 |
|
Benefits Medical Expense Benefit When you or your eligible Dependents incur expenses as a result of a non-occupational illness or injury, the Medical Expense Benefit Plan reimburses you or your provider for a portion of the Covered Charges. You or your eligible dependent must first satisfy the deductible or make a required co-payment as shown in the Schedule of Benefits (see links below). After the deductible is met, the Plan pays the percentage of the Usual and Customary Charges shown in the Schedule of Benefits. Once you have met the out-of-pocket limit, the Plan may pay up to 100% of Covered Charges incurred for the remainder of the calendar year up to the calendar year maximum. Click below to see the Schedule of Benefits Click below to see the Summary of Benefits and Coverage To find a Network Physician or Hospital, visit the carriers website Telemedicine Services For Blue Cross Blue Shield of Illinois participants: for information about medical benefits or to check on the status of a claim, contact:
for preauthorization of inpatient hospitalization, outpatient surgeries,
For CIGNA participants: for information about medical benefits or to check on the status of a claim, contact:
for preauthorization of inpatient hospitalization, outpatient surgeries, rehabilitation services and transplant benefits, contact:
For preauthorization of BCBS & CIGNA Mental Health and Substance Abuse treatment, contact:
Prescription Drug Benefit Click here to see the Summary Plan Description, 2016 Edition. Prescription Drug Benefit information begins on Page 53. To see a list of participating SavRX pharamacies, or to find out if a drug is covered, visit SavRX at http://www.savrx.com/ Vision and Hearing Care Benefits Click here to see the Summary Plan Description, 2016 Edition. Vision and Hearing Care Benefit information begins on Page 60. for information about vision and hearing benefits, or to check on the status of a claim, contact:
Dental Benefit Plan Click here to see the Summary Plan Description, 2016 Edition. Dental Care Benefit information begins on Page 56. for information about dental benefits, contact:
Other NCILHWF Benefits
For information regarding the Loss of Time Benefit, see page 62 of the 2016 Edition of the Summary Plan Description. Questions regarding Loss of Time claims can be directed to:
For information regarding the Death and Accidental Death and Dismemberment Benefits, see 2016 Edition page 66 of the Summary Plan Description. Questions regarding Death and Accidental Death and Dismemberment claims can be directed to:
For information regarding Retiree Benefits, see the Summary Plan Description, 2016 Edition beginning on page 30. Questions regarding Retiree Benefits can be directed to:
Please note: NCILHWF is not responsible for the content of external internet sites. |
|
North Central Illinois Laborers' Health & Welfare Fund |
