Express Scripts

Delta Dental of Kansas

Rx Customer Service

1-800-655-0459

(Use Participant ID #)

Visit: www.expressscripts.com

RxBIN: 003858

RxPCN: A4

RxGrp: J4BA

Delta Dental of Kansas

Dental Customer Service

1-800-234-3375

Visit: www.deltadentalks.com

Dental Claims Address:

PO Box 789769

Wichita, KS 67278-9769

Annual maximum for adult and pediatric $1,500

Boilermakers Vision

Delta Dental of Kansas

Boilermakers Substance Abuse Treatment Program

Boilermakers Vision

1-855-249-2298

Claims Address

PO Box 219118

Kansas City, MO 64121

Annual maximum for adult and pediatric $250

Boilermakers Substance Abuse Treatment Program

Call the Boilermakers Substance Abuse Crisis Line

1-877-244-3572

Pilot program includes:

Paid travel expenses
12 months continued care and support
Minimal out-of-pocket costs with "successful completion"

Quality Care - A Dedicated Support Team - A Partnership in Recovery - More Successful Outcomes

Limits Apply.

Virtual Second Opinion by The Cleveland Clinic

Boilermakers Substance Abuse Treatment Program

Virtual Second Opinion by The Cleveland Clinic

A second opinion can help individuals make informed, confident decisions about their medical care.

Participants can visit https://boilermakers.virtual2ndopinionbycc.io for direct access to a Cleveland Clinic expect physician for second opinions or they can visit the Fund's website at www.bnf-kc.

Cigna Comprenensive Hospital/Medical

Boilermakers Substance Abuse Treatment Program

Virtual Second Opinion by The Cleveland Clinic

Medical & Mental Health

MD Live (Telehealth)

Substance Abuse

Customer Service

1-800-235-7748

(Use Participant's ID #)

Visit www.mycigna.com

Long Term Dissability

1-800-362-4462

(All requirements must be met)