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Check Eligibility |
Click on the link at the bottom of this page to check medical and/or dental eligibility for a
participant, spouse or dependent child. If the participant has
selected HMO coverage or coverage under the Safeguard, DeltaCare PMI or
United Concordia
dental plans, you will be advised.
Please have the participant's
Social Security or HCID number ready. This information is secure; you will not be able to access eligibility
information if the Social
Security or HCID number is not valid.
On the next screen you will see
the following information:
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 | Member ID
(Member, spouse, son or daughter) |
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| Year of birth |
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| Plan (Medical or
Dental) If member has HMO coverage, name of Plan will display (e.g.,
Health Net, Safeguard) |
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| Eligibility Date
(The person is eligible throughout the month
indicated.) |
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| Deductible to go
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(This is the amount of deductible remaining to be satisfied this year
for both the In-Network and
Out-of-Network Calendar Year Deductibles.)
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Calendar Year Deductible - Medical
(Active and Retiree Plans (without Medicare)) |
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Contract Physicians**
- There is a $350 per person deductible with a maximum of $1,050
per family (Applicable to service dates of 01/01/2011 and
after) |
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Non-contract physicians
- There is a $500 per person deductible with a maximum of $1,500
per family (Applicable to service dates of 01/01/2011 and
after) |
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**Contract physicians are:
Residents of CA -
Anthem Blue Cross providers.
Residents of NV – Anthem Blue Cross/Blue Shield PPO
Residents elsewhere - AHF providers, where available. |
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IMPORTANT: |
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The Fund does not
require pre-admission certification for hospital admissions. |
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Prior authorization is
required for:
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Dental: |
| Work
in excess of $600 |
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Click here to check
eligibility |
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