In addition to the BlueCard PPO and TIHN networks for Hospital and medical care, the Plan also uses other networks of preferred Providers for different benefits, as described below. Providers in all these networks are credentialed and carefully monitored to ensure that they continue to meet high professional standards and that they provide appropriate care.
Medical and Hospital Care
Anthem BlueCard PPO
The Plan contracts with Anthem’s BlueCard PPO network, giving you access to one of the nation’s largest networks of doctors, Hospitals, and other health care facilities. Search for Providers at https://anthem.com/find-care or call (800) 810-BLUE (2583).
The Industry Health Network (TIHN)
The Plan has also contracted with The Industry Health Network (TIHN), UCLA’s network of area Hospitals, specialists and primary care Physicians centered around UCLA / Motion Picture & Television Fund (MPTF) Health Centers. It is available to all Participants and covered Dependents, although its Health Centers are located only in Southern California.
TIHN offers the least expensive option for quality care because, when you use a TIHN primary care physician (PCP), the Plan’s annual Deductible does not apply. Please note, however, that TIHN facilities do not provide emergency care.
To take advantage of these benefits, make an appointment with a PCP at one of the UCLA / MPTF Health Centers. The PCP will coordinate your care and, if necessary, will refer you to a specialist in TIHN. Without the PCP’s referral, TIHN level of benefits will not apply. This means you will have higher Deductibles. You must see the PCP in person to receive a referral to a specialist; you cannot just call the PCP.
Search for Providers at www.uclahealth.org/eimg or call TIHN customer service at (800) 876-8320. You can also contact one of the Health Centers near you and make an appointment. For children under 13, you may obtain a TIHN referral to a pediatrician by calling TIHN customer service.
Bob Hope Health Center
335 North La Brea Avenue
Los Angeles, CA 90036
Simi Valley Health Center
2655 First Street, #360
Simi Valley, CA 93065
Jack H. Skirball Health Center
MPTF Wasserman Campus
23388 Mulholland Drive
Woodland Hills, CA 91364
Toluca Lake Health Center
4323 Riverside Drive
Burbank, CA 91505
Santa Clarita Health Center
23861 McBean Parkway, Suite E-24
Valencia, CA 91355
Westside Health Center
1950 Sawtelle Boulevard, #130
Los Angeles, CA 90025
Mental Health and Substance Use Disorder Services
Beacon Health Options
Prescription Drugs, Including Specialty Drugs
Through CVS Specialty Pharmacy Caremark
Vision Service Plan (VSP)
Optum’s Quit For Life®
(866) QUIT-4-LIFE (784-8454)
Plan Ahead to Avoid Surprises When Using Out-of-network Providers
Seeking care outside of the Plan’s networks can be costly since Out-of-network Providers may charge whatever they wish for services. However, if you choose to use Out-of-network Providers, the FAIR Health website offers helpful information and planning tools. The FAIR Health site estimates your potential medical expenses based on actual Provider charges in your local area.
FAIR Health is a national independent, not-for-profit corporation whose database of medical and dental services powers a free website for consumers. You can use this tool to get a real-world cost estimate that you can use to gain an informed understanding of how much you might need to pay in out-of-network costs for specific treatments and procedures.
It is important to note, however, that some Out-of-network Providers charge far more than the FAIR Health amount. It is important to ask your Provider how much he or she will charge for a service or procedure before services are rendered.
Also note that the FAIR Health site does not take into account the Plan’s benefits, limitations or exclusions. Therefore, you must treat the information as an estimate only.