Orthotic Appliance Benefit
Who Is Covered
This plan covers benefits for orthopedic shoes, foot orthotics or other supportive devices of the feet for members and eligible dependents.
What Is Covered
Charges for Orthotic Appliances. These charges shall only include the reasonable and customary charges for such appliances.
Members and dependents are eligible for a Maximum Family Reimbursement of $400.00 each with a $800 family maximum once every 36 months.
Claim Procedures
Send the paid bill with an explanation of benefits to:
NEW YORK CITY ELECTRICAL DIVISION WELFARE FUND
P.O. BOX 650479
FRESH MEADOWS, NEW YORK 11365
You will receive a check for benefits as outlined above. Claim inquires can be made by calling the New York City Electrical Division Welfare Fund.
Duplication Of Benefits
If an insured person is entitled to any orthotic benefits or services from another source (excluding an individual insurance policy) such benefit under this plan may be reduced to an amount which together with all other benefits will not exceed 100% of any necessary, reasonable and customary item of expense covered under this plan or any such other plan.