General Building Laborers' Local 66 Welfare Fund offers Medicare Advantage option

Category: Medicare

Effective January 1, 2020, General Building Laborers' Local 66 Welfare Fund will offer the Empire MediBlue Freedom (PPO) with Senior Rx Plus Medical and Prescription Drug plan.

 

Retirees with Medicare Parts A and B are eligible to enroll in the PPO with Senior Rx Plus Medical and Prescription Drug plan. The plan includes the National Access Plus benefit, which allows retirees to receive services from any provider as long as the provider is eligible to receive payments from Medicare. In addition, General Building Laborers' Local 66 Welfare Fund retirees pay the same cost share for both in-network and out-of-network services. The Medicare Advantage plan offers the same hospital and medical benefits that Original Medicare covers and covers additional benefits that Original Medicare does not, such as an annual routine physical exam, hearing, vision, LiveHealth Online tool and SilverSneakers®.

 

The prefix on General Building Laborers' Local 66 Welfare Fund member ID cards will be XLU. The cards will also show the General Building Laborers' Local 66 Welfare Fund logo and National Access Plus icon.

 

Providers may submit claims electronically using the electronic payer ID for the Empire BlueCross BlueShield (Empire) plan or submit a UB-04 or CMS-1500 form to Empire. Claims should not be filed with Original Medicare. Contracted and noncontracted providers may call the Provider Services number on the back of the member ID card for benefit eligibility, prior authorization requirements, and any questions about General Building Laborers' Local 66 Welfare Fund member benefits or coverage.

 

Detailed prior authorization requirements also are available to contracted providers by accessing the Provider Self-Service Tool at https://www.availity.com.

 

EBSCRNU-0088-19 December 2019

506943NYPENMUB