Sunday, April 5, 2026

Frequently Asked Health Care Questions


Q.

Who is eligible to become a Participant in the Plan?

A.

You must be working in Covered Employment and meet the Initial Eligibility Rule.

Q.

What if I don’t work enough hours to gain eligibility for the month?

A.

You can make a Self-payment to maintain coverage.

Q.

How do I maintain my monthly Health Care coverage?

A.

You continue to remain eligible by (1) working in Covered Employment or by making a self-payment if you do not work enough hours or not working at all.

Q.

How do I make a payment towards the continuation of my Health Care coverage?

A.

If you receive a Self-pay bill, you can mail it to the Saginaw Local 85 H & W Benefit Office at P.O Box 1350, Troy MI 48099-1350 or you can call the Benefit office at (800) 582-6781 and pay over the phone with a VISA of Master Card.

Q.

Whom should I call if I have questions about my Health Care eligibility?

A.

Benefits Office (800) 582-6181

Q.

Who are my eligible dependents?

A.

Spouse, son, daughter, step child, adopted child under the age of 26 years old.

Q.

Will my child(ren) who is/are age 19 through age 26 be covered under the Plan?

A.

Yes

Q.

How do I add my new baby or spouse to my insurance plan?

A.

You can add a newborn by calling the Benefit Office. The newborn will be added for a grace period of 60 days, within 60 days you will need to provide a copy of the official Birth Certificate. To add a spouse to your policy you will need to provide a copy of the State Certified Marriage Certificate.

Q.

Whom should I contact if I'm getting a divorce and what documents do I need to submit?

A.

You must notify the Benefit Office and submit a copy of the final Divorce Decree.

Q.

How do I obtain a replacement Medical and Prescription Card?

A.

Active members call BCBS (877) 790-2583. Retired members call Benefit Office (800) 582-6781. Medicare members call Humana (800) 733-9064

Q.

How do I inquire about the status of my medical claim?

A.

Active members call BCBS (877) 790-2583.Retired members call Benefit Office (800) 582-6781. Medicare members call Humana (800) 733-9064