UPDATE ON MEDICAL COVERAGE RELATING TO CORONAVIRUS (COVID-19)
See detailed notice: COVID-19 Notice 3-25-2020
For those members who participate in the Health and Welfare Fund, Health Plans will be waiving member cost-sharing for medically necessary COVID-19 testing and counseling. This applies to all medically necessary COVID-19 testing, treatment, counseling and vaccinations (should they become available) at in-network doctor’s offices, urgent care centers, telemedicine visits or emergency rooms without the requirement of prior authorization. Coverage for inpatient treatment will follow the benefits of the member’s plan.
Additionally, a dedicated Member Services phoneline (877-213-5225) is available for members with specific questions about the coronavirus and their benefits.
DON’T FORGET ABOUT THE TELEMEDICINE AND VIRTUAL COUNSELING BENEFITS!
Click here for Dr. On Demand information
For information on Coronavirus screenings from Dr. On Demand: Click Here
Click here for Virtual counseling through Modern Assistance information
HEALTH AND WELFARE TRUST FUND OF IUOE LOCAL 877 & 70
As a participant in the Health and Welfare Trust Fund of the International Union of Operating Engineers Local 877 and 70, you may be covered by various benefit plans. These plans are designed to provide coverage for all eligible participants and their eligible dependents.
The benefit package may include:
- A self-funded medical plan administered by Health Plans, Inc.
- A medical plan using the Harvard Pilgrim PPO & PreferredOne networks.
- Dental coverage through Blue Cross Blue Shield.
- Cash allowance vision benefit through the Trust Fund.
- Prescription Drugs are administered through Pharmacy Benefit Manager, OptumRx
- A hearing aid benefit is available through HearUSA.
For more information regarding these benefits or questions on claims, please contact Jeanne Powers at 781-688-8523.
For questions regarding eligibility or enrollment, please contact Amy Vassalotti at 339-502-8485.
To reach Fund Administrator, click here Melissa Warner or call 781-688-8528.
For explanation of commonly used insurance terminology, please click here.
TO SUBMIT ALTERNATIVE OR FITNESS CLAIMS FOR REIMBURSEMENT SEE THE BELOW INSTRUCTIONS:
- Submitting for reimbursement online – click here for instructions
- Submitting for reimbursement through the mail – click here for form (Local 877)
- Submitting for reimbursement through the mail – click here for form (Local 70)
ANNUAL REPORTS
- 2019 Health & Welfare Fund Summary Annual Report
- 2018 Health & Welfare Fund Summary Annual Report
- 2017 Health & Welfare Fund Summary Annual Report
- 2016 Health & Welfare Fund Summary Annual Report
- 2015 Health & Welfare Fund Summary Annual Report
PLAN INFORMATION – For more information on the benefits available, please use the links below:
Local 877 Plan Information
- Summary of Benefits – Local 877 effective 1-1-19
- BCBS Dental – Local 877 effective 1/1/2020
- Summary of Benefits and Coverage Local 877 2020
- Local 877 Summary Plan Description (SPD)
- Wellness Brochure 2020
- Hearing Aid Benefit (HearUSA)
Local 70 Plan Information
- Summary of Benefits – Local 70 effective 1-1-19
- BCBS Dental – Local 70 effective 1/1/2020
- Summary of Benefits and Coverage Local 70 2020
- Local 70 Summary Plan Description (SPD)
- Wellness Brochure 2020
Allina Plan Information
- Summary of Benefits – Allina effective 1-1-19
- Summary of Benefits and Coverage Allina 2020
- Allina Summary Plan Description (SPD)
WELLNESS INITIATIVES – Click here for an overview of wellness benefits
- Waiver of Deductible Program:
- Health professionals stress that regular routine exams are important to help identify risk factors and problems before they become serious. As a way to encourage members and spouses to visit the doctor annually we will be waiving the annual in-network deductible for those who have their annual check-ups in the previous year!* Click the following link for more info: Waiver of deductible program
- Health Coaching:
- Trestle Tree is a new program being offered by the Health & Welfare Fund to help members manage their health. Whether you have a recent set back in your health for which you could use some guidance managing, want to start a fitness program, or need some extra encouragement in reaching your health and fitness goals Trestle Tree can help! For more information on this program please see the below links.
- Telemedicine: Connect with a physician 24 hours a day/7 day a week using your smart phone, tablet, or computer for minor medical conditions. Click the following link for more info: Doctor On Demand. When registering on the Doctor On Demand application, be sure to choose “Health Plans Inc.” as your insurance carrier in order to have the appropriate co-pay applied.
EMPLOYEE ASSISTANCE PROGRAM
The Health and Welfare Fund has a long-standing relationship with Modern Assistance Programs (MAP) for substance abuse and mental health assistance. Click here for an overview of the services MAP offers. If you would like to speak to someone about your needs or those of a family member call MAP at 800-878-2004. To learn more about MAP visit their website: http://www.modernassistance.com/
CLICK HERE FOR TIPS FROM MODERN ASSISTANCE FOR MANAGING ANXIETY DURING THIS UNEASY TIME
FORMS / APPLICATIONS
- Health Insurance Enrollment Form
- Life Insurance Enrollment Form
- Short Term / Long Term Disability Enrollment Form
- Reimbursement Form
- Submitting for reimbursement online – click here for instructions
Your eligibility for these benefits is specific to the terms of your Collective Bargaining Agreement (CBA). Please check your CBA or contact the Fund office before completing any enrollment forms.
Massachusetts workers, please note, when applying for Short Term Disability benefits, you must first apply for the PFMLA through the State. Click HERE for some information on this benefit and how to apply.
ANNUAL NOTICES
- Children’s Health Insurance Program (CHIP) Notice
- Disclosure Notice of Creditable Coverage_2020
- HIPAA Model Special Enrollment Notice
- HIPAA Notice of Privacy Practices
- Women’s Health & Cancer Rights Act
NETWORK INFORMATION
NOTICES FROM THE HEALTH AND WELFARE FUND
For recent communication sent to participants of the Fund, please see below:
- Notice from the Administrator – 2020 Plan Updates
- Notice from Trustees – 2017 changes
- Notice from the Administrator – Benefit Changes 2017
*For more information regarding these benefits, please contact Melissa Warner or call directly at 781-688-8528.