Philadelphia Carpenters Benefit Funds



	Important Change: The Fund's Dental Plan is administered through CIGNA Dental effective May 1, 2022. For eligibility, remaining balances, and coverage limits, please use CIGNA's Provider Portal or call the provider number on the back of the ID Card. Look up another patient Eligibility Information Current Status Patient Name Policyholder Verification is not a guarantee of benefits or payment. Benefits are determined once the claim is received for processing. *Children age 18 and under do not impact the Family Max.* Showing Eligibility for: Eligibility Date: Dental Effective Plan Year thru Amount Used Per Plan Year Fam. Dental Annual Max ($2,000 Annual Max) Lifetime Ind. Orthotic Lifetime ($3,200 Lifetime Max) Last Recorded Visit Radiographs, Pan (Every 12 Months) Radiographs, Com (Every 36 Months) Periodic Oral Exam (Every 6 Months) Radio 4 Bitewings (Every 6 Months) Fluoride (Every 6 Months) Sealants (Every 36 Months) Cleaning Adult (Every 6 Months) Cleaning Child (Every 6 Months) Schedule of Benefits - Documents can be downloaded by clicking below. Dental Schedule of Benefits Benefit Infographs Dental Infograph Orthodontia Infograph Medical Effective Plan Year thru thru Amount Used Per Plan Year Ind. Combined OOP Fam. Combined OOP Fam. Orthotic Limit N/A Last Recorded Visit Physical Exam Vision Exam Lenses/Contacts Heart Scan Orthotic Visit Schedule of Benefits - Documents can be downloaded by clicking below. Medical Schedule of Benefits Benefit Infographs Medical Infograph Invalid Server Request Lookup Eligibility Information Enter Patient Information Enter the policy holder SSN and patient birth date below to view current eligibility information. Policy Holder SSN ••• •• •••• Required Click here to search by UBC# instead Policy Holder ID UBC# (UXXXXXXXX) Required Click here to search by SSN instead Patient Date of Birth MM/DD/YYYY Required Date of Service MM/DD/YYYY Optional Select a Patient The combination you have entered produced more than one possible patient. Please select the correct patient from the list below. To change patients, you will have to reenter their credentials on the search section and select the correct patient name. Important! If you make an incorrect selection, you will have to go back and re-enter the patient info. Enter parameters above to see patient eligibility and benefit summary. Schedule of Benefits Documents can be downloaded by clicking below. Dental Schedule of Benefits
1811 Spring Garden Street Philadelphia, PA 19130 Phone: (215) 568-0430 Email: info@carpenters.fund Links Privacy Policy 1811 Spring Garden Street Philadelphia, PA 19130 Phone: (215) 568-0430 Email: info@carpenters.fund Privacy Policy 91 Fieldcrest Avenue Raritan Plaza II, 3rd Floor Edison, NJ 08818 Phone: (732) 417-3900 Privacy Policy