Benefits

LIST OF CURRENT PROVIDERS FOR PRIVATE MEMBERS:

MAGNACARE P.P.O. AND EMPIRE BLUE CROSS P.P.O. PLAN – this is a preferred providers organization plan with Magnacare for your medical coverage and Empire Blue Cross for your hospital and emergency room coverage. There is no need to elect a primary care physician with this plan. You DO NOT require a referral to see a specialist. The Magnacare Plan has a $10.00 co-pay for in-network services.

CIGNA EPO PLAN (OPEN ACCESS PLAN) – This in-network only plan covers both medical and hospitalization services. You must utilize doctors and hospitals that are in the Cigna Open Access Plus Network. No referrals are needed to see a specialist. The Cigna Plan has a $25 co-pay for most services.

HEALTHPLEX P.P.O. PLAN – With Healthplex, you can choose a participating dentist from a panel of in-network providers listed in the directory or you can choose to have services rendered by an out-of-network dentist. If you elect to receive services from an out-of-network provider, you will be responsible for all charges that exceed the plan allowances. This plan offers the same level of coverage as the D.D.S. Inc. Plan.

D.D.S., INC. – With Healthplex, you can choose a participating dentist from a panel of in-network providers listed in the directory or you can choose to have services rendered by an out-of-network dentist. If you elect to receive services from an out-of-network provider, you will be responsible for all charges that exceed the plan allowances. This plan offers the same level of coverage as the Healthplex Plan.

AETNA D.M.O. PLAN - (Dental Maintenance Organization) With Aetna D.M.O. Plan, you must elect a primary dentist from the Aetna Directory in order to be enrolled. This plan provides coverage for in-network benefits only. If you elect to have services by a provider who is not in the Aetna D.M.O. Plan, you will be responsible for 100% of the charges.

Life Insurance - $50,000 for the member only (Existing medical benefits will be extended for one year for eligible dependents of a deceased active member provided that the dependents are not eligible for other coverage)

Prevention Now –  If you have not already taken advantage of this benefit, please call 877-372-0915 prior to making your appointment for a physical in order to obtain the necessary paperwork. If the member completes a physical you will receive a $200 gift card, if the entire family completes physicals you will receive a $300 gift card.

Gym Reimbursement - $200 (member only)                 Laser Vision - $1,000 per eye

Hearing Aids - $650 per ear                                          Optical benefit once available every 12 mos.

CVS Caremark Prescription Coverage – 30% co-pay with no yearly maximum

If you should have any questions, please contact the Fund Office Staff at 718-847-8484 extensions 215, 218 or 220.

PROVIDER INFORMATION:

MagnaCare                         800-352-6465                     www.magnacare.com

(In Connecticut)                  866-575-5553                     www.multiplan.com- (search PHCS providers)

(In Florida)                          800-878-7896                     www.coalitionamerica.com

Empire Blue Cross               800-553-9603                     www.empireblue.com

Cigna                                  800-244-6224                     www.cigna.com or www.mycigna.com

Healthplex                          800-468-0600                     www.healthplex.com

DDS Inc.                              800-255-5681                     www.ddsinc.net

Aetna DMO                         877-238-6200                     www.aetna.com (Doc-Find)

LIST OF CURRENT PROVIDERS FOR MUNICIPAL MEMBERS:

HEALTHPLEX P.P.O. PLAN – With Healthplex, you can choose a participating dentist from a panel of in-network providers listed in the directory or you can choose to have services rendered by an out-of-network dentist.  If you elect to receive services from an out-of-network provider, you will be responsible for all charges that exceed the plan allowances. 

CVS Caremark Prescription Coverage –

 Active Members: 50% co-pay at retail and mail order with a $5,500 yearly maximum

Retired Members: 50% co-pay at retail and 100% coverage at mail order with a $2,500 yearly maximum

GVS or Vision Screening - Optical benefit available once every 12 mos. 

Death Benefit – Active Members: $2,500 for Member and $1,000 for Spouse

                         Retired Members: $500 for Member and $500 for Spouse

If you should have any questions, please contact the Fund Office Staff at 718-847-8484 extensions 215, 218 or 220.