Medicare Eligible Participants

This section summarizes the various benefits available to you as a Medicare eligible participant in the Retirees of Veyance Technologies Health Care Plan.

In the event of any conflict between the summarized version of these benefits in this Plan Benefits section of the website and the Plan, the terms of the Plan shall govern.


The Freedom Blue MAPD Plan is a Medicare Advantage MAPD specifically designed for the Retirees of Veyance Technologies, Inc. Health Care Trust and administered by Highmark Blue Cross Blue Shield. Under this Plan, your Medicare coverage and the additional coverage available through the Trust are combined into a single program. It uses the national Blue Cross and/or Blue Shield Medicare Advantage MAPD provider network.

You may go to health care providers and hospitals of your choice – inside and outside of the network – without referrals. See the attached network brochure that explains your coverage, while you are on the 

If you go to network providers or hospitals in locations that are part of the national Medicare Advantage network service area, eligible services you receive will generally be covered subject to a co-payment or participant co-insurance.

On the other hand, if you go to non-network providers or hospitals in locations that are within the national Medicare Advantage network service area, eligible services you receive with generally be subject to a higher participant co-insurance.

If you go to Medicare-eligible providers or hospitals in locations that are not part of the national Medicare Advantage network service area, eligible services you receive will be covered at the more beneficial in-network level.

 – You will have access to a free basic gym membership at participating facilities at no additional cost. 

 for additional information on the Silver Sneakers program


If you have questions about your medical plan, need to request a new identification card, have an issue with a medical claim or need to locate a participating provider, the Highmark Freedom Blue Members Services team can assist you. To reach a Highmark Freedom Blue Member Services representative, please call 1 (866) 670-5847. This number is printed on the back of your identification card.

The Trust provides you with coverage for a limited range of dental services through Delta Dental. Your dental plan provides coverage for services such as:

Periodontic Services – to treat gum disease

Endodontic Services – includes root canals

Oral Surgery Services – extractions and dental surgery

TMJ Treatment – treatment of the disorder of temporomandibular joint

Benefits for temporomandibular joint disorders (TMJ) are limited to those services normally provided by a dentist to relieve oral symptoms associated with malfunctioning of the temporomandibular joint, including appliance therapy and surgical correction. This does not include services that would normally be provided under medical care. Predetermination is required when TMJ treatment will exceed $250 or no coverage will be made.

All oral surgery services performed by a dentist are Covered Services, including IV sedation and general anesthesia when performed in conjunction with periodontic, endodontic, and oral surgery services.


To verify that a Dentist is a Participating Dentist or a Premier Dentist, you can use Delta Dental’s online Dentist Directory at 


If you have any questions regarding your dental benefits or need assistance with filing a dental claim, please contact Delta Dental at 1 (800) 524-0149.

The Trust provides a $50 per month Medicare Part B premium reimbursement to all Medicare eligible Trust participants, including dependent children. This premium reimbursement is paid to eligible participants on a quarterly basis, with the first quarterly payment made in April.

Your Medicare Part B reimbursement benefit will be deposited electronically into your checking or savings account.

In order to ensure that you receive your Medicare Part B premium reimbursement, the Trust Administration Office must have an accurate Authorization for Automatic Deposit on file for you.

If you have any questions regarding your Medicare Part B premium reimbursement or if you have made a change to your banking information, please contact the Trust Administration Office at 1 (866) 694-6563.

For more information about your benefits, please refer to the appropriate 

Retirees of Veyance Technologies Health Care Trust

Summary of the various types of benefits available to Medicare eligible participants

Summary of the various types of benefits available to Non-Medicare eligible participants