Your Health Care Benefits

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The Board of Trustees of MCASF Local 725 Health & Welfare Trust Fund is pleased to welcome you to the Health Care website. Within this website, you will have access 24 hours a day, 7 days a week to commonly requested forms, useful highlighted links, and frequently asked questions regarding your benefit information.

Medical Benefits

Your medical benefit network is provided by Florida Blue, to locate a participating primary care physician in the Blue Choice network, please call     1-800-664-5295 or visit their website at www.floridablue.com 

Annual Family Statement

In order to ensure that the MCASF Local 725 Health & Welfare Plan has up-to-date information on you and your family members, the Plan requires that you complete and return the Annual Family Statement each year. 

Why is this information required? The MCASF Local 725 Health & Welfare Fund is self-funded, which simply means we pay for each approved claim submitted by participants. Trustees of the plan have a fiduciary duty to ensure that plan assets are used appropriately, meaning solely for the benefit of eligible participants - Local 725 members and their eligible dependent family members. The Annual Family Statement allows the plan to ensure plan dollars are being used appropriately, to minimize waste and fraud. This helps plan dollars fo further to provide benefits for Local 725 members

The Health Fund sent out the statement in November 2021 with 45 days to return the statement. The Fund also sent out 3 reminders since then and any Annual Statements that were not received by the extended due date of MARCH 15th, are now deemed in non-compliance and those members are suspended from coverage and payment of claims is delayed until receipt of the family statement!

You can email your statement to info@725benefits.org, or you can upload your statement on the participant portal under upload file - medical insurance, once received your coverage will be updated for reinstatement back to the suspension date so there is no lapse in coverage.

YOU CAN NOW COMPLETE THE ANNUAL FAMILY STATEMENT DIRECTLY THROUGH DocuSign. 

Completing the Annual Family Statement through DocuSign will allow you to complete the form with your personal information, sign the form and return to the Fund Office all in one process, securely! You do not need an account to utilize DocuSign.

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Consolidated Appropriations Act, 2021

Your Health Fund's compliance with the CCA and The No Surprises Act and Transparency in Coverage.

The Transparency in Coverage final rules require non-grandfathered group health plans such as our to disclose on a public website information regarding:

  • In-network negotiated rates for covered items and services

  • Out-of-Network allowed amount and billed charges for covered items and services

(These files are extremely large and download for an individual will be impacted by your hardware, browser and internet speed)

As of July 1, 2022, these machine-readable files (MRFs) must be made "publicly available and accessible to any person free of charge and without conditions, such as establishment of a user account, password or other credentials or PII to access the file" and must be updated on a monthly basis.

 

You can access these read-able files by clicking below: 

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Pharmacist

Learn more about your Rx benefit...

Have you registered for the new & exciting service from the Health Fund?

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For more on Rightway, click the video below

Rightway is a service we sponsor that makes healthcare simpler for you. With Rightway, you have a dedicated (real, live) health guide who can do all of the doctor-finding, appointment-making, and price-comparing for you through a simple-to-use-app. Your health guide is there to answer all of your healthcare questions, no matter how big or how small. You can use Rightway for free. Your account is ready to go, just follow the steps below to get started.


1. Activate your Rightway account.
    Download the Rightway app in the Apple App Store or get it on      Google Play.

2. Connect with your health guide through the Rightway app to…
    ○ Find the best doctor and book your appointment.
    ○ Review your symptoms and figure out next steps.
    ○ Create a tailored care plan for ongoing conditions.
    ○ Get upfront pricing on your medical and dental visits.

 

3. Use Rightway for everything healthcare.
     ○ Not sure what’s covered? Your health guide can answer your            health insurance questions.
     ○ Unexpected bill? Rightway can explain it and even dispute             charges on your behalf.
     ○ Have a different question? Your guide is a healthcare expert           who is dedicated to helping you find answers.

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Loss of Time Benefit  (Short-Term Disability)
from the MCASF Local 725 Health Fund

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Did you know that if you become totally disabled due to non-occupational bodily injury or sickness while eligible for benefits, the Health Fund will pay you a Loss of Time (Short-Term Disability) benefit.

Benefits will begin as of the first day of disability due to an accident or as of the 8th day of disability due to sickness and will continue for any one period of disability for a maximum of twenty-six (26) weeks. You do not have to be confined to your home to collect benefits, but must be under the care of a physician. 

For a  Loss of Time benefit , you will receive a benefit based on your job classification.

General Foreman, Foreman. R5, R1 & MESJ ~ $500.00 per week

R2 & Apprentice 5th Year ~ $ 360.00 per week

R3, R4, MES2, MES3, Apprentice 2nd year, 3rd year, 4th Year and MAT ~ $250.00 per week

Read more about the Loss of Time Benefit here

Applications are available on the Document tab

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Florida Blue Blog

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Florida Blue Centers

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Data Breach that may affect you

The MCASF Local 725 Heath & Welfare Fund is providing our members with notification regarding a data breach at vendor of the Fund that may affect your personal information.

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Accesible via Mobile Devices

You can also use our Text-to-Mobile feature by creating a new text message* on your smartphone. Type 258311 in the "TO" or "Recipients" field, then type BLUE 1024 in the "Message" field and press send. (make sure you leave a space between the word BLUE and the number)

 

You will then receive a text message reply with a link you can click on to open your digital education kit.

 

*Standard text messaging rates apply based on your plan and your carrier. 

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For an optimal viewing experience use Internet Explorer 10 or newer, Chrome, Firefox, Safari or Edge.

Florida Blue is an Independent Licensee of the Blue Cross and Blue Shield Association 

Copyright 2021 Florida Blue; All rights reserved

Participant Portal

You can now view your personal benefit information, easily, securely at anytime and anywhere. Login to view your current health eligibility, your hour bank, dependents, hours worked and much more....

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The Importance of seeing your dentist

Dentist Appointment

Helpful Healthcare Links

Florida Blue
Florida Blue

Your Link to Florida Blue

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Florida Blue Dental
Florida Blue Dental

Your link to Florida Blue Dental

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Medicare
Medicare

Your Link to Medicare

press to zoom
Rightway Healthcare Navigations
Rightway Healthcare Navigations

Your Link to Rightway Healthcare

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CDC
CDC

Your link to the Center for Disease Control

press to zoom
Florida Dept. of Health
Florida Dept. of Health

Your link to the Florida Department of Health

press to zoom
Health & Human Services
Health & Human Services

Your link to the Department of Health & Human Services

press to zoom
WebMD
WebMD

Your link to WebMD

press to zoom
Suicide & Crisis Lifeline
Suicide & Crisis Lifeline

Your link to the National Suicide & Crisis Lifeline

press to zoom
Fitness Training App

Map Your Personal Path To Health

Welcome to Better You Strides, an online wellness program that uses your needs, goals and interest to build your custom-made plan to better health. Brought To You By:

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Better You Strides creates a Personal Health Journey for you - a custom-made plan with recommended actions to reach your health goals. Activities cover healthy eating, tips to move more and ways to feel happier. 

Take Charge of Your Health!

Ready to get started to a better, healthier you? Complete your Better You Strides Personal Health Assessment (PHA) and receive a customized health and wellness plan that sets the stage for your wellness journey.

Better You Strides Personal Health Asses
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For More Information

We are here to help!

Should you have any questions regarding your health benefits or eligibility, give us a call at (754) 777-7735

COBRA PAYMENTS

ARE  YOU CURRENTLY ON COBRA

CONTINUING COVERAGE?

 

You can now make your monthly premium payment online with your PayPal account 

MCASF Local 725 Health Fund

NOW ACCEPTS COBRA &

SELF-PAYMENTS THRU PayPal

 

Remit your monthly premium payment by clicking

the button below.