You pay $0 for joint replacement and weight loss surgery at a 32BJ Center of Excellence (COE)
The 32BJ Health Fund has partnered with specialty hospitals in six states to give you and your eligible dependents access to high-quality joint replacement and weight loss (bariatric) surgery —at the lowest cost to you.
If you live within 50 miles of a COE, you must have the surgery performed by a COE doctor at a COE hospital. Otherwise, the surgery will not be covered, and you will have to pay 100% of the bill — which could cost you tens of thousands of dollars .
Here's how it works
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If a doctor recommends joint replacement or weight loss surgery, tell them it's only covered with a COE doctor at a 32BJ Health Fund COE hospital.
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Choose any COE doctor at any COE hospital for your surgery. For example, you can use a 32BJ Health Fund COE in Florida even if you live in Massachusetts or New York.
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Pay your regular copays for appointments (including video appointments) with your doctor before your surgery.
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Pay $0 for your hospital admission, your surgery and for specific care up to 30 days after you are discharged from the hospital.
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For joint replacement surgery:
You will pay $0 for physical therapy visits at a freestanding, in-network facility within the first 50 days after your hospital discharge. (A "freestanding facility" is a facility that is not affiliated with any hospital, including a COE hospital.) Your health plan covers a maximum of 30 physical therapy visits at an in-network facility every calendar year.
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Questions? We're here for you!
Call Member Services at 800-551-3225, Monday through Friday, from 8:30 am to 5 pm, to find out if there is a COE within 50 miles of your home or to schedule an appointment with a COE doctor affiliated with the COE hospital of your choice.
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