Anthem, our hospital and medical network provider, has been in negotiations to renew their commercial hospital contract with Universal Health Services (UHS), one of the nation's largest hospital management companies. We have been notified that Anthem and UHS did not reach an agreement and hospitals in Riverside and Los Angeles Counties that are a part of the UHS are no longer covered by Anthem effective March 31, 2018.
Recently, Anthem, Inc. reached a settlement in a class action suit relating to the 2015 cyber attack against the company. If you were covered under the SAG-Producers Health Plan prior to the merger, January 1, 2017, you may have already received a notice from Kurtzman Carson Consultants (KCC), the third-party settlement administrator responsible for administering the benefits of the settlement to settlement class members.
When a natural disaster hits, your health and well being, and that of your family, are our top concern. If you are in an area recently impacted by a natural disaster, the following frequently asked questions might provide important information you need.
Will you be hitting the road this summer? It is important to make sure you know how to use your coverage when you are away from home.
Group Benefit Associates (GBA) offers Plan I and Plan II eligible participants supplementary, voluntary dental and vision coverage. This coverage is not offered through the SAG-AFTRA Health Plan, but through GBA as a third party working in conjunction with the union.
• If you are a Plan I participant, GBA’s voluntary dental plan provides an additional $2,500 in annual dental benefits.
• If you are a Plan II participant, GBA’s voluntary dental plan provides an additional $1,000 in annual dental benefits, as well as vision benefits through VSP.
Lab work is an important part of your overall health care. Tests and screenings can provide an important baseline to measure your health and wellness, and can help identify warning signs as they arise.
However, not all lab work is covered by the Plan. If your doctor suggests that you need lab work, it is important to ask two very important questions.
The Department of Labor (DOL) recently concluded an exhaustive, 10-year audit of the Pension and Health Plans’ finances. There are several things you should know:
The Plans are fiscally sound.
The DOL did not find any issues the Trustees were not aware of or had not already proactively corrected. The DOL did make determinations about certain expenditures with which the Trustees strongly disagreed, but we chose not to contest them.
During the process of merging the SAG and AFTRA Health Plans, the Trustees of both Plans were faced with the challenge of preserving the highest level of coverage for the greatest number of people at the lowest possible cost. In an attempt to achieve those seemingly contradictory goals, the Trustees and staffs of the Plans made an effort to incorporate the best practices from each. Decisions were made with an eye toward high quality, sustainable benefits that preserve the best possible coverage for the greatest number of participants.
The SAG-AFTRA Health Plan, which will use Express Scripts as its prescription drug provider (and Accredo for specialty medications), will require participants and dependents to use home delivery service for their long-term or “maintenance” prescriptions. Examples of long-term medications include prescriptions to manage high blood pressure or cholesterol.