Umwa health request 2026

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  1. Click ‘Get Form’ to open the umwa health request in the editor.
  2. Begin by entering your Mineworker/Widow Name in the designated field, ensuring you include your last name, first name, and middle initial.
  3. Next, provide your Social Security Number in the specified format: XXX-XX-XXXX.
  4. Fill in your Telephone Number, making sure to include the area code.
  5. List all dependents currently living with you in the provided space. Be thorough to avoid any delays.
  6. Enter your Current Address clearly, including street address, city or town, state, and zip code.
  7. Now, complete the Old Address section with similar details as above.
  8. Finally, sign and date the form. If applicable, ensure you attach legal proof of power of attorney or guardianship status.

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The United Mine Workers of America Health and Retirement Funds (the Funds) is a group of multi-employer plans that provide health and pension benefits to retired coal miners and their eligible dependents.
Death Benefits For 1974 Pension Plan Participants, the Plan may pay a death benefit to the named beneficiary of a pensioner who dies and was receiving, or had applied for and was eligible to receive, pension benefits at the time of death.
The Funds is a Medicare Health Care Prepayment Plan (HCPP) and is the Medicare payer for non-facility Part B services, such as physician, laboratory, and ambulance services and medical equipment and supplies.
For more information, please contact the Funds Call Center at 1-800-291-1425, option 2.
What is your timely filing limit? The timely filing is 12 months from the date of service for claims (21 months prior to 1/1/2011). An appeal of a denied claim must be filed within 180 days of the date of denial.

People also ask

Covered if medically necessary. Covered if admitted by a licensed physician to a licensed skilled nursing care facility and is medically necessary. Must be a Medicare approved Skilled Nursing Facility and must have a qualifying hospital stay prior to admission.

united mine workers of america hlth retirement provider portal