FDX - Sick Note - Cost Effective Solution
#1
FDX - Sick Note - Cost Effective Solution
As we all know, Flight Mgmt has now started asking for a "doctors/physicians note" when their "objective scoring system" flags certain sick calls
For the moment, the Association is recommending compliance with this new CBA interpretation; however, it's clear that asking pilots to go to a physician for minor ailments, which can easily and quickly be remedied with rest, proper hydration and, perhaps, over the counter medications --- e.g. common cold/blocked sinuses, irritable stomach/bowels, slight fever/nausea, sprained ankle etc ---- is merely a tactic to increase the burden of calling in sick.
As all flight managers know ---- one does not always go immediately to a doctor when confronted with minor, day-to-day illnesses and injuries, which may render them “unfit” to fly.
Making an appointment to merely request a doctors note adds value to no one (…except the doctor) and raises healthcare costs for both the company and the pilot.
However, there is a cost-effective solution already outlined in our company provided Pilot Benefits Book
The company's own Blue Cross/Blue Shield medical insurance encourages the use of their “24/7 Nurse Line” BEFORE seeing a physician.
It provides “free, confidential health information to assist in making informed health care decisions”. 1-866-406-0982
I’m sure they give out top quality advice --- because this service is already endorsed by FDX.
The Nurse Line was setup specifically for minor ailments and injuries of employees, and their dependents, with the hope that its use can reduce the company’s healthcare costs, by avoiding unnecessary trips to the doctor’s office or an urgent care clinic.
(Note: my physician charges $105 for an office visit --- of which, I make a $20 co-pay, BC/BS pays $80 and my physician writes-off $5)
A pilot with a minor ailment or injury could call the Nurse Line, gain more information regarding his specific situation, and then make a final decision on whether seeing a physician is medically necessary.
The pilot could get “time & initials” from the On-Call Nurse, and then provide this information to Flight Mgmt, should their “objective scoring system” generate a request for a “doctor’s note”.
If Flight Mgmt felt is was useful, they could verify the pilot called into the Nurse Line --- but of course the pilot’s specific health information would remain confidential and not be compromised.
Using my physician’s rate, combined the Chief Pilots latest data of requesting approximately 200 “sick notes” in the last 3 months, it would appear the company could potentially save $16,000 per quarter in healthcare costs --- or roughly $64,000 per year.
Discuss.
For the moment, the Association is recommending compliance with this new CBA interpretation; however, it's clear that asking pilots to go to a physician for minor ailments, which can easily and quickly be remedied with rest, proper hydration and, perhaps, over the counter medications --- e.g. common cold/blocked sinuses, irritable stomach/bowels, slight fever/nausea, sprained ankle etc ---- is merely a tactic to increase the burden of calling in sick.
As all flight managers know ---- one does not always go immediately to a doctor when confronted with minor, day-to-day illnesses and injuries, which may render them “unfit” to fly.
Making an appointment to merely request a doctors note adds value to no one (…except the doctor) and raises healthcare costs for both the company and the pilot.
However, there is a cost-effective solution already outlined in our company provided Pilot Benefits Book
The company's own Blue Cross/Blue Shield medical insurance encourages the use of their “24/7 Nurse Line” BEFORE seeing a physician.
It provides “free, confidential health information to assist in making informed health care decisions”. 1-866-406-0982
I’m sure they give out top quality advice --- because this service is already endorsed by FDX.
The Nurse Line was setup specifically for minor ailments and injuries of employees, and their dependents, with the hope that its use can reduce the company’s healthcare costs, by avoiding unnecessary trips to the doctor’s office or an urgent care clinic.
(Note: my physician charges $105 for an office visit --- of which, I make a $20 co-pay, BC/BS pays $80 and my physician writes-off $5)
A pilot with a minor ailment or injury could call the Nurse Line, gain more information regarding his specific situation, and then make a final decision on whether seeing a physician is medically necessary.
The pilot could get “time & initials” from the On-Call Nurse, and then provide this information to Flight Mgmt, should their “objective scoring system” generate a request for a “doctor’s note”.
If Flight Mgmt felt is was useful, they could verify the pilot called into the Nurse Line --- but of course the pilot’s specific health information would remain confidential and not be compromised.
Using my physician’s rate, combined the Chief Pilots latest data of requesting approximately 200 “sick notes” in the last 3 months, it would appear the company could potentially save $16,000 per quarter in healthcare costs --- or roughly $64,000 per year.
Discuss.
Last edited by DLax85; 12-21-2013 at 01:02 PM.
#2
I think the company is looking at a different cost:
example - 25yr widebody Captain
assume $200/hr pay rate (conservative)
drop one 6CH trip for DSA = $1200.00 - cost to company
(which the "offending" Captain would lose if he is intimidated into not using his DSA bank before retirement)
plus $1200.00 paid to a different widebody Captain that must actually operate the trip in the sick Captain's absence.
total cost to company is 2 x $1200.00 = $2400.00
vs. your $100.00 doctor (intimidation factor) fee
which do you think they would rather pay?
$2400.00 could pay for the intimidation of 24 widebody Captains (at $100/sick note request) - if they can intimidate more than 2 to not use DSA again - they are money ahead.
& this example is just on a 6CH trip. Consider the savings to the company for intimidating a Captain to not call in sick for a week-long 777 international trip.
example - 25yr widebody Captain
assume $200/hr pay rate (conservative)
drop one 6CH trip for DSA = $1200.00 - cost to company
(which the "offending" Captain would lose if he is intimidated into not using his DSA bank before retirement)
plus $1200.00 paid to a different widebody Captain that must actually operate the trip in the sick Captain's absence.
total cost to company is 2 x $1200.00 = $2400.00
vs. your $100.00 doctor (intimidation factor) fee
which do you think they would rather pay?
$2400.00 could pay for the intimidation of 24 widebody Captains (at $100/sick note request) - if they can intimidate more than 2 to not use DSA again - they are money ahead.
& this example is just on a 6CH trip. Consider the savings to the company for intimidating a Captain to not call in sick for a week-long 777 international trip.
#3
I think the company is looking at a different cost:
example - 25yr widebody Captain
assume $200/hr pay rate (conservative)
drop one 6CH trip for DSA = $1200.00 - cost to company
(which the "offending" Captain would lose if he is intimidated into not using his DSA bank before retirement)
plus $1200.00 paid to a different widebody Captain that must actually operate the trip in the sick Captain's absence.
total cost to company is 2 x $1200.00 = $2400.00
vs. your $100.00 doctor (intimidation factor) fee
which do you think they would rather pay?
$2400.00 could pay for the intimidation of 24 widebody Captains (at $100/sick note request) - if they can intimidate more than 2 to not use DSA again - they are money ahead.
& this example is just on a 6CH trip. Consider the savings to the company for intimidating a Captain to not call in sick for a week-long 777 international trip.
example - 25yr widebody Captain
assume $200/hr pay rate (conservative)
drop one 6CH trip for DSA = $1200.00 - cost to company
(which the "offending" Captain would lose if he is intimidated into not using his DSA bank before retirement)
plus $1200.00 paid to a different widebody Captain that must actually operate the trip in the sick Captain's absence.
total cost to company is 2 x $1200.00 = $2400.00
vs. your $100.00 doctor (intimidation factor) fee
which do you think they would rather pay?
$2400.00 could pay for the intimidation of 24 widebody Captains (at $100/sick note request) - if they can intimidate more than 2 to not use DSA again - they are money ahead.
& this example is just on a 6CH trip. Consider the savings to the company for intimidating a Captain to not call in sick for a week-long 777 international trip.
Do you think the Chief Pilot would admit these new requirements are for intimidation and quote the same saving #s publicly?
In his latest communication he states...
"As our experience with the system builds over time, we will adjust it as necessary so we are identifying as many truly questionable situations as possible while at the same time minimizing the hassle for the vast majority of pilots who are using sick leave appropriately (i.e., in accordance with the CBA)."
I am suggesting this as a "cost effective adjustment" to their new policy --- it would clearly reduce the hassle for the vast majority of the pilots who are using sick leave appropriately.
It saves time and $$ for all involved.
What would be his publicly stated motivation to disallow it?
#4
With a Union policy of FLY FIRST, GRIEVE LATER ................. this crewforce can expect any number of CBA interpretations ................... You guys are all correct in figuring the numbers, the Company already knows these figures, they have enough bean counters sitting around to jam these figures .................. Just think, trying to boost the stock price falls in line with increased PRODUCTIVITY
#5
Gets Weekends Off
Joined APC: Nov 2013
Posts: 2,756
"I am suggesting this as a "cost effective adjustment" to their new policy --- it would clearly reduce the hassle for the vast majority of the pilots who are using sick leave appropriately.
It saves time and $$ for all involved.
What would be his publicly stated motivation to disallow it?"
This is a great, cost effective solution, it makes plenty of sense. Yet it seems probable that the goal is to intimidate people into not using their sick bank, and if they can do that to some level, the company gets a far greater $$ return.
I don't think there would be any public discussion of something like this at all. Even in the stated interest of greater transparency and ethics. This suggestion, sadly, would be ignored.
It saves time and $$ for all involved.
What would be his publicly stated motivation to disallow it?"
This is a great, cost effective solution, it makes plenty of sense. Yet it seems probable that the goal is to intimidate people into not using their sick bank, and if they can do that to some level, the company gets a far greater $$ return.
I don't think there would be any public discussion of something like this at all. Even in the stated interest of greater transparency and ethics. This suggestion, sadly, would be ignored.
#6
Creating a scheme like this would effectively endorse the new policy. Just say no.
Focus.
.
#7
Note, my suggestion wouldn't only apply to their requests under their new interpretation....it would apply on all the holidays the CBA specifically addresses
My main point is that the FDX approved medical insurance provider, BC/BS, fully recognizes (and even encourages) the use of their 24/7 Nurse Line when faced with minor illnesses and injuries
Using the Nurse Line should be acceptable --- it's lower cost, and meets their intent that you sought out appropriate health care
I'm sure the Nurse will recommend you see a physician if the condition warrants
My main point is that the FDX approved medical insurance provider, BC/BS, fully recognizes (and even encourages) the use of their 24/7 Nurse Line when faced with minor illnesses and injuries
Using the Nurse Line should be acceptable --- it's lower cost, and meets their intent that you sought out appropriate health care
I'm sure the Nurse will recommend you see a physician if the condition warrants
#8
The last time Management sent me to a doctor I was on RMG pay (removed by management!) for 4 months!
I suggest we play their game until they ask (beg? negotiate?) us to stop.
MM
#10
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