Teamsters Joint Council No. 83 of Virginia
Health & Welfare and Pension Funds
Frequently Asked Questions
Listed below are frequently asked questions regarding the Health & Welfare Fund. Click on the question to view the answer.
Admission Notification
If I am admitted to the hospital, is admission notification required?
Pre-certification by Healthlink is required for inpatient admissions. Contact Healthlink at 1-877-284-0102. Failure to pre-certify will result in a $500 penalty to the Fund's payment. No payment will be made for any services not authorized by Healthlink. For more information regarding pre-certification, click here.
Dental Benefits
How should a dental claim be filed?
We accept only electronic dental claims. Dental claims must not be mailed or faxed to the Fund Office. Submit Dental claims to :
Anthem Dental Claims
PO Box 659444
San Antonio, TX 78265-9444
How do I find a dentist that participates in the Anthem Dental Blue 100/200/300?
To find a participating dental provider in your area, please visit www.anthem.com.
What if there are no dentists in my area that participate in the network?
You will not be penalized for seeing a dentist outside the network. However, by visiting a dentist in the network, your charges will be discounted, leaving you with no liability, provided you are eligible for benefits and have not met your family maximum.
Disability Benefits
Does the Fund offer Short Term Disability?
The Fund does offer Short Term Disability to eligible participants. For more information, click here. Be sure to consult your Schedule of Benefits for specific benefit information.
Does the Fund offer Long Term Disability?
The Fund does not offer Long Term Disability.
How often does the Fund mail disability payments?
Provided that all necessary information is received on Tuesday by 2:00PM, your disability payment will be mailed out on Wednesday of every week.
My doctor is charging to fill out the disability form. Do I have any other options to have the form completed without a charge?
Most doctor offices have their own forms for disability and will fill them out free of charge. We do accept the doctor's form in place of our form, as long as it contains all the necessary information.
Eligibility
How can eligibility be verified?
You must contact the Fund Office for verification of eligibility. For contact information, please click here.
How do I add dependents to the Plan?
You may add dependents by submitting a Dependent form by email, by mail to 8814 Fargo Road, Suite 200 Richmond, VA 23229 or by fax at 804-288-3530. Changes cannot be made by telephone.
How can I remove my ex-spouse from the Plan?
You may remove your ex-spouse from the Plan by submitting a copy of your finalized divorce decree by email, by mail to 8814 Fargo Road, Suite 200 Richmond VA 23229 or by fax at 804-288-3530.
How can I verify benefits or inquire about claim status?
You must contact the Fund Office for verification of eligibility and claim status.
General
Who do I notify of a change in address?
You may submit a Change of Address form by email, by mail to 8814 Fargo Road, Suite 200 Richmond, VA 23229 or by fax at 804-288-3530. Changes cannot be made by telephone.
How can I change my life insurance beneficiary?
You may change your life insurance beneficiary by submitting the Change of Beneficiary form by email, by mail to 8814 Fargo Road, Suite 200 Richmond, VA 23229 or by fax at 804-288-3530. Changes cannot be made by telephone.
What rights do I have if I disagree with the Fund's payment or nonpayment of my claim?
If you disagree with the Fund's decision, you may ask to have it reviewed. Your written request for review must be received by the Fund Office within 180 days from the date you receive an "Adverse Benefit Determination" or denial notice. For more information on how to file an appeal, consult the Plan Document or contact the Fund Office.
I received an Explanation of Benefits (EOB) for a claim that I believe was filed incorrectly. What should I do?
You may contact the Fund Office to speak with a Claims Coordinator.
Does the Fund provide bereavement pay?
No. Contact your employer's Human Resources department for information regarding bereavement.
Maternity Management
Does the Fund offer a Maternity Management Program?
For deliveries on or after July 1, 2015, no Maternity Management Program is required or available.
Medical Benefits
How should medical claims be filed?
All medical claims, both in and out-of-network, must be filed through the local Anthem BlueCross BlueShield plan. If you are unsure of the billing address, please contact the Fund Office.
How do I find a doctor/hospital that participates in the Anthem network?
To find a participating provider, you may visit Anthem's website at www.anthem.com
How do I determine if my doctor uses an out-of-network lab?
If you have lab work that is sent to an independent lab, ask your doctor if the lab participates in the Anthem network.
Are all services covered by all Plans?
No, not all services are covered by all Plans. Consult your Schedule of Benefits for specific benefit information.
Prescription Coverage
Which card do I use for prescriptions?
Your Prescription ID Card should say Express Scripts on the front of it. To request a new card, please contact the Fund Office.
How can I receive my prescriptions through the mail?
To receive your prescriptions through the mail, complete the Express Scripts Mail Order Form and mail to Express Scripts PO Box 747000 Cincinnati, OH 45274-7000 or contact Express Scripts Member Services at 855-230-7775 or visit them at Express-Scripts.com.
Vision Benefits
How are vision claims filed?
If the provider participates in the EyeMed network, claims must be filed with EyeMed. If the provider does not participate with EyeMed, claims must be mailed, faxed or emailed to the Fund Office. For contact information, click here.
Does the Retiree Health Coverage Plan cover vision benefits?
No.