New York
Provider Communications
Local 282 Welfare Trust Fund moves to Empire MediBlue Freedom (PPO) Medical plan
Local 282 Welfare Trust Fund members’ copay or coinsurance percentage will be the same whether their provider is in- or out-of-network. Locally or nationwide, doctors or hospitals, member share-of-cost (SOC) does not change.
Noncontracted providers may continue treating Local 282 Welfare Trust Fund members and will be reimbursed 100% of Medicare’s allowed amount for covered services, less any member SOC.
The Medicare Advantage plan offers the same hospital and medical benefits that Medicare covers, while covering additional benefits that Medicare does not, such as LiveHealth Online* and SilverSneakers.*
The prefix on the Medicare Advantage ID cards is XLU.
Detailed prior authorization requirements are also available to contracted providers by accessing the Provider Self-Service Tool on the Availity* Portal at https://www.availity.com.
Providers will follow their normal claim filing procedures for Local 282 Welfare Trust Fund member claims.
Providers may call the number on the back of the member’s ID card for eligibility, prior authorization requirements and any questions about the Local 282 Welfare Trust Fund member benefits or coverage.
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January 2022 Newsletter