Dependents
|
Spouses of Active Electrical Workers, H Plan Employees & Office Workers |
Dependents of Active Electrical Workers, H Plan Employees & Office Workers |
|
| Eligibility Requirements | legally married spouse who resides with you |
fully dependent unmarried children under age 19, or 23 if a full-time student and not employed for more than 30 hours a week, except during school vacations |
| Medical (office visits, doctor charges, etc.) | X |
X |
| Well Woman | X |
X |
| Routine Physicals (for members and spouses) | X |
N/A |
| Routine Physicals (for dependents from age 2 through age 18) | N/A | X |
| Well Baby Visits (for dependents between birth and age 23 months) | N/A | X |
| Lab & X-rays | X |
X |
| Chiropractic care, physical therapy, occupational therapy, & speech therapy |
X Contact UnitedHealthcare for Pre-Notification 1-800-850-1418 |
X Contact UnitedHealthcare for Pre-Notification 1-800-850-1418 |
| Hospitalization & Surgery | X |
X |
| Maternity & Gynecological Care |
X |
X Gynecological care only |
| Emergency Room | X |
X |
| Employee Assistance Plan (Business Health Services) | X |
X |
| Substance Abuse & Mental Health |
X Contact Business Health Services for Pre-Certification 1-800-765-EAPS |
X Contact Business Health Services for Pre-Certification 1-800-765-EAPS |
| Prescription Drugs |
X |
X |
| Dental |
X |
X |
| Vision |
X |
X |
| Hearing |
X |
X |
| Death | N/A | N/A |
| Accidental Dismemberment & Loss of Sight | N/A | N/A |
| Weekly Accident & Sickness | N/A | N/A |
| Supplemental Occupational Benefit | N/A | N/A |