Front of Card
EWTF (Electrical Welfare Trust Fund)
Group health plan name
Member ID
The entire number is the provider’s claims submission information; the last 6 digits are the member’s Alternate ID
Member
Account holder’s first and last name
Dependents
Any eligible dependents associated with your account (spouse, dependent children, and disabled dependents)
Business Health Solution
Mental/Behavioral Health and Chemical Dependency Benefits
Dental (Cigna) Shared Administration
Dental PPO Plus, dental provider network
EWTF (Electrical Welfare Trust Fund)
Group health plan name
Group Number
The medical group number that the provider submits on your claims
CVS Caremark
Pharmacy Benefit Manager (PBM)
Rx BIN: # and Rx PCN: #
Pharmacy information for submitting claims
Rx GROUP IBE26
Our prescription group name
Rx ID
Member’s 6-digit Alternate ID number
UnitedHealthcare Choice Plus Network
Medical and hospital provider network
Teladoc
Virtual physicians 24/7 call or video, contact 1-800-835-2362 or www.teladoc.com
Back of Card
This card does not guarantee coverage
Check your eligibility online (My Benefits Center) or phone (301) 731-1050
Prior authorization required for inpatient care
Your provider’s responsibility
For Members
Contact the Fund Office at ewtf.org or 301-731-1050 or 1-800-929-3983 (toll-free)
Cigna Dental Shared Administration
www.cignadentalsa.com to find participating providers online, or call 1-800-797-3381
Business Health Svcs
Mental health and chemical dependency www.bhsonline.com or 1-800-765-3277
For Providers
uhss.umr.com or 1-866-596-8447 only for providers to verify benefits or coverage of services
Provider Directory
(“link on homepage does not go to provider directory”) Members, use this link: directory.uhis.com, then select UnitedHealthcare Choice Plus to locate participating providers
Medical Claims
Mailing address for providers to submit medical claims
Dental/Medicare Claims
Mailing address for providers to submit dental and Medicare claims
Prescription Claims
Mailing address for providers to submit prescription claims
MultiPlan
Discount Pricing for Hospitals and Non-Participating Providers
ER admit
Emergency Room Admission, provider responsible for gaining approval within 48 hours of admission 1-800-850-1418
Healthy Pregnancy Program
Call 1-800-850-1418 to enroll
Dental Eligibility
Phone number for dental providers to check member’s eligibility and coverage
CIGNA
Dental Group number for providers to submit dental claims
Pharmacists & member
phone number and web address for contacting Caremark with prescription issues