Friday, July 19, 2024

Your Health Care Benefits


 

The Board of Trustees of the Ohio Carpenters' Health Plan are pleased to announce that effective January 1, 2023, medical claims will be processed through the Level Care Health Program – a program specifically developed for United Brotherhood of Carpenter sponsored Funds. Through Level Care Health, we have been able to secure better pricing and terms for our Fund. 

 

Here is some important information regarding this program. Please read carefully:

 

1.         Change in Blue Cross Network: Effective January 1, 2023, Independence Blue Cross (Independence) will replace Anthem Blue Cross as your medical network provider,       and medical claims will be paid by Independence Administrators (IA) instead of BeneSys. 

 

o   You do not have to change doctors or other providers! Due to the Blue Cross Blue Shield network, the same doctors, hospitals, and other providers that are in-network with Anthem are in-network with Independence!

 

o   There are no changes in your benefits. Your copayments, deductibles, and other coverages are not changing.

 

2.         Your Benefit Cards

 

o  Medical: Independence Blue Cross Blue Shield medical ID cards have a new look.  After January 1, 2024, replacement cards and new dependent cards will display the Blue Cross Logo as well as the Independance Sheild. Digital copies of your new Independence card can be found on your member portal.

 

 

      o   Dental/Vision:  These benefits are not changing!  You will not receive a new dental/vision drug card. Do not discard your current dental/vision card, as you will continue       to use it after January 1, 2023.

 

      o   Prescription Drugs:  These benefits are not changing! You will not receive a new prescription drug card. Do not discard your current prescription drug card, as you will        continue to use it after January 1, 2023. 


3.         Change in Telemedicine: Effective January 1, 2023, Independence Blue Cross (Independence) program MDLIVE will replace Anthem Blue Cross LIVE Health Online as   your telemedicine provider

 

o   With telemedicine from MDLIVE, you have 24/7 access to a board-certified doctor for non-emergency medical conditions.

o   Text IBXTPA to 635-483 to chat with Sophie, a virtual assistant who will help you sign up

o   Download the MDLIVE app on your smartphone

o   Visit mdlive.com/ibxtpa

o   Call 1-888-956-6411   

Effective January 1, 2024 TELADOC will replace MDLIVE as your telemedicine provider.  

Teladoc is a program that allows Covered Persons to contact a Physician online (with a webcam) or through a smartphone 24 hours a day, 7 days a week, for non-emergency issues.

Teladoc is accessible at www.TeladocHealth.com via telephone at: 1-800-835-2362. Visits through Teladoc are covered 100% (in-network only). 

   -   General Medical

   -   Behavioral Mental Health

   -   Dermatology   

   

 Get a Second Opinion from a Cleveland Clinic Specialist without Leaving Home With Virtual Second Opinions by Cleveland Clinic.

The Ohio Carpenters' Health Fund is now offering Virtual Second Opinions through the Cleveland Clinic. With Virtual Second Opinion Services, you can have your diagnosis and treatment plan, or that of a family member, reviewed by a Cleveland Clinic Specialist without travel or red tape. It’s easy, 100% confidential, and available at no cost to you. All you need is a phone, tablet, laptop or desktop system.

 

GET STARTED BY FOLLOWING THE LINK BELOW:

https://ohcarpenters.virtual2ndopinionbycc.io/landing

 

How It Works

Use the link above and follow the prompts. You will explain your medical diagnosis, treatment plan, etc., to a Nurse Care Manager who will match you to the right expert specialist. The Cleveland Clinic will collect your medical records, including lab samples, scans and more. In about two weeks, you will receive a detailed report with your specialist’s opinion and chat live with him or her to ask questions and learn more.

 

 The Clinic's patient liaison phone number +1 (844) 777-0788

 

This Convenient, No-Cost Benefit Can Help if You Are:

  •  Diagnosed with a serious condition, such as cancer
  • About to make a major decision about a medical next step, such as surgery
  • Considering a treatment that involves risk or has significant consequences
  • Dealing with a condition or chronic illness that isn't improving or is getting worse
  • Confused about or struggling with a medical diagnosis and treatment plan

 

 

Your Health Care Benefits

The Board of Trustees is pleased to welcome you to the new Health Care website for the Ohio Carpenter's Health Plan. Within this website, you will now have access 24 hours a day, 7 days a week to commonly requested forms, useful highlighted links, and frequently asked questions regarding your benefit information. As always, please feel free to contact the Benefit Fund Office at (855) 837-3528 if you have any additional questions or concerns.

Medical Benefits

Your medical benefit network is provided by Independence Blue Cross. To get the most out of your medical benefits, it is best to use a provider that participates in the Independence Blue Cross network. To locate a participating provider or for questions regarding benefits and claims, please contact Independence at 1-833-242-3330.

Dental Benefits
Your dental benefit network is provided by Delta Dental. Using a participating provider that accepts the Delta Dental network will ensure that you get the most out of your dental benefits provided by the Plan. To locate a participating provider or for questions regarding your dental benefits and claims, please contact Delta Dental at (800) 524-0149 or click on the Delta Dental link on the right side of the page to connect to their website.

Prescription Benefits
Your prescription coverage is provided by Express Scripts. For information about participating pharmacies, benefit information or to request additional ID cards, please contact Express Scripts at (800) 716-2932.

Vision Benefits
Your vision benefit network is provided by VSP. Using a participating provider that accepts the VSP network will ensure that you get the most out of your vision benefits provided by the Plan. To locate a participating provider or for questions regarding your vision benefits and claims, please contact VSP at (800) 877-7195 or click on the VSP link on the right side of th
e page to connect to their website.