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UFCW LOCAL 1776 and
PARTICIPATING EMPLOYERS HEALTH and WELFARE FUND |
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Medical Coverage (option B
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The Fund provides health insurance for hospitalization, doctors’ visits, and certain other medical care for you through the Personal Choice Program (or if you live outside the Personal Choice Preferred Provider Network area, through the Preferred Provider Organization Program) administered by the QCC Ins. Co., a subsidiary of Independence Blue Cross (“IBC”). The Personal Choice Program is structured as a Preferred Provider Organization (PPO), as described in further detail in this section. If you are covered under any other medical plan, check the section titled “Coordination of Benefits” to see how you should submit your medical claims. This section summarizes the current provisions of the Personal Choice Program. As a summary, it cannot contain all the details and provisions of the program. The underlying documents with respect to the program are incorporated by reference as if fully set forth in this booklet. If there are any differences between the benefit descriptions set forth in this booklet and the underlying documents, the underlying documents prevail. If you wish to review the underlying documents, please contact the Fund office. For further details about specific coverage's, you should contact the IBC/UFCW Local 1776 Dedicated Customer Service Unit at 1-800-335-9596. |