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GECCU Cares FAQ

Frequently Asked Questions

GECCU Cares

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Death Benefit

GECCU Med

SDF

Death Benefit

Death Benefit
b
How can I join the Death Benefit Program?

Every member automatically becomes a part of the death benefit programme once he/she joins the Credit Union before attaining the age of 60.

b
How do I qualify for Death Benefit?

To qualify for death benefit, members MUST join the credit union before the age of 60 years, contribute $30.00 annually towards the programme, and MUST have saved at least $120.00 in their shares within the last year of his/her membership.nNo payment would be made unless a person has been a member for six (6) months prior to the date of his/her death.

b
How much death benefit is issued upon my death?

In the event of death of the member, his/her beneficiary would be entitled to receive six thousand dollars ($6,000.00) to help off-set funeral expenses.nn

b
What is the process for applying for the Death Benefit?

The informant /beneficiary should submit the original death certificate and the invoice from the funeral home to the Insurance Unit. Once the member qualifies for death benefit the cheque would be written to the funeral home. If the funeral home has already been paid, the proof of the payment should be provided, the payment would then be made to the named beneficiary(s).

b
What is the yearly contribution to death benefit?

A contribution of $30.00 must be paid annually to the Death Benefit Programme.n

GECCU Med

GECCU Med
b
At what age would my plan be terminated?

There is no age limit. The plan is terminated when the maximum coverage has been exhausted. A member can choose to end their plan through writing, if there is a non-payment of premium for two months, as well as if the insured becomes deceased.

b
Can I assign my benefit/payment to the provider?

Yes, it must be an agreement between you and your service provider. The authorization section of the claim form must be signed by the insured.

b
Can I use this service outside of SVG, regionally or internationally?

Yes, regional and interenational service is available with some conditions including a written letter from your physician which must be pre-certified before claims can be honored.nOur affiliated provider is United Health Care and can be contacted at 1-800-718-1293nIn cases of emergency outside of working hours call Sagicor at 493-4847nPayments are based on the lowest cost in the region.n

b
Do I have to do a medical to join?

Currently our Insurance Company does not require persons to do a Medical.

b
Does GECCUMED offer Air Ambulance service?

Yes, two trips per year. Referral must be in writing from the doctor or service provider.

b
How can I join GECCUMED?

Firstly, you must be a member of GECCU. You are then required to fill out two forms the Group Insurance Enrollment Form and the Health Statement for Employee.

b
How many examination for vision can I do yearly?

One visit per year per member.

b
How often can I claim for frames?

Frames can be claimed once every twenty-four months.

b
How often can I claim on lenses?

Lenses can be claimed once within a 12 month period.

b
How often must I pay premiums?

Premiums must be paid monthly no later than the 15th of each month.

b
What are the premiums?

The premiums are as follows:nCategories Under 65 years Between 65 and 70 years Over 70nSingle $77.20 $65.70 $81.60nSingle & Other $131.61 $150.59 $146.89nFamily $183.88 $213.32 $209.62n

b
What are the rates for GECCU Med?

Single (one person) – $77.85nSingle+ One (2 Persons) – $132.80nFamily – $201.45

b
What does GECCU Med cover?

General Major Medical nDental & Vision nAccidental death and dismemberment

b
What happens if I do not pay my monthly premiums?

There is a grace period of 2 months before the termination of the medical plan.

b
What is the Co-insurance percentage with this plan?

The Co-insurance percentage is 70/30.

b
What is the Co-insurance percentage?

This is the percentage of the cost covered by the Insurance Company. It involves splitting of cost between the Insurance Company and the customer based on an agreed ratio.

b
What is the current deductible for Medical?

Our current deductible is $400 for the first three persons claiming yearly. The deductible would be transferred to the following year if the first claim is submitted during the period October to December.

b
What is the deadline to submit claims?

There is a 90-day period for submitting claims after the first expense was incurred.

b
What is the deductible?

This is a set amount, which each insured must first pay before the Insurance Company starts sharing/splitting the cost between themselves and the customers.

b
What is the maximum age for my children on the plan?

Children must be unmarried under age 19 but up to a maximum age of 25 who are registered students in regular full-attendance at a recognized school or university.

b
What is the maximum coverage for Medical?

Maximum coverage for Medical is one million for persons under the age of 65 years and three hundred thousand dollars for persons 65 years and older.

b
What is the maximum coverage yearly for Dental?

One thousand dollars($1000.00)

b
What is the maximum coverage yearly for Vision?

Eight hundred dollars ($800.00) for lens and frames.nOne hundred dollars ($100.00) for consultation/examination.n

b
What is the maximum I can claim for preventative care?

The annual maximum for preventative care is $1200 per family.

b
What is the maximum paid for Orthodontia?

Maximum payout for Orthodontia is EC$2,000 lifetime maximum.

b
What is the proper procedure for submitting claims?

A Sagicor claim form must be used. The form should be completed and signed by the doctor stating the diagnosis with the relevant receipts attached, and an official stamp affixed to the form. The form must be completed and signed by the Insured or the patient ( in cases where there is a co-insured). Dependents 16 years and older must sign the form, however, dependents under the age of 16 are considered minors in which case the insured is required to sign the form.

b
What is the waiting period for approval of new applications?

A period of one month.

b
What is the waiting period for claim refund?

Refunds are usually within 21-day period.

b
What is the waiting period for Dental?

Three (3) months for regular dental and six months (6) for Orthodontia.

b
What is the waiting period for Vision? n

Six months waiting after enrolment.

b
Who can join the Family plan?

The family plan is for three or more personsnSpouse of the opposite sex legally married or common law of 3 years or more,nUnmarried children before their 19th birthday, but up to a maximum age of 25 who are registered students in regular full-time attendance at a recognized school or university.nChildren include stepchildren and legally adopted children.n

b
Why is GECCUMED Affordable?

Notwithstanding the increases in premiums, GECCU’s group plan is cheaper than individual plans offered by similar institutions.

SDF

B

What is the Social Development Fund (SDF)?

The Social Development Fund was implemented to provide financial assistance to members who are seeking assistance for unemployed individuals, medical emergencies and home repairs.

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