Providers

Health Provider

Please note: Effective January 1, 2017, the Health and Welfare Fund’s Medical Mental Health/Substance Abuse and network provider changed to Meritain Health, an Aetna company. There will be minimal disruption in providers from the former HealthAmerica/Aetna and MHNet networks. Participants received new ID cards in early December

Please remember to use your new Health and Welfare ID cards

The Fund mailed new ID cards to participants in December (prior to the network changeover from HealthAmerica to Aetna). Please discard your old ID cards and be sure to show your medical providers your new ID card when seeking treatment.

To locate a physician or facility for treatment participating with Meritain:

Please call Meritain Health at 1-800-343-3140 for help finding an in-network provider. Providers should also contact Meritain Health at the same phone number if they have a dispute regarding the contracted fee. Members’ questions about benefits and providers questions about claims status should continue to be directed to the Health and Welfare Fund.

To access the Aetna network, click here. Choose Aetna Choice POS ll (open Access) under Select a Plan.

Disclaimer: Please note that this web link is to be used for the sole purpose of locating covered providers in the Aetna Network. Any other information set forth on this web page pertaining to benefits does NOT apply to the participants of the Central PA Teamsters Health and Welfare Fund. All questions pertaining to Fund benefits should be directed to the Fund Office.

For information on Centers of Excellence for Transplants-Institute of Excellence Transplant Facilities-on the DocFind page, click on Directories and Resources

Alliance Community Healthcare 

Central Pennsylvania Teamsters has teamed up with Alliance Community Healthcare.

Alliance Community Health Center provides primary care services that ensure that our patients care continues throughout life. Alliance is Federally Qualified Health Center that was formed in Hudson County, NJ that offers a comprehensive range of healthcare and educational services to care for an under-served patient population.

Alliance was established in 1963 as a family planning clinic and its legacy in the community is in Women’s Health.

Currently accepting patients at the Local 429 location on Monday’s and Wednesday’s from 9a-3p. You can call 201-451-6300 ext 2422 to schedule an appointment.

Alliance Community will be opening another location on Penn Ave in Wyomissing coming Spring 2019.

Patient Enrollment Form

Dental Provider

Please note: Delta Dental is the ONLY dental network participating with Central Pennsylvania Teamsters Health & Welfare Fund. DeCare Dental Insurance, a dental program sponsored by the International Brotherhood of Teamsters, does not participate with Central Pennsylvania Teamsters Health & Welfare Fund. Services performed by non-network providers, including providers participating with the DeCare network, will be paid as out-of-network and the member will be responsible for all non-covered services and balances. DeCare Dental Insurance is currently recruiting dental providers nationwide. Some of these dental providers have been contacting Teamsters members regarding the DeCare network. Do not be misled into thinking that services provided by DeCare dentists will be paid in-network by the Fund. Call the Health and Welfare Fund if you have any questions.

Vision Provider

When using the Member Portal you must create an username and password in order to locate a provider. Please click the logo to visit the Davis Vision website.

1. Log into your account
Log onto davisvision.com/member, and enter your username and password or your client code. If you are new to the site, you will need to register online before logging in.

When registering, you will need your:

  • member ID number or
  • Social Security number.

2. Access your benefit
From the home screen of your member portal, you can access your plan information, copays and forms as well as:

  • virtual frame collection
  • value added features
  • satisfaction survey
  • provider locator

3. Locate a Provider
Click on “Find a Provider” from the home screen, then search by Zip code, state,county, city or provider’s name

Prescription Provider

Global Pharmaceutical Benefits

Pennsylvania Pharmacy Listing

Effective 7/1/2018 Walmart is now an eligible network pharmacy covered by Global Prescription Benefits.

To locate a pharmacy in your area please contact Global Prescription Benefits at 1-800-341-2234
Please note: effective 12/17/15, Target is no longer a participating pharmacy provider.

DID YOU KNOW the price of medical procedure from one facility to another can be different by hundreds or even thousands of dollars? It’s true. Now you have the power to see these differences and choose where you go for your medical procedures. In addition, visiting Fair Price facilities for certain procedures could earn a reward!!

Introducing Healthcare Bluebook

What is Healthcare Bluebook

Starting April 1, 2018 Healthcare Bluebook has been selected by the Central PA Teamsters as an added healthcare benefit to help you shop for care, compare facilities, save money on healthcare services and earn rewards. Did you know that in-network prices for the same procedure can vary by over 500% depending on the facility you choose? Our web and mobile applications make it easy to save money on hundreds of the most common medical services and procedure by showing you the cost ranges in your area, and providing you with a selection of FAIR PRICE facilities.

What is the “FAIR PRICE?”

The FAIR PRICE is the amount you should reasonably expect a service or procedure to cost in your area. Bluebook FAIR PRICES are based on the actual amount paid on the claim, not the billed amount, and reflect the discounts that the health plan has negotiated with the facility.

For services that include more than one provider, separate FAIR PRICE amounts may be shown for facility, physician and anesthesiologist.

How do I find a FAIR PRICE?

Finding a FAIR PRICE provider is easy using Healthcare Bluebook. Type in a search term or use the drop down menus to search for a particular service. Select the service you are looking for from the search results. Review the price range in your area and find the local FAIR PRICE for your service. Scroll down the page and review provider options for the service. Bluebook conveniently color codes all the provider options to make it easy for you to identify those providers with prices at or below the FAIR PRICE.

How will an employee know that a service is rewards-eligible?

When a member searches for an eligible service within the Healthcare Bluebook website or mobile app, an alert will display on the results page; this indicates the service is eligible for a Go Green to Get Green reward. The dollar amount ($25, $50, or $100) will be clearly displayed with a link to more information on the program. The employee, spouse or dependent that receives an eligible service are all eligible to earn a reward through this program

What procedures are reward eligible?

Based on best practices, Healthcare Bluebook developed the following procedure categories and dollar amounts for the incentive program:

Procedure Incentive
Most CT Scans $25
Most MRI’s $25
Transthoracic Echocardiogram $25
TTE with doppler $25
Cataract surgery $50
Cholecystectomy (laparoscopic) $50
Ear tube placement (tympanostomy) $50
Heart perfusion imaging $50
Lithotripsy $50
Removal of adenoids $50
Sleep study $50
Tonsillectomy $50
Knee arthroscopy $100
Shoulder arthroscopy $100

So how does it work……

  1. Click this link www.healthcarebluebook.com/cc/centralpateamsters Company Code: CentralPATeamsters
  2. Search for your procedure
  3. See the Fair Price
  4. Select a Fair Price Facility
  5. Save Money & Earn Rewards (when available)

Healthcare Bluebook automatically handles fulfillment via claims data- there are no forms to fill out and submit. The claims data is reviewed on a monthly basis for eligible services and rewards are issued to qualifying members and dependents.

Checks are sent along with a congratulatory letter. For non-cash incentives, a letter explaining the reward will be sent. For dependents under age 18, the information is sent the employee.

TRY THE APP!

Install the Bluebook App from the Apple App Store or Google Play.

Company Code: CentralPATeamsters

** Only available to members of the Central PA Teamsters Health & Welfare Fund