Services
The categories for programs, services, and activities for which welfare funds may be expended are:
- Health Care Services including costs associated with the contracting for physicians’ or dentists’ professional service, hospitalization of an eligible beneficiary or dependent, outpatient, rehabilitative or preventative medical programs, restorative dental services, alcohol and drug abuse treatments, and capital outlay for medical or dental clinics and necessary equipment.
- Extended Medical and Health Assurance including supplemental medical and hospitalization insurance coverage premiums, support or residential board and care facilities including capital outlay expenditures and imbursements for beneficiaries confined to convalescent facilities or to facilities or institution providing geriatric care.
- Emergency Financial Assistance including temporary family assistance financial aid, food or subsidized meal tickets or food vouchers, temporary housing expenses, emergency transportation expenses, burial expenses for an eligible or immediate family member, and legal expenses of an eligible beneficiary.
- Educational and Recreational Activities including counseling and chaplaincy programs, Alcoholics Anonymous or similar programs, intramural sports activities and sports equipment, tickets and transportation to sports events, health and hygiene education classes, legal/immigration clinics, classes in spoken English, and expenditures for counselors, chaplains, and instructors for such activities.
The CTHF has determined specific services will not be provided to clients at the clinics or as referrals to outside providers. Such services that the CTHF will not cover include, but are not limited to:
- Over-the-counter medicines, vitamins, etc.
- Cosmetic Treatments
- Treatment due to Self Inflected Injuries
- Treatment due to Assaults – Victims can apply with Victim of Crime
- Treatment due to Auto Accidents
- Services that are covered by Workers’ Compensation, Occupational Disease Law, or State Disability Insurance
- Services to clients with private insurance. Eligible clients with an active CHRB license who have, or whose spouse has, private medical or dental insurance wishing to be treated at the clinic are not eligible for specialist referral assistance. These patients must arrange for their own outside appointments and are responsible for charges incurred after applying any insurance coverage.
The Benevolence Committee was established to better the quality of life for backstretch workers and their families by providing financial assistance or reimbursement for services rendered for applicants who have been denied such assistance through the normal application process. Grants must be classified into a grant from statutory funds (eligible applicants) or from charitable donations (technically ineligible applicant with extenuating circumstances).
Co-Payments
The CTHF charges co-payments to clients for services provided through the clinics. The co-payments rates for medical and dental services will be reviewed and approved annually by the Board of Directors.
For all referred outside services, the client will pay 20 percent (up to $500.00) of the CTHF contracted or negotiated rate. If a client chooses to obtain services from a non-contracted provider, the CTHF will reimburse the client at the rate of cost for services at the contracted service provider.
|