May 20, 2013   TABLE OF CONTENTS   9.7 Medicare Coordination of Benefits   If this Plan is secondary to Medicare (i.e., Medicare determines its benefits before this Plan does): You and your Dependents must enroll for Part B of Medicare. If you do not enroll for Part B of Medicare your benefits and those of your Dependents who are eligible but not enrolled for Part B will be reduced by the amount of Medicare benefits which would have been payable had you enrolled for Part B of Medicare. This Plan does not cover services which are not covered by Medicare because a Covered Individual and his health care provider have entered into a “private contract” (under the Balanced Budget Act of 1997 or otherwise) which exempts the services from Medicare, its regulations and its price controls. If you are an active Employee of an employer with 20 or more Employees or the spouse of such an Employee and are covered by Medicare for reasons other than kidney dialysis or end stage renal disease, this Medicare Coordination of Benefits provision does not apply to you. This Plan will pay its regular medical benefits for you. If you are also enrolled in Medicare, it may supplement the benefits you receive under this Plan. If you are covered by Medicare due to kidney dialysis or end stage renal disease, this Plan will pay its regular medical benefits for you during the first 30 months you are covered by Medicare. Thereafter, Medicare will be your primary coverage, and the benefits payable under this Plan will be reduced so that the combined benefits do not exceed the expense actually incurred. If Medicare is the primary payor, you must submit copies of Medicare's explanation of payments and itemized bills to the Fund Office.   TABLE OF CONTENTS   St. Louis Graphic Arts Joint Health & Welfare Fund 14323 South Outer Forty Rd. - Suite S106 Chesterfield, Missouri 63017 Fund Office: (314) 878-1579 twesthues@slgahw.org Fax: (314) 275-2640   If you have any comments about this web site, please contact us at twesthues@slgahw.org.   Site Concept and Design ©2002 jWeb. Maintenance and Hosting provided by jWeb.