Medical Plan

Certain information is only available if you are a member of the Keystone Mountain Lake  Regional Council of Carpenters.   You can access this information from our secure site.  Your username and password is the same as given to you for open enrollment.  If you did not qualify to participate for open enrollment you can still obtain a username.  Email your full name and UBC # to info@carpenterscombinedfunds.org .  Below is the information that will be available in the secure site:

  • Summary Plan Description
  • Voluntary Benefits information
  • Eligibility Information
  • COBRA Rates
  • Summary Benefit Comparisons
  • Comparison of Comprehensive Major Medical and Pharmacy Plan Options

 

Highmark Preventive Schedule

This Schedule is a reference tool for planning your family’s preventive care, and lists items/services required under the Patient Protection and Affordable Care Act of 2010 (PPACA), as amended. It is reviewed and updated periodically based on the advice of the U.S. Preventive Services Task Force, the laws and regulations of the Commonwealth of Pennsylvania, and updates to clinical guidelines established by national medical organizations. Accordingly, the content of this Schedule is subject to change. Your specific needs for preventive services may vary according to your personal risk factors. Your doctor is always your best resource for determining if you’re at increased risk for a condition. Some services may require prior authorization. If you have questions about this Schedule, prior authorizations, or your benefit coverage, please call the Member Service number on the back of your ID card.

Highmark Preventive Schedule 2017

Effective January 1, 2011 (as required by law)

The Plan will cover children up to the age 26 without regard to marital status, student status, financial dependency or other special requirements.  Should you have a child under the age of 26 who has been terminated under our plan, please contact the Fund Office.

The Plan will cover stepchildren up to the age 26 in the same manner as biological children.  If you have a stepchild / stepchildren that you want to add to the plan, please contact the Fund Office.