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PLAN AAA

For detailed description of your Plan AAA health benefits,  consult your plan AAA Summary Plan Description (SPD) (click here)
Effective January 1, 2006 the Trustees approved implementing three changes to the current plan benefits:

1.  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.  
   
2. 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 guidelines;
   -Cardiac rehabilitation therapy must begin within 8 weeks of the event, i.e. heart attack, 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
   
3. 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   Description is no longer in effect.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 parental program to see a brochure.   Please contact the fund office if you are currently pregnant or if you will become pregnant in the future.
   

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   If you work for one of the following companies:         Your Network Provider is:
                                                                                              
   Berco Inc.                                                                                          ©Healthlink Inc.
   Delhaven Manor II                                                                          P.O. Box 419104
   Geitner Home                                                                             St. Louis, MO 63141
   Northview Village     
   Semco
   Tower Village                                                                            Precertification: 877-284-0102
                                                                                                                  or 314-989-6350
                                                                                                       Customer service: 800-624-2356      
                                                                                                                    or 314-989-6300
                                                                                          
   Click here if you want to find a Health Provider:                     www.healthlink.com
    
                    

            PHC Industries                                                   Superien Health Network Inc.
                                                                                              4301 Darow Rd.
                                                                                              Stow, OH 44224
                                                                                              Precertification and/or
                                                                                              Customer Service:   888-315-6045 or
                                                                                              330-689-7025, Fax 330-686-7087
                                                                                       www.superienhealthnetwork.com

                                                                                               Please mail claims to:
                                                                                               SEIU/HL
                                                                                               P.O. Box 419104
                                                                                               St. Louis, MO 63141-9104 
                                                                                               Verification of Physicians: 
                                                                                               1-800-624-2356 or click:
                                                                               www.chandlre-group.com/shn/index.asp

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