Medical Benefits

Claim Administrator

Anthem BlueCross BlueShield: 855-878-0128

Benefit Period: January 1st – December 31st

Annual Deductible: Before the Fund pays for most covered expenses, you pay the Annual Deductible of $400 per person or $800 per family (doubled for out-of-network). All claims are subject to the Annual Deductible, unless otherwise noted.

Maximum Out-Of-Pocket (MOOP) Limit: Your out-of-pocket expenses for essential health benefits are limited to $3,975 per person or $7,950 per family (doubled for out-of-network). MOOP Limit includes deductible, copayments, and coinsurance.

Coinsurance: Once you meet your Annual Deductible, the Fund pays 80%, then 100% after MOOP Limit is reached (60% for out-of-network). All claims are subject to the Coinsurance, unless otherwise noted.

Copayments: This will vary depending on where you seek treatment.

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Type of Provider Copay
LiveHealth Online
Free - $0
Primary Care (Office Visit or Video Visit)
$20
Specialist (Office Visit or Video Visit)
$30
Urgent Care
$50
Emergency Room
$150

LiveHealth Online

Wellness and Preventive Care

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