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More Ways To $ave

If you’re like most people, you’re careful when it comes to spending money. However, there are some things, such as taking care of your health, that shouldn’t be cut from your budget.

To help ensure our members don’t skimp on their health care, the Fund wants to remind you that certain in-network preventive and medical procedures are covered 100%. This means the deductible does not apply and the Fund pays the full cost. In addition, there are several wellness benefits for which the Fund covers a large portion of the cost.

Here are just a few examples of health care services that won’t break your budget:

For these services… The Fund pays up to…
  • Annual gynecological exam and pap smear (including office visit expense)*
  • Mammography screening (1 baseline: age 35 to 40; annually: age 40+)*
  • HPV testing (adult female care)*
  • HPV vaccine for girls age 9 and older (child well care)*
  • Annual prostate exam (including PSA test)*
  • Outpatient Laboratory testing at any in-network facility (Lab One or Anthem BlueCross BlueShield PPO providers)
  • The first five visits with the Member Assistance Program (MAP)
100% of covered expenses; deductible does not apply.
  • Adult Annual routine physical exam (including associated laboratory and radiology services) and adult immunizations, limited to one flu shot per calendar year, one tetanus shot every 10 years and one pneumonia shot every 6 years (excludes office visit expense)*
$300 per calendar year; balance covered at 80%; deductible does not apply.
  • Diagnostic colonoscopy (provided in accordance with American Cancer Society guidelines)*
$750; balance covered at 80%; deductible does not apply.
  • Routine new baby care for children less than age 2 (for hospital and office visits, laboratory, and radiology services)*
$200 per calendar year; balance covered at 80%; deductible does not apply.
  • Routine physical exam for children age 2 through 18 (for office visits, laboratory, and radiology services)*
$200 per calendar year; balance covered at 80%; deductible does not apply.
  • Necessary immunizations (child well care)*
$100 per calendar year; balance covered at 80%; deductible does not apply.
  • Bone density testing for osteoporosis (provided in accordance with the National Osteoporosis Foundation guidelines)*
$250; balance covered at 80%; deductible does not apply
  • Diagnostic sigmoidoscopy (once per 3 calendar years beginning at age 50)
$150; balance covered at 80%; deductible does not apply

Click the link below for the Benefit Summary for your Plan.