MagnaCare's extensive PPO network in New York, New Jersey, and Connecticut includes more than 200 hospitals and 220,000 healthcare provider locations. Affinity - All Products Accepted except Exchange. For a complete list of preventive items or services that will be covered without any co-payment, as well as any limitations that apply, visit the, Employees Security Fund Medical, Prescription Drug and Dental Plan, Dental Benefit Plan of the Electrical Industry, Accessing and Taking Courses on www.jiblearning.org, Electrical Employers Self Insurance Safety Plan, Home Health Care and Hospice (when not rendered directly after the release from a hospital and/or when not included as part of discharge planning related to a hospital admission), Office-based Extracorporeal Shock Wave Therapy (Orthotripsy), Make an appointment for you at MSK, usually within two business days, Help you gather your medical records for your first appointment, Meet you at your first appointment to introduce you to the facility and your care team, Make a referral to a local facility if you live at a distance from MSK and prefer to be closer to home. MSK must receive this authorization before any appointments are scheduled. Prescription coverage has not changed. A: Whether you are on the Value, Buy-up, HDHP or union-sponsored plan administered by Northwell, you can now search for in-network doctors, and other healthcare providers and facilities, all in one place. Please refer to the chart of covered services on the Medical Plan page for co-pay amounts. RadNet, Inc. is the leading national provider of free-standing, fixed-site diagnostic imaging services in the United States. For 2022, the Tier 2 network for all states outside of New York and New Jersey for HDHP is changing from First Health to CIGNA. Member Resource Center At MagnaCare, we take healthcare personally and we put people first. Search for providers and facilities here or call (855) 340-7737, Monday through Friday, 8:00 am to 6:00 pm, to assist with your provider search. 2023 Brighton Health Plan Solutions. Servicios diagnostico son una amplia gama de pruebas que son esenciales para la gestin bsica del cuidado del paciente, permitiendo a los mdicos a detectar la enfermedad antes, hacer diagnsticos, prescribir tratamientos y seguimiento de resultados de los pacientes. If one of these medications is medically necessary, you may call the Joint Industry Board Members Records Department at (718) 969-4030 to obtain a form for you and your doctor to complete and submit to the PHBP Medical Plan for medical review. Asegrese de que usted aconseja su medico que le envie su muestra a un laboratorio participante. Learn More >. You can find out more about each PHBP Area Group Practice by visiting their website or by calling them. Heartscan Services identifies early risk factors of Heart Disease, Stroke, PAD (Peripheral arterial disease and diabetes), and Thyroid nodules. For in-network claims, you will be responsible for only four (4) co-payments of $35 per incident or illness. All Participants should call MagnaCare's dedicated Local Union No. What type of Chiropractic care is covered by the Plan? Effective April 10, 2019, covered participants in the divisions listed below shall be entitled to be reimbursed for a days pay based on a straight time contractual rate from the Welfare Plan when he or she takes off a day from work to go for a physical exam and loses a days pay pursuant to the Plan rules.
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