Preventive care is an important and valuable part of your healthcare. Regular physical checkups and appropriate screenings can help you and your doctor detect illness early.
The Trust Fund provides many preventive care services for FREE or only a small copayment when you use in-network providers.
Preventive care takes many forms. Below are some of the preventive medical care services covered by the Health and Benefit Trust Fund:
- Annual Physicals
The annual physical examination benefit is payable once per Calendar Year per person. You can get an annual physical from PEMG or through an Empire Blue Cross Blue Shield network provder.
PEMG. The Fund has an agreement with PEMG to accept the Plan’s Scheduled Allowance as payment in full. When your annual physical examination is performed by PEMG, the Fund’s Scheduled Allowance includes any “routine” laboratory and “x-ray” services as part of the Fund’s payment for that physical examination.
You may contact PEMG directly to arrange for your annual physical examination, or you may contact any physician of your choice. Please call (800) 811-7364 in order to schedule an annual physical with PEMG at one of their following two locations:
* Nassau: 380 South Broadway, Hicksville, NY 11801
* Manhattan: 229 West 36th Street, 10th Floor, New York, NY 10018
Empire Blue Cross Blue Shield. You may also use your Empire Blue Cross Blue Shield benefits for your annual physical. There is a copayment for your annual physical when you use a network provider. Physicals are NOT covered if you use an out-of-network provider.
- Diagnostic Screenings
- Well-Woman Care
- Office visits
- Bone density tests
- Pap smears
- Well-Child Care
- Newborn hospital visits
- Office visits
- Immunizations for DPT (diphtheria, pertussis and tetanus), polio, MMR (measles, mumps and rubella), varicella (chicken pox), and more
- Flu Shots
- Covered 100% for Local 94 participants at OptumRx pharmacy locations from January 1 through April 30 of each year
Your Preventive Benefits At-a-Glance
View a schedule of preventive care benefits.
For More Information
You can check the My Health section of www.empireblue.com for more information. There you’ll find the latest information on hundreds of topics ranging from nutrition to stress management to children’s immunization guidelines.
Need to Find a Doctor, Dentist or Vision Specialist?
Are prescription medications covered by Empire?
No. The Fund provides Prescription Drug benefits through OptumRx. You should have a separate Prescription Drug ID card. For more information about your Prescription Drug Benefits, please see the Prescription Drug Benefits section of this site.