Dear Plan Participant:
We are excited to inform you that the Board of Trustees has selected Anthem’s Empire BlueCross BlueShield and have retained AliCare, Inc. as the Funds new third-party administrator of your medical benefits. The changes will become effective April 1, 2017.
The new provider network will provide participants with access to the Empire BlueCross BlueShield’s provider network, the largest in New York State. The Empire network includes more than 85,000 participating physicians and 149 acute care facilities. It is likely that your current physician is already participating in the BlueCross network. You can find a network provider or confirm if your physician participates in the new network by calling Empire BlueCross directly at 1-800-810-BLUE or you may check online at www.anthem.com
In addition to medical provider changes the Fund has also retained Navitus Health Solutions as its new Pharmacy Benefit Manager, replacing MagnaCare Rx on April 1, 2017. Navitus Health Solutions provides unsurpassed customer service, available 24 hours a day and 7 days a week. Please watch the mail for more details and important information on the new coverage changes.
The Fund will hold Open Enrollment period beginning March 1st to March 15th. It is only during the Open Enrollment period that you can enroll in the Plan or make changes to your medical coverage, unless you experience an event that qualifies under special enrollment rules.
The accompanying Summary Material Modification explains additional Plan changes or benefits modifications that will become effective April 1, 2017. These changes are necessary to protect the solvency of the Fund and because of the rising cost of providing coverage in the hospital facility or clinic, the most expensive settings to receive medical care. For the most part if you utilize your benefits wisely these changes should have little or no effect on your out of pocket costs.
The Trustees of the Fund remain committed to providing high quality benefits to its participants and their families. If you have any concerns during this transition, please do not hesitate to contact the Fund office at (212) 343-1660.
Sincerely yours,
The Board of Trustees


Syndicate content