What type of hospital/medical benefits are provided by the Welfare Fund?
A.If you are an eligible Active Employee or a Retiree not yet eligible for Medicare, your in-network hospital/medical benefits are administered by Empire BlueCross BlueShield. In-network hospital/medical services are covered services rendered by health care providers who have a participation agreement with Empire BlueCross BlueShield or other BlueCross BlueShield plans nationwide. When you receive hospital/medical treatment from an in-network health care provider, Empire BlueCross BlueShield pays all covered, in-network services in full except for the copayment. Your out-of-pocket expenses for covered in-network services are limited to the copayment. Many in-network services, such as x-rays, blood work and surgery, do not require any copayment. The following are examples of in-network office visits that require a $20 co-payment: •family practice; •general practice; •pediatrician; •internal medicine; •obstetrician/gynecologist; •chiropractor; •physical therapist (office visit only) •nur
