AMERICAN GUILD
of
VARIETY ARTISTS
National Office:
363 Seventh Avenue
17th Floor
New York, NY 10001-3904
{212}675-1003
(212)633-0097 Fax
agva@agvausa.com
agvany@aol.com
West Coast Office:
11712 Moorpark Street
Suite 110
Studio City, CA 91604
(818)508-9984
(818)508-3029 Fax
agvawest@earthlink.net
About AGVA National Board Staff Membership Welfare Trust Fund Sick and Relief Fund Immigration
Auditions News Helpful Links Printable Forms Dues Home


AGVA WELFARE TRUST FUND
363 Seventh Avenue, 17Th Floor
New York, New York 10001-3904
Phone:(212) 627-4820 - FAX: (646)692-4213



PLAN M – AS CO-ORDINATED WITH PLAN A



PLAN M (MEDICARE SUPPLEMENT) ELIGIBILITY

If you are a Medicare recipient and on Plan A, these guidelines will be followed:


PLAN M (MEDICARE SUPPLEMENT) BASIC COVERAGE: Part A/Part B

- 20% of the allowed Medicare amount will be paid
- Hospital Deductible (Part A only) will be paid
- All of the benefits and restrictions of Plan A apply

PLAN M (MEDICARE SUPPLEMENT) BASIC PROCEDURES: Part A/Part B

- Provider must first submit claim to Medicare
- You will receive an Explanation of Benefits from Medicare
- Mail your Original Claim along with Medicare’s Explanation of Benefits
to AGVA Welfare Trust Fund




THE BENEFITS DESCRIBED IN THIS SUMMARY ARE SUBJECT TO THE PLAN OF BENEFITS ADOPTED BY THE BOARD OF TRUSTEES, AS AMENDED FROM TIME TO TIME. WHERE A DISPUTE ARISES REGARDING THIS SUMMARY AND THE PLAN OF BENEFITS, THE DECISION OF THE BOARD OF TRUSTEES SHALL BE FINAL AND BINDING ON ALL PARTIES.