Common questions about your Health & Welfare benefits
Understanding your benefits shouldn’t be complicated. Below are just a few answers to some of the most frequently asked questions we get from members.
For more information, we encourage you to visit the full FAQ section on our website.
Do I have to pay the balance on my bill from the doctor?
You should have received an “Explanation of Benefits” (EOB) in the mail that breaks down what was covered by the plan and what you are responsible for paying, if anything at all.
What are my copays for medical visits?
Plan A
- PCP office visit: $20
- Specialist: $30
Plan B
- PCP office visit: $20 + 10% coinsurance
- Specialist: $30 + 10% coinsurance
Is a pre-certification required for an inpatient admission?
Yes. Your provider must contact Blue Cross Blue Shield of MA for a medical admission and HMC Healthworks for a behavioral health or substance use admission.
How do I request a new card (medical, dental, or prescription drug)?
- Dental card: Contact Delta Dental at 1-800-872-0500
- Prescription drug card: Contact Express Scripts at 1-800-467-2006
- Medical card: Contact MLBF at 1-800-342-3792 or 781-272-1000
Will my coverage continue once I stop working?
If you no longer have enough hours in a qualifying period to maintain eligibility, you may elect COBRA continuation coverage.
Still have questions? Call the Fund Office at 781-272-1000 x201.