Summary of Medical Benefits

Preferred Provider Network

BlueCross BlueShield Labor Lease Program

Adult Wellness

(Age/frequency guidelines apply)

Annual Routine Exam

Immunizations

Mammogram

Gynecological exam with related testing:

PSA with related exam

Colonoscopy

Pre-Certification Requirement

   Call Med-Care Management/
   Valenz

   1-800-367-1934

Hospitalizations

Outpatient surgical procedures performed in a

surgical facility or a hospital

Physical, occupational, speech therapy

IV Therapy

Home care, medical equipment & supplies

Plan Exclusions

(See Summary Plan Description for 

complete list)

 

Out of network surgical faclities

Speech or other therapy for develpmental delay

Treatment of Infertility


Click here to view the full list of plan exclusions

For additional details, please click below to view/download a copy of the
2019 Summary Plan Description Book

2019 Summary Plan Description Book

Contact Elite Adminstration Customer Service at

(312) 243-1265 for information regarding

your claims payment status

Contact Numbers:

H&W Fund Office

(312) 372-9870

Press Option 3


H&W Dedicated Fax Number:

(312) 842-0291

Click here for H&W staff contact list

For questions or issue on Medical Coverage,

please contact Elite Adminstration at (312) 243-1265

For questions or issue on Dental Coverage,

please call Delta Dental at (800) 323-1743

For questions on Prescriptions,

Please contact OptumRx (800) 788-4863

For questions regarding Vision Coverage,

please call VSP at (800) 877-7195

If you are a member needing assistance, please call 

or email the Health & Welfare Fund Office Staff.

The Consolidated Appropriations Act requires the following information
be made available to plan participants on our website. This information will be
updated as new regulations become effective and additional guidance is released.

A requirement of the Transparency in Coverage rules outlined in the
Consolidated Appropriations Act of 2021 is to provide members with an internet based
price comparison tool allowing you to receive an estimate of your cost-sharing responsibility
for a specific item or service from a specific provider or providers, for 500 items and services.
 

To Register:

https://mycostestimates.com/users/register

To Log in after already registered

https://mycostestimates.com/users/log_in