Active Participants

My Health Benefits

Customer Care Center 

 

 

For claims, benefits and authorizations:

Call CIGNA at 1-800-235-7748, 24/7.

For eligibility:  Call 1-866-342-6555, 8 a.m. to 5 p.m. CST, Monday - Friday.

To find an in-network doctor or facility, click on the logo below for the service you need.

Express Scripts

Delta Dental

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Health Benefits

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 Active and Retiree health benefits available to you under the Boilermakers National Health and Welfare Fund, please refer to your Evidence of Coverage and Summary Plan Description (SPD).  

Comprehensive Hospital/Medical

Network: CIGNA 
800-235-7748

Our medical coverage helps you to stay healthy and seek cost-effective care through a network of highly qualified doctors, hospitals and other providers.

Services covered:

  • Health Risk Assessment (HRA)
  • inpatient hospital care
  • outpatient hospital services
    • physician visits
    • routine physical exams
    • mammograms
    • physical therapy
    • chiropractic care
    • skilled nursing facility care
    • extended care services
    • hospice care (facility and at home care)
    • surgery center
    • surgery services and anesthesia
    • second opinion
    • DME, prosthetics
    • Air ambulance
    • Hearing aid benefit

Hospital and medical benefits, including some of the covered services listed above, may be subject to deductibles, co-insurance and co-pays, benefit maximums and other limits on the amount of benefits covered. In addition, as a general rule, the expenses you incur must be medically necessary and cannot be experimental. Finally, some expenses may be excluded or subject to additional requirements. Please check your Summary Plan Description to obtain details on these limits, exclusions and requirements.

National Transplant Program

Network: CIGNA 
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 Visit Benefit through American Well (Amwell)

As of January 1, 2015, you can have electronic video visits with a doctor anytime through Amwell by using the web or mobile app. It s easy to use, private, secure and it s free to enroll.

There are 3 easy ways to sign up:
1) Download the iOS or Android App by searching Amwell
2) Sign up on the web at www.Amwell.com 
3) Sign up by phone, call 1-855-818-DOCS

Enter Service Key: BOILERMAKERS to get the Boilermakers National Health & Welfare Fund rate.

Prescription Drug Program

Partner: Express Scripts
800-655-0459
Curb the spiraling cost of prescription medications with our pharmacy benefits. Coverage includes retail pharmacy and a convenient mail order program, complete with online ordering, refills and tracking.

Behavioral Health/Substance Abuse

Network: CIGNA
800-235-7748
Promote your behavioral health and wellness with our mental health coverage that fully integrates care for both the mind and body.

Dental Care

Network: Delta Dental
800-234-3375
Get the preventive dental treatment you and your family need to maintain healthy smiles and superior oral health. Our coverage includes orthodontia services for eligible dependent children. Effective 1/1/08, Delta Dental will serve as the plan's dental benefits network.

Vision Care

Partner: Wilson-Mcshane 
855-249-2298
As of January 1, 2017, BNF Vision benefits are processed by the Wilson-McShane Corporation. You can see any provider you choose for vision exams and supplies. For benefit details, refer to your Notice of Summary Material Modification (SMM) of Amendment 7  to the 2013 Evidence of Coverage and Summary Plan Description (SPD).

Plan Limits

Certain transplant, prescription drug, behavioral health, substance abuse, hearing aid, and dental and vision care benefits may be subject to deductibles, co-insurance and co-pays, benefit maximums and other limits on the amount of benefits covered. In addition, as a general rule, the expenses you incur must be medically necessary and cannot be experimental. Finally, some expenses may be excluded or subject to additional requirements. Please check your Summary Plan Description to obtain details on these limits, exclusions and requirements.

Disability Insurance

Our disability insurance is underwritten by CIGNA and 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. Review How to Report a Long-Term Disability Claim for more information.

Life Insurance 

Our life insurance underwritten by MetLife provides eligible participants and their families with a personal safety net.

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