Page 5 - Galassos EE Guide 10-18_ENG_FINAL
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BENEFITS





         MEDICAL PLAN ADMINISTRATORS


         EBA&M

         EBA&M is our Benefit Plan Administrator responsible for providing administrative services to Galasso’s Bakery’s employees for the
         health  care  and  prescription  drug  benefits.  EBA&M  is  contracted  to  act  on  your  behalf  in  administering  our  medical  and
         prescription benefit plans by:
         •   Issuing I.D. cards
         •   Maintaining eligibility
         •   Processing all claims and making claim payments to hospitals, doctors and facilities
         •   Answering your questions about how or when a claim is paid
         •   Answering detailed questions about your plan options and benefit coverage




                         Contacting EBA&M
                         •   Website: Go to www.ebam.com. You are encouraged to register online. Once you register and log in to
                             the secure site you can:
                             •   Check payment status of recently paid claims
                             •   Find detailed health plan information
                             •   Download claims forms
                         •   Telephone: Call (800) 249-8440.
                         •   Mobile App: Use EBA&M’s mobile app for iPhones and Android devices to access claim status and EOBs
                             at  any  time.  You  may  also  download  a  copy  of  your  medical  ID  card.  You  must  be  registered  with
                             EBA&M online to use the mobile app. Once registered, go to www.ebam.com from your mobile device.
                             From the home page, click on the Appple (for iPhones) or the Google Play (for Android) link to install the
                             app on your device.





         MEDICAL INSURANCE


         Network PPO | EBA&M (Anthem Blue Cross)
         The Network Preferred Provider Organization (PPO) plan allows you to direct your own care. This plan requires that you only utilize
         doctors, clinics, and hospitals that belong to the network, except in the case of an emergency, however, you may self-refer to
         specialists. If you choose to see a provider who is not part of the network, you will be required to pay the full cost for your care.



                         Finding a Medical Provider
                         •   Website:  Go  to  www.ebam.com.  Select  “Plan  Participants”  and  “Find  a  Provider”.  Enter  “Medical
                             (Employer-Sponsored)  Blue  Cross  PPO  (Prudent  Buyer)  Large  Group.  You  will  be  redirected  to  the
                             Anthem Blue Cross website to complete your search criteria.
                         •   Telephone: Call EBA&M at (800) 249-8440.



         Summary of Benefits and Coverage (SBC)
         Health insurance issuers and group health plans are required to provide you with an easy-to-understand summary about your
         health plan’s benefits and coverage, referred to as a Summary of Benefits and Coverage (SBC). This guide is designed to help you
         understand the medical plan options offered to you by Galasso’s Bakery. Please refer to the SBC and carrier contracts provided by
         EBA&M (Anthem Blue Cross) for additional plan details.



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