The Supplemental Medical Benefit provides coverage for benefits that are not completely covered by the City-provided health plan or not covered at all by the basic health plan.  The benefits are reimbursed at 80% of the approved charge, once a $ 150 per person / $ 450 per family deductible is met, to a maximum of $ 2,000 per person per year.  There are special exceptions to this guideline, and members are advised to consult their Benefit Description Booklet, or call the Fund office, for specific illustrations.

This benefit provides for reimbursement of out-of-pocket cost not paid by the basic health plan.  After a $ 1,500 deductible, the Fund reimburses you at 80% for the next  $ 1,250 of approved costs, then reimburses you at 100% until it has paid a maximum of $ 50,000 in a calendar year.  Deductibles and co-insurance charges from the primary carrier are included in this benefit, as are charges for using non-participating providers.  This unique benefit provides a safety net for our members, and relieves them of a major financial burden should they experience a catastrophic illness.  Please contact the Fund office if you have any questions regarding this benefit