![]() What if I have a question about a medical bill?Ī. This is the Member Service telephone number on your Horizon Blue Cross Blue Shield medical card.Ħ. If you still have a question call Maxon at 1.800.999.3309. Consult your Group Reimbursement Welfare Plan booklet. Who do I call if I have a question about my medical benefits?Ī. Contact the Benefits Department at 973.256.5803 for a replacement card.ĥ. What should I do if I lose or damage my Horizon Blue Cross/Blue Shield medical card?Ī. Your Horizon BC/BS medical card will not be received until your benefits become effective.Ĥ. There is generally a 6 or 9-month waiting period before benefits go into effect. If you have not filed your forms with Local 464A click Forms for copies that you can print or call 973.256.5803 to have the forms sent to you. These forms are sent to each employee with his or her UFCW Local 464A membership card when he/she is hired or re-hired. To receive your Horizon Blue Cross/Blue Shield medical card you must enroll in the health care program by completing the Welfare Funds of Local 464A Healthcare Coverage Enrollment Form and Subrogation Form. I have not received my Horizon Blue Cross/Blue Shield medical card, why?Ī. See your Shop Steward and ask him/her to obtain a copy for you from your Local 464A Union Agent or Service Representative.ģ. How do I obtain my Group Reimbursement Welfare Plan booklet?Ī. This does not pertain to payments made by Medicare or Medicaid.Ģ. You are first required to make an application for benefits or payment under any such plan or source other than this Plan, including a situation where potential litigation may result in recovery. Other sources of benefits include a lawsuit against the person or party who injured you as well as governmental programs. That is what having another source of payment for benefits means. This means that if you have any other source of payment, this Plan will pay the difference, if any, between the maximum amount payable from the other coverage source and the amount of the healthcare service provider’s bill up to the maximum amount of benefits as described in your Group Reimbursement Welfare Plan booklet.įor example, if your spouse works and is covered at his or her employment by any benefit plan, reimbursement, or insurance that would also cover you, then you must first seek payment for your claims from that source. It is a tertiary Plan and payer of last resort. Is the Group Reimbursement Welfare Plan a primary medical insurance plan?Ī.
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