litigation.
COPAYS
You do not pay a copay until you meet your deductible. Print this letter and bring to your doctor if they ask before you meet your deductible.
Class Action CoPay Case Settlement Details
Many Medicare eligible retirees received their emails from Atticus. If you did not, do not worry, it will come in the mail. Everyone in your household who was on Senior Care in 2022 will have their own claim form.
Atticus is the third part administrator. They handle the claims. Once in the portal or on the paper claim, you will have a list of your visits that Emblem had a record of that could have resulted in you paying a copay. Emblem does not know if you paid it - which is why you must provide proof. Some people may not have paid them, or maybe the doctor waived them, or whatever - but just because Emblem shows that the amount listed was your responsibility, doesn't mean you actually paid it. In your search, remember not all copays will have been $15, some were less.
You have three options for reimbursement.
Look at all the visits they say you had.
1. Provide a receipt for each one and get full 100% reimbursement.
2. If you do not have receipts, you will receive 40% of that cost up to $100
3. And lastly, you can bring a letter to your doctor stating you paid the copays and that will secure you a 100% reimbursement.
You have until October 30th to file. There is plenty of time. We urge you not to do nothing. That sends the City and unions a direct message - Retirees will not fight to collect the money they were illegally charged, so we can do this to them again! We urge you, file. You have THREE options to do so! LEAVE NO MONEY ON THE TABLE.
DO's and DON'Ts & FAQ
Do NOT send an email to Atticus with any attachment. They will NOT open it and your email will be quarantined.
You have a CHOICE of filing your claim ONLINE or The PAPER. Not both - one or the other. If you didn't get the email (make sure you checked spam/junk) - and did not receive the packet by mail, call Atticus.
How will I get paid?
For online submissions ONLY, you will have the option to select your preferred payment method on the online Claim Form. You can choose to receive payment by PayPal, Venmo, Zelle, direct deposit, or a physical check by mail.
For mail submissions, you will be sent a physical check by mail.
NEVER SEND ATTICUS YOUR ORIGINAL DOCUMENTS BY MAIL! Send them a copy. When you file online you can download each claim as a PDF. If mailing, keep a copy in case it gets lost. You can search your receipts, and check or mark or highlight the payments to one doctor, and bundle those together. Your goal is to find any proof of payment to one doctor at a time and put them together. Dates of payment will not always match up to the date of service because they could have been paid later. Don't stress out over that - it is totally normal.
If you need to contact Atticus, here is their contact. Email is best if you are on hold for more than 5 min they will send the call to voicemail:
By Phone: 1-800-814-2610
Senior Care Co-Pay Settlement
c/o Atticus Administration
PO Box 64053
St. Paul, MN 55164
Email: SeniorCareCopaySettlement@AtticusAdmin.com
Their Website is here: https://www.seniorcarecopaysettlement.com/
Why is Traditional Medicare is Better than Medicare Advantage?
Freedom of Choice
With Traditional Medicare, you have the freedom to choose any doctor or hospital that accepts Medicare, whereas Medicare Advantage plans often have limited provider networks.
01
Predictable Costs
Traditional Medicare typically has more predictable out-of-pocket costs, such as deductibles and copayments, compared to Medicare Advantage plans, which may have varying costs depending on the services you use.
02
Rare Prior Authorization
Traditional Medicare allows you has rare prior authorizations so you get the treatment and tests your doctor wants you to have. You don't have a for profit insurance company making that medical necessity decision like exists in Medicare Advantage.
03
Nationwide Coverage
Traditional Medicare provides coverage nationwide, making it convenient for retirees who travel or reside in different states for part of the year, while Medicare Advantage plans may have restrictions on coverage outside their service area.
04
Retirees and Active Employees: Preserving Healthcare Benefits:
We understand the significance of healthcare benefits, especially as you transition into retirement. It's crucial to make informed decisions to safeguard your well-being. Explore why Medicare Advantage might not be the optimal choice through our in-depth video "Health Care Facts They Don't Want You to Know!"
Protecting Your Future
Your active involvement in understanding and advocating for your benefits is paramount. Learn about the evolution of our Health Program since the inception of Medicare, gaining insights into the historical context and implications for current and future retirees.
How did the Union Let Us Down?
Betrayal of Trust:
Retirees were promised continued healthcare benefits into retirement, as stated in collective bargaining agreements, but union leaders may have disregarded these promises by making side deals that compromise retirees' benefits.
Prioritization of Active Workers:
Union leaders may have prioritized benefits for active workers over retirees, incorporating agreements into contracts that strip away healthcare benefits from retirees to benefit active workers, leading to a shift in funds from healthcare to raises and budget shortfalls.
Loss of Options and Protection
Retirees have lost their insurance options and union Protection, making them vulnerable to decisions made by active workers and union leaders. The lack of representation prevents retirees from having a say in contracts or voting on union officers, further exacerbating their situation.
Misrepresentation of Retirees' Impact on Benefits:
Retirees are unfairly blamed for potential loss of benefits by active workers, despite city law requiring equal health coverage at the same cost for retirees. The Municipal Labor Committee, under certain leadership, allowed retirees to be forced into managed healthcare and removed from federal health benefits like Medicare, further exacerbating their plight.
Our Experience as Retirees:
As retirees, we've walked the same path you're on now. We were once dedicated union members who fought for our rights through collective bargaining agreements. However, recent developments have posed challenges to the continuity of our healthcare benefits, prompting us to advocate for preservation.
Get Involved:
Engage with the issues at hand by exploring Collective Bargaining and Health Savings Agreements. These documents offer a detailed understanding of the decisions impacting your benefits.
Stay Informed:
Listen to RTC Meeting Audio Clips and watch video explainers for a comprehensive understanding of the ongoing challenges. Stay engaged by contributing through donations and subscriptions, ensuring the continuity of advocacy efforts.
Faces of Retirees
Meet retirees who are directly impacted by recent developments. Their personal stories provide valuable perspectives on the realities of navigating healthcare as retirees, highlighting the importance of collective advocacy.
In Conclusion:
As you navigate your career and prepare for retirement, remember that healthcare benefits are a crucial component of your overall financial security. By staying informed, engaged, and proactive, we can collectively ensure the preservation of healthcare benefits for retirees and future employees alike.
