SEIU Local 2000

home | benefits | heatlh and welfare fund

OPEN ACCESS

For a detailed description of all of your OPEN ACCESS benefits, consult your
Open Access Summary Plan Description (SPD) (click here)

Effective January 1, 2006 the Trustees approved implementing three changes to the current plan benefits:

The plan has moved the coverage of mamograms into the "wellness benefit". In doing so, the calendar year deductible will no longer apply to mammograms. In addtion, the $20.00 co-pay for wellness care is removed and the annual maximumhas been increased to $500.00
The annual $1,000.00 maximum for durable medical equipment has been changed to a $1,000.00 calendar year maximum on each item when determined to be medically necessary by the plan.
The plan has defined a specific benefit for Cardiac Rehabilitation. Cardiac Rehabilitation has a maximum benefit of $5,000.00 per treatment plan and must meet these specific quidelines;
-Cardiac rehabilitation therapy must begin within 8 weeks of the event, i.e. hear attac, surgery, etc
-A format treatment plan must be submitted by the physician to the claim office
-The therapy must be medically necessary
-The therapy must be completed within three months
A prenatal program. This program is for all pregnancies and not limited to "high risk".
The "High Risk Pregnancy Benefit" as listed on page 22 of your current Summary Plan Description is no longer in effect. Click here to find information regarding the benefits of the prenatal program and to see a brochure.
Please contact the fund office if you are currently pregnant or if you are planing on becoming pregnant in the near future.

For the following companies:                                         To find a preferred provider or to mail
                                                                                                         claims contact:

-Christian care                                                                                 Healthlink Inc
-Beauvais Manor                                                                             P.O. BOX 419104
-Christian Care                                                                               St. Louis, MO 63141
-Gerogiane Gardens II
-Mary Ryder Home                                                                    Precertification:
-St. Louis Altenheim                                                                 800-284-0102 or or (314)-989-6350
-SEIU Local 2000 Union Staff                                              Customer Service 800-624-2356 or
-SEIU Local 2000                                                                            (314)-989-6300
Benefit Funds                                                                            www.healthlink.com
-The Delivery Network
-Tabor Plastics
-Technicolor
  Universal Media S.