Operating Engineers Local 66 Welfare Fund.

IDENTIFICATION CARD - The PPO network that the Welfare Fund uses to cover your medical needs has the same basic benefits for both plans. What is different about each plan is the amount of out of pocket expenses you will incur as you use the PPO. Plan One has lower copayments and no In-Network Out-Of-Pocket maximums for benefits provided. Plan Two has higher copayments and does have Out-Of Pocket maximums for services. Once eligible for benefits, Highmark Blue Cross/Blue Shield will issue an identification card to the participant and their dependents. The Blue Cross and Blue Shield symbols on your Blue Cross Blue Shield PPO Identification (ID) card are recognized throughout the country and around the world. Carry your ID card with you at all times, destroy any previously issued cards, and show this card to the hospital, doctor, pharmacy, or other health care professional whenever you need medical care. When an eligible participant or eligible dependent receives health care services:

• Show the Blue Cross and Blue Shield identification card to the hospital or professional providers.
• Pay the co-payment amount as shown on your card.

Filing Claims - Plan ONE and TWO, are Preferred Provider Plans or PPO's while the MEDICARE SUPPLEMENTAL is an idemnity plan and has not had any changes made. If you receive services from a network provider, you will not have to file a claim. If you receive services from an out-of-network provider, you may be required to file the claim yourself.

PLAN ONE Member Reimbursement Benefit (MRB) Claims should be mailed to the Welfare Fund at PO Box 38682, Pittsburgh PA. 15238.

PLAN TWO Member Reimbursement Benefit (MRB) Claims should be mailed to the Welfare Fund at PO Box 38682, Pittsburgh PA. 15238

MEDICARE SUPPLEMENTAL Major Medical claims are to be submitted to Highmark Blue Cross Blue Shield. Call the Welfare Fund office at (412)968-9750 to obtain a claim form. Consult the Summary Plan Description book in the section titled MEDICARE SUPPLEMENTAL PLAN to obtain further information.