The Boilermakers National Health & Welfare Fund offers exceptional comprehensive health benefits. Our networks are comprised of providers and facilities that meet strict credentialing standards and deliver considerable savings for our participants. Our health benefits cover a substantial portion of the cost of medical, mental health & substance abuse, organ transplant, prescription drug, dental, vision and hearing aids. We also offer excellent long-term disability coverage. The combination of benefits helps to protect the health and livelihood of our participants nationwide.
Please remember that health benefits provided are generally self-funded and paid from the assets of the Boilermakers National Health and Welfare Fund. View the list of covered services below.
For a complete explanation of the health benefits available to you under the Boilermakers National Health & Welfare Fund, please refer to the Summary Plan Description (SPD) for Active and Retiree coverage.
ELIGIBILITY, SELF-PAY and COBRA
Wilson-McShane Corporation
P.O. Box 909700
Kansas City, MO 64190
1-866-342-6555
For information or questions regarding eligibility, self-pay contributions, COBRA premiums, or to make updates to your personal information call Wilson McShane. Or visit the participant portal to access this information online.
COMPREHENSIVE MEDICAL, MENTAL HEALTH & SUBSTANCE ABUSE
Cigna Healthcare
P.O. Box 182223
Chattanooga, TN 37422-7223
1-800-235-7748
The Fund’s medical, mental health, and substance use disorder coverage helps you to fully integrate care for both the mind and body and seek cost-effective care through a network of highly qualified doctors, hospitals, and other providers.
When you visit a doctor who participates in the Cigna Collaborative Care program, you get access to a team of health care experts focused on you. Collaborative care is a team-based, comprehensive model of patient treatment. It brings together numerous physicians and caregivers to consider a patient as a whole person, rather than just as a body or disease. This model aims to improve patient outcomes through inter-professional cooperation. It combines general and behavioral medical practices and involves various health practitioners, including primary care physicians, mental health practitioners, and other specialists. Collaborative care provides holistic care by delivering both medical and mental health care in primary care settings. When you visit a provider who participates in the Collaborative Care Program, the provider can refer you to a primary care physician, mental health practitioner, or other specialist to collaboratively address your health care needs. Call Cigna to locate a collaborative care provider near you.
Boilermakers Substance Use Treatment Program
1-877-244-3572 Boilermakers Crisis Line
The Boilermakers National Health and Welfare Fund, in partnership with its business partners, provides an avenue for eligible individuals struggling from any type of substance use to get incentive based, quality care. The Fund’s goal is for individuals who enroll and complete this program with minimal out-of-pocket costs, to benefit from an improved quality of life and to have more meaningful relationships with those they care about.
National Transplant Program
1-800-235-7748
Supported by a national network of high-quality transplant centers, our program offers complete care and assistance if you ever require an organ transplant. Personal case managers guide you throughout the transplant process - from the first evaluation and screening visit to a maximum of one year post-transplant. If Medicare or another group plan is your primary coverage, the National Transplant Program and its benefits are not available to you.
TELEHEALTH - MEDICAL AND MENTAL HEALTH SERVICES
NO COST! – The Fund’s Telehealth Benefit is payable at 100% ($0 Out-of-Pocket) when you access care through the Fund’s exclusive providers, MD Live and Amwell.
- MD Live – For video visits, go to mycigna.com. For audio-only visits, call 888-726-3171.
- Amwell – For video visits, go to boilermakers.amwell.com or download the mobile app. For audio-only visits, call 844-733-3627.
- Board-certified doctors and pediatricians as well as licensed counselors and psychiatrists.
- Primary care, specialty care, urgent care, mental health, and dermatology.
- Care for conditions such as anxiety, depression, trauma/PTSD, bronchitis, flu, strep throat, and MORE.
MD Live for Cigna
P.O. Box 182223
Chattanooga, TN 37422-7223
1-800-235-7748
American Well - USE SERVICE KEY: BOILERMAKERS to ensure your visit is FREE.
75 State Street, 26th Floor
Boston, MA 02109
1-844-733-3627
VIRTUAL SECOND OPINION VISITS
NO COST! When you access care through the Fund’s exclusive provider for virtual second opinion visits, benefits are payable at 100% ($0 Out-of-Pocket). Click here to create an account or log in: The clinic by Cleveland Clinic
Through this benefit, you can have your medical diagnosis and treatment plan reviewed by an expert physician at Cleveland Clinic and receive an in-depth second opinion as you consider the best path forward for your health. Click here for more information: Cleveland Clinic Virtual Second Opinion
PRESCRIPTION DRUG
Express Scripts
P.O. Box 66583
St Louis, MO 63166-6583
1-800-655-0459
Curb the spiraling cost of prescription medications with our pharmacy benefits. Coverage includes a convenient mail order program, complete with online ordering, refills and tracking. Contact Express Scripts to find an In-Network pharmacy near you.
Accredo
4865 Dixie Highway
Fairfield, OH 45014
1-800-803-2523
Specialty Medication
DENTAL
Delta Dental of Kansas
P.O. Box 789769
Wichita, KS 67278-9769
1-800-234-3375
Get the dental treatment you and your family need to maintain healthy smiles and superior oral health. The Fund’s coverage includes preventive, diagnostic, basic and major procedures, TMJ, and orthodontia services.
VISION
Wilson-Mcshane Corporation
P.O. Box 219118
Kansas City, MO 64121-9118
1-855-249-2298
You can see any provider you choose for vision exams and supplies. Use the BNF Vision Claim Form to submit claims.
LONG TERM DISABILITY
Wilson-Mcshane Corporation
P.O. Box 219118
Kansas City, MO 64121-9118
1-855-249-2298
The Fund's long-term disability coverage may allow you access to financial support during long-term disability in the event you are unable to work for a long period of time due to illness or injury. Contact our office for information on:
- Long-term disability benefits and eligibility
- Benefit verification and claims submission
LIFE INSURANCE, AND ACCIDENTAL DEATH & DISMEMBERMENT (AD&D)
MetLife
Group Life Claims
P.O. Box 3016
Utica, NY 13504-3016
1-800-638-6420
The Fund’s life insurance benefit, and AD&D benefit are underwritten by MetLife and provides eligible participants and their families with financial protection.
MEDICARE PRIMARY RETIREE COVERAGE
United Healthcare
Medical Claims Address:
P.O. Box 31362
Salt Lake City, UT 84131-1362
1-877-755-5349
The Boilermakers National Health & Welfare Fund contracts with United Healthcare to provide a Medicare Advantage Plan to its retirees who have Medicare as their primary coverage.
VIRTUAL CARE
DIABETES MANAGEMENT - Effective 7/1/2023
NO COST! – Visit Virta Health at www.virtahealth.com/join/boilermakers . Virta is a virtual clinic that uses nutrition, science, and technology to manage your diabetes and related issues in the body – no calorie counting, or gym visits needed.
PHYSICAL THERAPY - Effective 7/1/2023
NO COST! –Visit Hinge Health at hinge.health/boilermakersnational-enroll . No matter where you have pain or whether your pain is intense or moderate, persistent or comes and goes, Hinge Health can help.
Health & Welfare Documents & Forms
