Frequently Asked Questions
Q: How do I submit an insurance bill for
reimbursement ?
Q: What is covered by the Relief
Association?
Q: What is not covered by the
Relief Association?
Q:
How do I look up
my EOB's (Explanation of Benefits)?
Links to Related resources
Q: How
do I submit an insurance bill for reimbursement ?
A: Send a copy of your medical bill along with the
Explanation of Benefits form to:
The Rockford Police Relief Association
Medical Bills
420 W. State St.
Rockford, IL 61101
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Q: What is covered by the Relief
Association?
A: The Association will pay covered medical, surgical
,dental ($500 limit on dental), and hospital bills incurred by its
members resulting from injury or illness of a member, subject to the
following restrictions:
Any bills to be covered under this Section shall be bills incurred by members for treatment of members residing within the United States. Written approval for any treatment is to be secured from the Board of the Association for all members living outside the United States before such treatment and the board may grant coverage at the board's discretion.
The board may waive the notice provisions and the coverage provision regarding residency in the case of emergency treatment by a member.
The maximum benefit allowed to any one member in one fiscal year (January to December) or for one illness or injury shall be two thousand ($2,000.00) dollars total.
The Association will pay the above-listed benefit for one and only one course of treatment or counseling directed by a physician or psychiatrist not to exceed two thousand ($2,000.00) dollars for alcohol related or drug related programs physician during the lifetime of a member. Payment will be made only upon completion of treatment and shall not be made if the member voluntarily terminates treatment before the completion of treatment or against medical or psychiatric advice.
The Association will pay the benefit for
one course of treatment for mental illness or related counseling not
to exceed two thousand ($2,000.00) dollars during the member's
lifetime. This treatment shall be paid only for the services of a
certified psychiatrist or certified clinical psychologist; no other
forms of counseling will be paid for by the Association whether said
counseling is ordered, prescribed or directed by a physician or
psychiatrist. All costs of treatment beyond the provisions of this
Section will be the sole responsibility of the member. Payment for
such treatment or counseling will be paid only upon completion of
treatment.
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Q: What is
not covered by the Relief Association?
A: No payment whatsoever shall be made for any bill incurred in the
treatment of any sexually transmitted disease or resulting from any
illness or injuries brought on by any sexually transmitted disease
or aggravated by any sexually transmitted disease. No payment shall
be made for any bill incurred for an abortion or illness or injury
aggravated by an abortion. No payment shall be made for any bill
resulting from any intentional or self-inflicted injury, while sane
or insane; no bill shall be paid because of a suicide or attempted
suicide, while sane or insane.
No bill for medication shall be paid unless such medication was administered by a physician to a member while the member was confined in a hospital or said medication was administered by a physician in the physician's office or clinic.
Bills that will not be paid for by the Association include but are not limited to: Cosmetic surgery, elective surgery, dentures, crutches, braces, belts, eyeglasses, eye examinations (unless by an ophthalmologist), hearing aids, contact lenses, RK surgery or other elective surgery of the eye. This provision does not apply to illness or damage caused solely by injury that occurs while the party is a member in good standing of the Rockford Police Relief Association.
The Association will not pay for any
surgery to reverse the effects of a prior vasectomy or tubal
legation.
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Q: How
do I look up my EOB's (Explanation of Benefits)?
A: If you need an EOB to match your medical bill you can
find it and print it from Midwest Securities Website.
Click here for instructions.
Click here for an example and
explanation of the EOB Form
Related resources