Hospitality plan

Hospitality Plan (Plan 185)

Being healthy is as easy as 1-2-3!

Questions?
Call your Health Fund

(855) 405-FUND (3863)

Phone Hours:

Monday-Friday
9:00am to 5:00pm

Fax: (630) 449-4545

HospitalityLogo-med.png

 

Find a Doctor

Don’t go out of network! It costs too much money!

Find a Primary Care Doctor or an Urgent Care Center here.

To find another kind of Doctor or to verify your current Doctor is in network: click here, select your state, then select the network Participating Provider Organization (PPO).

BCBS Blue Access for Members

If you need help finding any kind of doctor, just call: (855) 405-FUND (3863)

Find a dentist and an eye doctor

Click here to find a dentist or eye doctor.

Dental | Cigna DHMO
Coverage for network benefits only What you pay
Diagnostic and Preventive Copays equal to about 1% coinsurance
Basic Restorative Copays equal to about 35% coinsurance
Major Restorative Copays equal to about 40% coinsurance
Orthodontics
24-month max
Copays equal to about 50% coinsurance
No deductible; no non-orthodontic maximum
Vision | VSP
Benefits available
every 12 months
What you pay
VSP Network Non-network
Eye Exam $10 Copay Reimbursed up to $45
Frames/Lenses $25 copay
($160 max)
Reimbursed up to $30-$100,
depending on frame/lens type

Contact Lenses
Instead of glasses

$0 copay
($160 max)
Reimbursed up to $120

Vision Benefits Summary

Get advice 24/7

English: Doctor on Demand

Talk to a doctor by downloading the Doctor on Demand app here.

 

Benefits

Good health starts with knowing your benefits!

Download a copy of your participant guide (English / Spanish). It’s an overview of your benefits starting January 1, 2019.

Call us with questions about your health care coverage: (855) 405-FUND (3863).

Benefits at a Glance

You can also download your benefits at a glance:

2018 benefits

English: Gold Plus     Silver Plus

Spanish: Gold Plus     Silver Plus

Benefits effective January 1, 2019

English: Gold Plus (eff. 1/1/2019)     Silver Plus (eff. 1/1/2019)

Spanish: Gold Plus (eff. 1/1/2019)     Silver Plus (eff. 1/1/2019)

Co-payment Book
Learn about your copays starting January 1, 2019. Download your Co-payment Book. It explains your costs for in-network benefits.
English: Gold Plus      Silver Plus
Spanish: Gold Plus     Silver Plus

View your SPD here: Hospitality Plan

After each SPD is published, certain changes may have been made to your benefits. These changes are reflected in a Summary of Material Modifications (SMM) that are mailed to each member. View these SMMs on our library page. (Click your plan button under "National Plans".)

Summary of Benefits & Coverage (SBC)

 You can also download a copy of your SBC:

Gold Plus     Silver Plus

Benefits effective January 1, 2019:

Gold Plus (eff. 1/1/2019)     Silver Plus (eff. 1/1/2019)

What is an “SBC?”  Under the Affordable Care Act (“Obamacare”), all insurance companies and group health plans, like UNITE HERE HEALTH, are asked to provide an easy-to-understand summary of benefits and coverage, or “SBC.”  Sometimes, it’s a good overview with lots of charts. 

Call us if you need help understanding it: (855) 405-FUND (3863)

Pharmacy

View your pharmacy book to find out about your pharmacy benefits starting January 1, 2019.

Hospitality Rx has a new website. View it now!

Copays

 

Prior Authorization

Certain types of care require prior authorization or approval. This helps us to keep costs low and forces doctors and nurses to talk better to each other about the care you receive.

Click here to see a list of what needs prior authorization.

To submit prior authorizations, have your doctor contact Nevada Health Solutions:
Phone: (855) 487-0353
Fax: (702) 691-5614
www.nevadahealthsolutions.org

 

Forms

Call us if you need help understanding these forms: (855) 405-FUND (3863)

Pharmacy forms