UltraCare Updates

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Why did we choose to make this change?

We believe that this change will help reduce your out-of-pocket healthcare expenses and bring stability to your health and welfare fund.

What will change about the redesigned UltraCare Plan?

The redesigned UltraCare Plan will work differently for Facility claims, and will work much the same as it does today for Professional claims.

What is considered a Facility claim?

Hospitals, surgical centers, outpatient centers, dialysis clinics, and other similar locations are considered Facilities. If you have a question as to whether your service is considered a Facility-based service, reach out to NEBA.

What is considered a Professional claim?

Professionals include individuals that provide your medical care, like primary care doctors, radiologists, pediatricians, cardiologists, oncologists and gynecologists. If you have a question as to whether your service is considered a Professional service, reach out to NEBA.

How will I choose a Facility?

NEBA can assist you in finding a Facility that is high quality and that works well with your redesigned UltraCare Plan to ensure you receive your services at a reasonable cost to you.

Is there anything that I need to do in advance of my Facility appointment?

We recommend that you contact NEBA in advance of your appointment to ensure that the Facility you are considering meets high quality standards and works well with the smart new benefits under UltraCare.

How do I choose a Professional provider?

NEBA can assist you in finding a Professional provider that is high quality and in-network with HealthSmart to ensure you receive your services at a reasonable cost to you. You will continue to have access to any providers that are not in the HealthSmart network, but at a higher cost to you.

Is there anything that I need to do in advance of my Professional appointment?

You may wish to consider contacting NEBA in advance of your appointment to ensure that your provider’s network status has not changed, but this is not required.

What if I have additional questions?

Call (866) 363-2733 or send an email to UltraCare@neba-fl.com. You may also visit https://www.nebainc.com/ultracare.

New ID Cards Mailed: By now, all eligible participants should have received a new ID card in the mail. If you have not received your card and you believe you are eligible for benefits, call NEBA.

Understanding balance billing:

If you receive a bill from the facility for an amount that is more than the Patient's Responsibility listed on your Explanation of Benefits (EOB), you have been balance billed. Don't pay the balance bill! Reach out to your NEBA Care Connect team at 866-363-2733 or HST's PAC at 888-837-2237 for assistance