Health & Welfare
Health & Welfare -
Medical coverage is one type of benefit provided by your health & welfare
coverage. The Plan has preferred providers for certain
medical procedures and treatments, please review
Using a Preferred Provider
for details, as out-of-network penalties are applied to your payment
when you do not use a preferred provider when one is available.
There are no preferred provider physicians, you may use the
physician of your choice without an out-of-network penalty.
Most types of medical services are covered by the Plan; however,
all procedures or treatments must be medically necessary to be
covered. Some procedures need to be
to be covered. The Plan offers a
Wellness and Minor Care
Program for routine, minor care, and preventative care
for adults and children over the age of 2.
See the Summary of Benefits for
Plans 551 - 554,
for an overview of covered services. For
details please review the
Summary Plan Documents or
your Plan Booklet.
Once deductibles have been met, payment will equal
the reimbursement rate multiplied by the covered charge (generally
the actual charge or
the usual and customary charge for that service,
whichever is lower).
Effective January 1, 2015: A new hearing aid benefit was added
to medical plans 500, 552, 553, and 554. The Plan now pays up to
$500 in a three year period towards the cost of hearing aids. The
reimbursement will be at the regular plan percentage, after your
annual deductible has been met.
contained on this website is intended to be a summary only. In
case of a difference, actual Plan Provisions will apply.
Always refer to your Plan Booklet for details.