Health

The newly formed UFCW New England Health Fund is pleased to introduce a new plan of benefits to eligible members and their families, effective January 1, 2021.

Our Fund provides the security and peace of mind that come with being covered by high-quality health benefits and member service.

Medical

Quick reference

Anthem Blue Cross Blue Shield
  • Search as a guest.
  • Under “What type of care are you searching for?,” choose “Medical.”
  • Under “What state do you want to search with?,” if you live in Connecticut, choose “Connecticut.” If you live in another state, choose the state in which you live.
  • Under “What type of plan do you want to search with?,” choose “Medical (Employer-Sponsored).”
  • Under “Select a plan/network,” if you live in Connecticut, choose “Anthem Choice Century Preferred PPO Basic.” If you live in another state, choose “National PPO (BlueCard PPO).”
  • Click “Continue.”

Who’s eligible for medical coverage?

You’re eligible for medical coverage if you work for a participating employer that contributes to the Fund on your behalf, according to a collective bargaining agreement, and you are a:
  • Full-time member
  • Part-time member who works 30 or more hours per week as reported by your employer and who is eligible for ACA coverage

Coverage highlights

  • Anthem Blue Cross Blue Shield administers the Fund’s medical plan.
  • The Fund’s medical plan is a PPO plan. A PPO is a Preferred Provider Organization. This kind of plan gives you the freedom to visit any provider you like without a referral.
  • Visit a provider that participates in Anthem’s PPO network and, generally, you’ll save money on your care. PPO providers have agreed to accept lower, negotiated rates for their services.
  • The plan covers medically necessary services, including annual physicals and preventive care screenings and tests, telemedicine, doctor’s office visits, hospital care, surgery, and treatment for mental health and substance use disorders.
  • For most services, you pay a percentage of the cost, called your coinsurance, after you’ve met your annual deductible. Once you reach the plan’s annual out-of-pocket maximum, the plan pays 100% of covered expenses.

Feeling sick? Get care quickly!

Illness and injury can happen at any time of the day—or night. The medical plan offers nonemergency care options, including video chat with a board-certified doctor, telephone advice from a registered nurse, and coverage through local urgent care centers. These options will cost you less in time and money than a trip to the emergency room (ER).

Anthem’s 24/7 NurseLine

Registered nurses are available 24/7 to discuss urgent health issues by phone. There is no cost to you to call the NurseLine.

Anthem’s LiveHealth Online

You and your covered family members can speak with a U.S. board-certified doctor 24/7, by video chat using your computer, tablet, or mobile device. Covered health issues include headache, earache, stomach discomfort, cold, cough, fever, sore throat, rash, and much more. Visit the Contacts page for links to LiveHealth Online’s mobile apps for iOS (Apple) or Android.

Urgent care

For more serious but non-life-threatening illnesses or injuries, head to an urgent care center in your area.

Details

Contact the Fund Office:

Prescription Drugs

Quick reference

OptumRx

Who’s eligible for prescription drug coverage?

You’re eligible for prescription drug coverage if you work for a participating employer that contributes to the Fund on your behalf, according to a collective bargaining agreement, and you are a:

  • Full-time member
  • Part-time member who works 30 or more hours per week as reported by your employer and who is eligible for ACA coverage

Coverage highlights

  • OptumRx administers the Fund’s prescription drug plan.
  • You can fill your prescriptions at any pharmacy that participates in the OptumRx retail pharmacy network.
  • When you use a Stop & Shop pharmacy or a select union pharmacy, you may be able to get up to a 90-day supply of medication.
  • At other network pharmacies, you can fill your prescriptions for up to 30 days and use the OptumRx mail-order program for home delivery of up to 90-day supplies of medication.

Details

Contact the Fund Office:

Dental

Quick reference

Delta Dental

Find a provider
Choose the Delta Dental PPO Plus Premier network

Who’s eligible for dental coverage?

You are eligible for dental coverage if you are a full-time or part-time member whose employer contributes to the Fund on your behalf, according to a collective bargaining agreement.

Coverage highlights

  • The Fund’s dental coverage is administered by Delta Dental.
  • With Delta Dental, you can visit any licensed dentist.
  • Visit a provider that participates in Delta Dental’s network, and, generally, you’ll pay less for care. Network providers have agreed to accept lower, negotiated rates for their services.
  • Preventive care (e.g., exams, X-rays, and cleanings) is covered at 100% when you visit a network provider. For other covered services received from a network provider, you pay a percentage of a discounted network fee after you meet the plan’s annual deductible.
  • Benefits are paid up to the annual maximum per covered person.

Details

Contact the Fund Office:

Vision

Quick reference

EyeMed

Find a provider
In the Choose Network drop-down menu, choose the Select network

Who’s eligible for vision coverage?

You are eligible for vision coverage if you are a full-time or part-time member whose employer contributes to the Fund on your behalf, according to a collective bargaining agreement.

Coverage highlights

  • The Fund’s vision coverage is administered by EyeMed.
  • You can see any licensed vision care provider, but when you use an EyeMed network provider, you pay the least for vision services. For example:
    • Eye exams are covered 100% every 12 months.
    • Benefits for prescription eyeglass lenses are available every 12 months, with an allowance for new eyeglass frames (every 12 months for children or every 24 months for adults).

Details

Contact the Fund Office:

Hearing

Quick reference

University of Connecticut’s (UConn’s) Speech and Hearing Clinic
2 Alethia Drive, U-1085
Storrs, CT 06269

To schedule an appointment, contact the Clinic

  • 860-486-2629
  • Email: speech&hearingclinic@uconn.edu (copy and paste into the email “To” line)

Who’s eligible for hearing coverage?

You are eligible for hearing coverage if you are a full-time or part-time member whose employer contributes to the Fund on your behalf, according to a collective bargaining agreement.

Coverage highlights

  • Hearing is an important part of good health. That’s why the Fund offers a hearing benefit through the University of Connecticut’s (UConn’s) Speech and Hearing Clinic.
  • The benefit is available once every three years, to help pay the expenses for hearing exams, testing, and hearing aids.

Details

Contact the Fund Office:

Questions?

Contact the Fund Office for questions about benefits eligibility, enrollment, and coverage: