Anthem BC BS and Middlesex Hospital reached an agreement on Friday January 4th, 2013. The new agreement is retroactive to the expiration of previous agreement on January 1st, 2013. As a result, Middlesex Hospital and its affiliates remain as part of our network and the new agreement.
If you are an Active Member or Retired Member of Local 478 and meet the Plan™ eligibility rules, you have excellent in-network medical benefits through an arrangement with Anthem Blue Cross and Blue Shield. You have comprehensive dental, behavioral health, prescription drug and vision coverage through various specialty networks.
Health Benefit Fund
We manage our costs to provide a high level of benefits primarily through discount agreements with network providers. With the exception of behavioral health and prescription drugs, you can usually make an appointment with an in-network practitioner without prior approval. The current co-pay for most in-network physician visits is $25, regardless of the amount the physician charges. Out-of-network medical benefits are available on an 80/20 basis after you satisfy an annual $200 deductible.
Active member benefits
Important: This is intended to be a brief description of benefits offered under the IUOE Local 478 Health Benefit Funds. The actual terms of the plan description will govern any specific situation.