What is the annual diagnostic benefit? (ESF Medical Health & Welfare Plan)
This benefit enables you, your legal spouse and eligible children to obtain, once each year, a physical examination for diagnostic purposes only. The Diagnostic Medical Benefit provided by the Plan is available in the following ways:
- You may use JIB Medical, P.C. located at:
Electrical Industry Center,
158-11 Harry Van Arsdale Jr. Avenue, Room 201
Flushing, NY 11365
To schedule an optical appointment, contact JIB Medical, P.C. at (718) 591-2014 from Monday – Friday, 8:00 A.M. to 6:00 P.M. and Saturday from 8:00 A.M. to 2:30 P.M. Appointments should be made approximately 2 weeks in advance. - You may use the diagnostic medical services available at a facility located in New Jersey or Long Island through the following:
- Morristown Hospital is located at 100 Madison Avenue, Morristown, NJ 079
- Professional Evaluation Medical Group (“PEMG”) is located in Manhattan, Nassau and Suffolk Counties. Call 516-935-4378 to make an appointment. It is not necessary to file a claim for this benefit. This is a paid in full benefit subject to Plan limitations as described below.
- You may also use any medical doctor or doctor of osteopathy licensed and practicing in the Unites States or its possessions. If you use this method, you must file a claim form. The Plan will reimburse you or your doctor up to a maximum of $125 for a person age 14 and over, and up to a maximum of $60 for a child under age 14.
Retirees who are eligible for Medicare must submit their charges to MagnaCare before submitting them to Medicare for payment.