All In-patients admissions by Active Members, Pre-Medicare Retirees, as well as their dependents MUST be pre-certified with Telligen, by calling 1-833-374-9833.
The $25 co-payment (in-network) for Out-Patient psychiatric and substance abuse office visits and intensive outpatient treatment remains in effect.
The $105 co-payment (in-network) for In-Patient psychiatric and substance abuse treatment also remains in effect.
Services rendered by out-of-network providers are paid at 80% after deductible, subject to maximum allowable cost (MAC).
If you have any questions about behavioral health or want to locate an Anthem provider, call Anthem at 1-800-810-2583
. Alternatively, for assistance you can also call CT Counseling and Wellness (CCW), Jerry Marcil at 1-860-387-2261
. In addition, you can also contact Local 478's Member Assistance Program representatives, Kyle Zimmer at 1-203-537-2207
or Ashley Dwyer at 1-203-745-6389
All claims for Active members or Pre-Medicare Retirees should be sent to:
National Account Division
PO Box 533
North Haven, CT 06473
Note: Medicare primary Retirees are not required to pre-certify their In-Patient admissions with Telligen.
To obtain Fund benefits, Medicare Primary Retirees should submit a itemized bill and the Medicare Explanation of Benefits to:
Health Benefits Fund
1965 Dixwell Avenue
Hamden, CT 06514