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: In mid-December, new Independence Blue Cross Blue Shield medical ID cards will be mailed. Continue to use your current Anthem card until December 31, 2022. After January 1, 2023, use your new Independence card and discard your Anthem card. Digital copies of your new Independence card can be found on your member portal after January 1, 2023.
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
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
Please note that you must use the primary member's social security number when calling Anthem's LiveHealth Online in order to take advantage of the $0 copayment.
Your medical benefit network is provided by Anthem/BCBS. To get the most out of your medical benefits, it is best to use a provider that participates in the Anthem/BCBS network. To locate a participating provider or for questions regarding benefits and claims, please contact Anthem/BCBS at (800) 810-BLUE or member assistance at (855) 837-3528.
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
If you are a Southwest or Cleveland Medicare Retiree, your prescription coverage is provided by the Express Scripts Employer Group Waiver Plan (EGWP). For information about your benefits, please contact Express Scripts EGWP at (800) 311-2757.
If you are a Niles Medicare Retiree and became eligible for Medicare prior to January 1, 2013, your prescription coverage is provided by the Express Scripts PDP plan. Coverage is only provided if you had elected it during enrollment in the Fall of 2012. For more information about your prescription benefits, please contact Express Scripts at
(800) 378-4879.
If you are a Niles Medicare Retiree and become eligible for Medicare on or after January 1, 2013, you will be enrolled in the Express Scripts EGWP. For more information about your prescriptions benefits, please contact Express Scripts EGWP at
(800) 311-2757.
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 the page to connect to their website.