Newspapers / Olin Profile (Brevard, N.C.) / May 1, 1984, edition 1 / Page 1
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OUn^ Effective June 1, 1984, cost control improvements will be implemented for all employees and eligible depend ents covered by the Pisgah Forest Medical Insurance Plan. These changes have been designed to help maintain the current level of health care benefits, without increasing the cost. The thrust of these changes is to assure that services are medically necessary and safely performed in the least expensive setting. Elective Surgery Selected elective surgical proce dures will require a second opinion by a qualified physician stating that the procedure is necessary and reason able. The cost of obtaining a second opinion will be reimbursed at 100 per cent Usual, Customary and Reason able (UCR). Surgical Procedures Which Will Require A Second Opinion 1. Breast Surgery 2. Bunionectomy (Bunion) 3. Cholecystectomy (Gallbladder) 4. Hemorrhoidectomy (Hemorrhoids) 5. Hysterectomy (female reproductive organs) 6. Inguinal Hernia Repair (rupture repair) 7. Knee Surgery 8. Laminectomy (upper and lower back) 9. Nasal Polypectomy (Nose) 10. Prostatectomy (Prostate) 11. Submucous Resection (Nose) 12. Thyroidectomy (Thyroid) 13. Tonsillectomy and/or Adenoid- ectomy (Tonsilles & Adenoids) 14. Varicose Veins 15. Dilation and Curettage (D & C) 1. When one of these surgical proce dures is recommended the employ ee must obtain the opinion of another doctor before surgery is performed. 2. The employee should contact the Pisgah Forest Benefits Office to obtain the second opinion claim Cost Control Improvements To The Pisgah Forest Medical Insurance Plan form and the names of qualified physicians who can render a sec ond opinion. The employee will then select the physician they pre fer to render the second opinion. 3. If the second doctor agrees with the recommended treatment, the procedure can be performed and full insurance benefits will be pro vided. 4. If the second doctor does not agree with the recommended sur gery, the employee must seek a 3rd opinion if surgery is still desired. 5. If two of the three doctors agree that the procedure is necessary, full insurance benefits will be paid. 6. If in the opinion of two of the three doctors, the procedure is not ne cessary and the employee decides to proceed with the surgery, benefits for all hospital and profes sional charges will be reduced to 80 percent UCR. 7. If an employee does not obtain a second (or third) doctors’ opinion before having surgery, benefits for all hospital and professional charges will also be reduced to 80 percent UCR. Outpatient Surgery (Ambulatory) Selected outpatient surgical proce dures which can safely be performed in an outpatient setting will be reim bursed at 100 percent UCR when the service is performed in an outpatient setting. If any of these procedures are performed on an inpatient basis, hospital and professional charges will be reimbursed at 80 percent UCR. Pre-Admission / Pre-Surgical Testing Diagnostic testing services per formed prior to hospital confinement, or ambulatory surgery, must now be performed on an out-patient basis. Charges for pre-admission testing performed on an outpatient basis prior to an approved hospitalization will be reimbursed at 100 percent UCR. When not performed on an out- patient basis, reimbursement will be provided at 80 percent UCR. O Surgical Procedures Which Will Require Outpatient Services 1. Myringotomy with or without tubes (Ear) 2. Excision of cyst (mass, skin lesion) 3. Dilation and Curettage (D&C) 4. Ganglionectomy (Wrist) 5. Microlaryngoscopy (Throat) 6. Breast Mass, Biopsy and/or excision 7. Arthroscopy (Knee) 8. Trigger finger release 9. Carpal Tunnel Decompression or Release (Wrist) 10. Cystoscopy (Bladder) 11. Adenoidectomy (Adenoids) 12. Cataract Extraction (Eye) 13. Septal Reconstruction (Nose) 14. Node Biospy (unusual growth) 15. Laparoscopy (Abdomen inspection) 16. Removal of implant (ie wire, pins, screws, plates, etc.) 17. Inguinal Hernia-pediatric (rupture repair) 18. Pilonidal Cyst Excision (Rectal Boil) 19. Pediatric Eye Muscle Operation 20. Bunionectomy (Bunion) 21. Tendon Release & Repair 22. Hemorrhoidectomy (Hemorrhoids) 23. Cervical Cone (female reproductive organ) TRIBUTE TO VOLUNTEERS Community Sendee Not All Give No Take Lynn Wyatt volunteers her time, energy and talent to open new hori zons for area children and to insure the financial security of many com munity service organizations. She knows her volunteer work is impor tant and she is proud of the results of her efforts. That alone is substantial reward for any volunteer’s work, but Lynn believes her experience teaching young teens about business and also managing the United Way fund drive is adding valuable skills to her profes sional development and bringing add ed vitality to her job. Lynn, a business planner in market ing, is now completing a 15 week teaching schedule at Brevard Middle School. Once a week she explores with 34 eighth grade students the world of business. The program is part of the school’s social studies program and is sponsored by Junior Achievement. Financing for the pro ject was provided by Olin. Under Lynn’s direction the eighth graders are learning the basics of economics and how such concepts as supply and demand, competition and Lynn Wyatt teaches business basics to Brevard Middle School students. She is also county Chairperson of the next United Way drive. consumerism affect their lives. Games and field trips keep the les sons lively and promote participation. A major portion of the program lets the students consider seriously, for the first time, their career options. While the student’s are learning business basics, Lynn has been pol ishing her own skills and confidence in speaking before groups. “The prac tice in front of the students has definitely made me more effective and comfortable in presenting my ideas on the job or in my volunteer work.” Lynn notes that she spends two to four hours a week preparing for each lesson. “These students are very sharp and frequently ask questions that are outside the lesson plan or relate to immediate local or national events. They deserve good answers and it’s really up to me to do my best to provide them. But it’s not as heavy as it sounds. We have a lot of fun.” This fall Lynn will be lending her enthusiasm and skills to insuring the success of the annual United Way drive in Transylvania County. As Chairperson she will be the cam paign’s chief executive. This past year Lynn directed the industrial divi sion and knows the satisfaction of seeing people work together for an important purpose, setting goals and reaching them. Volunteers, like Lynn and many other Olin employees, know that you get back more than you give. Every one benefits — the community, Olin and the Olin volunteer. Q Sharper Knives Improve Ecusta’s Competitive Edge Ecusta engineers put our cigarette and tipping paper under the micro- scope to evaluate our cutting technol ogy. They were searching for ways to reduce the chance of our paper break ing on a customer’s cigarette making machine and to further improve our overall product quality. “We photographed the edge of bob bin paper that had been magnified 100 times,” explained Tommy Corn well, process engineer. “We felt we could improve on what we saw.” Process engineering, project engi neering, maintenance and manufactur ing staff formed a team to examine all aspects of our knife technology in cluding purchasing new knives, set ting new standards, training of techni cians and sharpening and cleaning. Recommendations were implemented in all areas. Each slitter in Ecusta’s finishing and converting departments will use up to 90 rotating knives to cut cigarette paper into bobbins and ap proximately 48 knives to cut tipping bobbins. It is a full-time job for a machine shop to keep hundreds of knives sharp. A new state-of-the-art knife grinder has taken over the job of sharpening 600 knives per week. It offers many improvements in automation and grinding quality. Knives are being sharpened and changed more fre quently. A cleaning tank is being in stalled to clean glue, grease and Jake Stamey, knife grinding operator, gauges a slitter knife just sharpened on a new automated sharpener. other deposits from knives prior to resharpening. All this has added up to improve ments that put Ecusta ahead of the competition in the edge quality of our bobbins. Reports from customers in dicate the investment in time, effort and money has been well worth it. O
Olin Profile (Brevard, N.C.)
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May 1, 1984, edition 1
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