201-569-8801 Help@UFCWS.com

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frequently asked questions

How do I find a provider in my network?

Carefirst

PO Box 10104
Fairfax, VA 22038-8004
Member Services: 1-800-458-8253
www.member.carefirst.com

Healthsmart Accel / Preferred

PO Box 21133
Eagan, MN 55121
Provider Lookup: 1-866-511-4757
http://providerlookup.healthsmart.com/ufcw

Horizon BlueCross BlueShield of NJ

PO Box 1219
Newark, NJ 07101-1219
Provider Lookup: 1-800-810-2583
https://provider.bcbs.com/

Delta Dental

1639 Route 10
Parsippany, NJ 07054
Customer Service: 1-800-452-9310
Providers in your area: 1-800-335-8265
www.deltadentalnj.com

VSP

Customer Service: 1-800-877-7195
www.vsp.com

EmpiRx Health, LLC

Member Service: 1-877-241-7123
www.empirxhealth.com

 

Providers: Please access www.providerpayments.com for further EOB requests.

Where do I call to pre-certify an in-patient admission?

  • Members please refer to the number on the back your medical I.D. card.
  • Pre-Certification or pre-approval of services is not a determination of eligibility, nor does it constitute acceptance of changes, or guarantee the accordance with the terms of the plan after services are performed and claims are filed.

Where do I submit claims?

Carefirst

PO Box 10104
Fairfax, VA 22038-8004
Member Services: 1-800-458-8253
www.carefirst.com

Healthsmart Accel / Preferred

PO Box 21133
Eagan, MN 55121
Provider Lookup: 1-866-511-4757
http://providerlookup.healthsmart.com/ufcw

Horizon BlueCross BlueShield of NJ

PO Box 1219
Newark, NJ 07101-1219
Provider Lookup: 1-800-810-2583
www.bcbs.com

Magnacare

1600 Stewart Ave, Ste. 700
Westbury, NY 11590
Member Service: 1-800-352-6465
www.magncare.com

Preferred One

PO Box 1527
Minneapolis, MN 55440
Customer Service: 1-800-997-1750
www.preferredone.com

Delta Dental

1639 Route 10
Parsippany, NJ 07054
Customer Service: 1-800-452-9310
Providers in your area: 1-800-335-8265
www.deltadentalnj.com

VSP

Customer Service: 1-800-877-7195
www.vsp.com

EmpiRx Health, LLC

Member Service: 1-877-241-7123
www.empirxhealth.com

 

Who is my preferred provider for prescription coverage?

EmpiRx – (877) 241-7123

www.empirxhealth.com

How is the Fund managed or governed?

The Fund is managed by the Board of Trustees comprised of both Labor and Management, following is a list of the Fund’s Trustees and Professionals:

 

Governance of the Plan

Board of Trustees

LABOR TRUSTEES
George J. Orlando, Chairman
Bob Blair
James E. Blau, CEBS
Frank J. Runey
MANAGEMENT TRUSTEES
Michelle Lewis
John Pepe
Geraldine Senack
Rebecca Reed
66 GRAND AVENUE
ENGLEWOOD, NJ 07631-3545

Fund Administrator : Glenn Di Biasi

Professional Consultants

Larry Magarik, Esq. – Fund’s Counsel
Attorney at Law
80 Eighth Avenue, Suite 901
New York, NY 10011

Anita Nischal, M.D. – Chief Medical Officer
UFCW National Health and Welfare Fund
66 Grand Avenue
Englewood, NJ 07631-3545

Michael Novak, C.P.A. – Accountant
Novak Francella, LLP
Two Bala Plaza, Suite 501
Bala Cynwyd, PA 19004

Pit Fu- Vice President, Health Consultant
The Segal Company
333 West 34th Street
New York, NY 10011-2402

Where can I find more information about Employers?

Bagshaw W. H. Bagshaw Co., Inc. is the “Oldest Pin Makers in America.”  It is a strong and proud US manufacturer.  Since 1870 it has been manufacturing pins and precision parts and led by five generations of Bagshaws, the Bagshaw Company has been a major domestic and international supplier of all types of pins, pin assemblies and wire products.  The company has recently entered the CNC (Computer Numerical Controlled) market.  It is now turning parts for the Defense, Electrical and Automotive industries.  The company’s many years of experience allows it to provide solutions to all its customers’ continually changing needs.  W. H. Bagshaw manufactures to exact specifications and precise tolerances and strives to attain the highest quality for their worldwide customers and to deliver products “just in time.”  The company philosophy of continuous improvement and reduction of waste ensures a competitive position in the marketplace.
E&J Gallo Winery logo E.&J. Gallo Winery believes that health care is a foundational cornerstone to providing well-being and security to our employees and their families. Gallo, a family company, a leader in the U.S. wine industry and a leading provider of New World wines to markets outside of the U.S., contributes to the National Health and Welfare Fund on behalf of  more than 1000 United Food and Commercial Workers members and retirees.  Gallo actively supports the partnership we have with the UFCW Fund in our efforts to uncompromisingly provide quality health care at competitive costs.
Shaws Osco logo

Our New England roots were firmly planted in 1860, when George C. Shaw opened his first store in Portland, Maine. A few years later, another native New Englander, Maynard A. Davis, opened his first “Public Markets” in Brockton and New Bedford Massachusetts. 

Together, these two men sowed the seeds that would one day become Shaw’s Supermarkets, Inc. And over the past 143 years, our growth can be directly attributed to the ingenuity of these two men and their belief in offering quality products and quality service.

Today, Shaw’s Supermarkets continues to thrive, employing approximately 30,000 associates in Maine, Massachusetts, New Hampshire, Rhode Island, Connecticut and Vermont.

What is the age of an adult dependent and until what age are they able to stay on parents’ insurance?

Age 19 until the month they turn 26

Where can I go to find participating providers in the Blue Cross Blue Shield Network?

The following link is the Blue Cross and Blue Shield website where you can search for participating providers in your network. If the doctor shows up on the website that means the provider is participating:

www.bcbs.com

When you get on the website click on Find a Doctor, then click In the United States, Puerto Rico and U.S. Virgin Islands, enter the zip code of the area where you want to find a provider and lastly the AlphaPrefix of your Id number.

How can I request a member ID card or RX card?

Please contact us at UFCWFundSupport@ufcwnationalfund.org to verify mailing address and order one for you.

Who is our Pharmacy Benefits Manager for prescription medications?

EmpiRx (877) 241-7123

Who is your Vision partner?

VSP. (depends on the benefits offered by your employer, please contact us if you are not sure about this benefit so we can assist youSome vision benefits are also part of the medical plan.  It really depends on the plan design for your specific employer.

Who is your Dental partner?

Delta Dental. (Depends on the benefits offered by your employer/union. Please contact us if you are not sure about this benefit so we can assist you.)

What is the fax number that my provider needs to use to submit a prior authorization?

(201) 569-1085 or 209-952-7325 (West Coast office)

Are flu shots covered?

Flu shots are covered at 100% by all our plans

Have more questions?