The Plan covers medically necessary hospital emergency
care for you and your eligible dependents if your medical under the Fund does
not cover the expenses. You must receive treatment within 72 hours of the
onset of the illness or injury. Medical emergency treatment must be performed
in a hospital setting by a licensed doctor. Any follow-up care is not covered.
If your hospital emergency care is denied by your medical coverage under the
Fund, contact the Fund office. To claim the medical emergency benefit, send
your itemized bills and claim denials and/or explanation of benefits directly
to the Fund office. Your claim must be filed no later than 1 year from the
date of service.
If you or your dependents are covered under any other
medical plan, check the section titled "Coordination of Benefits" to
see how to submit your claims.
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