Family Health Benefits

Active Participants & H Plan Employees

Prior to the start of your eligibility, you will be sent notification from the Fund Office as well as more detailed information regarding the benefits summarized below. These benefits are available for you and your family when medically necessary and not the result of a work related accident.

This chart contains information on the benefits available for your work classification. If you are self-paying for your coverage due to disability or unemployment or are on COBRA, refer to the Summary Plan Description (SPD) for the benefits available to you and your eligible family members. Certain restrictions, limits, pre-authorizations, deductibles and co-pays apply.  Refer to the SPD for details.  If there is a discrepancy between the SPD and the Plan Document, the Plan Document governs.

Active Electrical Worker H Plan Employees

Requirements 135 hours/payroll month  

135 hours/payroll month

 

Medical (office visits, doctor charges, etc.)  

Through UnitedHealthcare Choice Plus Network Only

Well Woman

Through UnitedHealthcare Choice Plus Network Only

Routine Physicals  

Through UnitedHealthcare Choice Plus Network Only

Lab & X-rays

Through UnitedHealthcare Choice Plus Network Only

Chiropractic care, physical therapy, occupational therapy, & speech therapy

Contact UnitedHealthcare for Pre-Notification

1-800-850-1418

 

Through UnitedHealthcare Choice Plus Network Only

 

1-800-850-1418

Hospitalization & Surgery XContact UnitedHealthcare for Pre-Notification

1-800-850-1418

Through UnitedHealthcare Choice Plus Network Only
Contact UnitedHealthcare for Pre-Notification

1-800-850-1418

Maternity & Gynecological Care

Maternity benefits not available to dependent children

Maternity benefits not available to dependent children

Through UnitedHealthcare Choice Plus Network Only

Emergency Room
Employee Assistance Plan (Business Health Services)
 Substance Abuse & Mental Health

Contact Business Health Services for Benefit Navigation

1-800-765-EAPS

Through EAP Only

1-800-765-3277

Prescription Drugs  N/A
Dental Effective 1/1/04
Vision  N/A
Hearing 
Death N/A
Accidental Dismemberment & Loss of Sight  N/A
Weekly Accident & Sickness  N/A
Supplemental Occupational Benefit  N/A
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