Midwest Casino (Plan 116)
Do you have a primary care provider (PCP)?
Click on the following to learn more
Our Health FundProvidersPharmacyBenefits1-2-3 ProgramPrior Authorization & Forms
Our Health Fund
Care Coordinators:
(866) 686-0003
Phone Hours: Monday-Friday
8:30 a.m. to 10:00 p.m. Eastern Time
Care Coordinators
Your Care Coordinators are here to help with your benefit and healthcare questions. We can help you find a provider, submit enrollment forms and claims, update your information and much more.
And when your Primary Care Provider (PCP) calls us before your specialist visit, you pay a lower copay.
Call us with ALL your questions: (866) 686-0003
View claims, manage your health and more here.
UNITE HERE HEALTH—Our Health Fund
What does it mean to have our own health fund?
Find a Doctor
Don’t go out of network! It costs too much money!
Find a Primary Care Provider (PCP) and your nearest Urgent Care Center (UCC) here.
If you need help finding any kind of doctor, just call (866) 686-0003 or use BCBS Blue Access for Members.
Pharmacy
Hospitality Rx now manages your pharmacy benefits! Please view their website for more details.Copays
| What you pay When you use a nework or mail order pharmacy |
|
|---|---|
| Certain preventive drugs/supplies | $0 |
| Generic drugs | $10 copay |
| Preferred brand name drugs | $20 copay |
| Non-preferred brand name drugs | $50 copay |
| Specialty or biosimilar drugs | 25% coinsurance ($50 max copay) |
| Existing out-of-pocket limits continue to apply. | |
Benefits
Download a copy of your "Benefits at a Glance." It is an overview of your benefits, but some information may have changed.
Call us to make sure what you’re looking for hasn’t changed: (866) 686-0003.
View your SPD here: Midwest Casino
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 "Chicago Midwest Region".)
1-2-3 Program
Three easy steps will take you closer to better health. We promise it’s worth your time.
Call us (866-686-0003) and tell us:
- Your Primary Doctor (we can help you find one and schedule an appointment)
- Your Basic Blood Work – click here for details
- A bit of your health history – English or Spanish
If you’re good at using the web, you can go ahead and submit this information through your member account here.
Prior Authorization
Certain types of care require “prior authorization” or approval. This helps us to keep quality high and costs low and forces doctors and nurses to talk better to each other about the care you receive.
- Save money on specialist copays by getting a referral from your primary care provider (PCP). When your PCP calls us BEFORE your specialist visit, your copay gets lowered by HALF.
- Have your doctor call us before you get a service listed on the back of your ID card.
Get prior authorization
Call (866) 686-0003
Forms
Here are some forms you may want to print and fill out.
Call us if you need help understanding these forms: (866) 686-0003.
DisabilityLife Insurance Beneficiary
Coordination of BenefitsEnrollment
Referral and Prenotification FormBiometrics Form
Specialist Referral and Pre-notification Form
Health/Care Profile - English / Español
