IUOE HEALTHCARE OPTIONS




















HEALTHCARE FOR MEMBERS
( Wash, D.C.-1-888-255-3863 or New Orleans -1-800-238-4863)

Health benefits are provided through the IUOE Pipeline Health & Welfare Fund.

The Trustees of the fund strive to provide the most appropriate benefits that will contribute to the security, health and well being of the participants of the fund. To reduce costs the Trustees decided to join a Preferred Provider Organization (PPO)

IUOE Local 450 subscribes to Plan A of the Health & Welfare Benefits

IN NETWORK BENEFITS:

DEDUCTIBLE

Individual - $100   Family - $200

PLAN COINSURANCE

90% of $10,000 - 100% thereafter

MAXIMUM OUT OF POCKET

Deductible plus $1000 maximum

OUT OF NETWORK:

DEDUCTIBLE

Individual - $200   Family - $400

PLAN COINSURANCE

80% of $10,000 - 100% thereafter

MAXIMUM OUT OF POCKET

Deductible plus $2000 maximum

* Network refers to Beech Street PPO - for doctors in your area call or visit their website:
Phone # 1-800-432-1776          www.beechstreet.com


LIFE INSURANCE - Plan A $20,000


DENTAL PLAN:

DEDUCTIBLE: Individual - $50   Family - $100 

PREVENTATIVE: 100% 

RESTORATIVE: 80% 

MAJOR RESTORATIVE: 50%

CALENDAR YEAR MAXIMUM: $800


VISION PLAN:

Plan A Participants will now have a flat $200 benefit every 2  years that can be used for exams, lenses, etc. Expenses will be paid at 100% up to the $200 limit (exclusions apply, contact lenses etc.)


 PRESCRIPTION DRUG PROGRAM:

RETAIL PRESCRIPTION DRUGS - PARTICIPATING PHARMACIES: 

$7.50 co-pay for generic   $15.00 brand names

NON - PARTICIPATING PHARMACIES: 

75% of reasonable and customary charges - After $100 deductible

MAIL ORDER DRUGS: 

$2.50 co-pay for generic   $10.00 brand names

(The generic co-pay applies for brand name drugs for which no generic equivalent exists)


COBRA Self-Pay: Plan A - $522   Plan B - $500
RETIREE Self-Pay: Plan A - $340   Plan B - $322


* YOU MUST WORK 600 HOURS TO BECOME ELIGIBLE FOR BENEFITS



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