Medical Benefits

Claim Administrator: 

Anthem BlueCross BlueShield: 855-878-0128

Benefit Period: January 1st – December 31st

Annual Deductible: Before the Fund pays for most covered expenses, you pay the Annual Deductible of $400 per person or $800 per family (doubled for out-of-network). All claims are subject to the Annual Deductible, unless otherwise noted.

2024 Maximum Out-Of-Pocket (MOOP) Limit: Your out-of-pocket expenses for essential health benefits are limited to $4,425 per person or $8,850 per family (doubled for out-of-network). 

Coinsurance: Once you meet your Annual Deductible, the Fund pays 80%, then 100% after MOOP Limit is reached (60% for out-of-network). All claims are subject to the Coinsurance, unless otherwise noted.

Copayments: This will vary depending on where you seek treatment.