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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 or DeltaCare PMI
dental plans, you will be advised.
Please have the participant's
Social Security number ready. This information is secure; you will not be able to access eligibility
information if the Social
Security 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
(This is the amount of deductible remaining to be
satisfied this year.)
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Calendar Year Deductible - Medical
(Active and Retiree Plans (without Medicare)) |
| Previous
Benefit |
New Benefit After 07/01/2006 |
Contract
Physicians**-
There is a $300 per person deductible with a maximum of $900 per family |
Contract Physicians**-
On claims for services rendered on and after July 1, 2006, the
calendar year deductible has been eliminated. |
| Non-contract
physicians-There is a $300 per person deductible with a maximum of $900
per family |
On claims for services rendered on and
after July 1, 2006, the calendar year deductible has been reduced to
$250 per person with a maximum of $750 per family. |
**Contract physicians are:
Residents of California - Blue Cross Buyer providers.
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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