Get informed on COVID-19 vaccines
Recently, the United States Food and Drug Administration (FDA) issued emergency use authorization (EQU) for coronavirus vaccines from Pfizer/BioNTech and Moderna. The Centers for Disease Control and Prevention (CDC) advisory committee also officially recommend the vaccines. OptumRx has prepared the included notice to assist with any questions you may have.
Remember, the Fund is committed to ensuring your benefits continue to support you and your loved ones during the coronavirus (COVID-19) health emergency. A Summary of Material Modification (SMM) is attached detailing updated benefits for COVID-19 testing as well as important information below for your reference. We encourage you to follow all local, state and national COVD-19 regulations, and the advice and practice tips offered by medical professionals.
Important Reminders about Your Benefits
Dental/Vision Care Benefit
The Board of Trustees are pleased to announce that due to the continued improvement in the financial standing of the Health & Welfare Fund, they have made the following benefit improvements at their most recent meeting.
Effective January 1, 2021, the maximum benefit which will be paid on behalf of a covered individual for expenses incurred in a calendar year has been increased from $750 to $1,500, reimbursed at 100%.
In regards to the pediatric dental/vision care benefit, if an eligible minor child(ren), age 19 or less, incurs expenses for dental or vision care services which are not covered under the Major Medical benefit, such expenses will be reimbursed at 100% of the first $1,500, then 50% thereafter.
The Plan covers preventive care at 100%, up to $1,000, when you go to an in-network or out-of-network provider. If you have been in close contact with someone with COVID-19 or you are a resident in a community where there is ongoing spread of COVID-19 and develop symptoms of COVID-19, call your doctor. Your provider will decide whether you need to be tested and, as the tests become more readily available, it is covered 100%. Keep in mind, there is no treatment for COVID-19 and people who are mildly ill may be able to isolate and care for themselves at home.
You can also use the Fund’s telehealth service – LiveHealth Online – for a consultation without leaving your home. Sign up at www.livehealthonline.com and, if using a smartphone, download the app. You will need the Subscriber ID number (including the three letter prefix that is printed on your Anthem ID card.
Prescription Drug Benefits