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Pittsburgh (Plan 106)

do you have a primary care provider (pcp)?

Our Health Fund

Member Services:
(866) 686-0003

Phone Hours:
Monday-Friday
9 a.m. - 6 p.m.

Here to Help

UNITE HERE HEALTH is 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.

Get answers to your health questions—anytime! Call HealthCheck360’s FREE 24/7 nurse Line: (866) 823-9827

 

Pharmacy

Hospitality Rx now manages your pharmacy benefits! Please view their website for more details.

Copays

 

Benefits

The Pittsburgh Plan (106) has three classifications: I, II, III.  If you’re not sure what classification you have, just call us: (866) 686-0003.

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 double-check what class you’re in and to make sure what you’re looking for hasn’t changed: (866) 686-0003

 

Benefits at a Glance, Class I

Benefits at a Glance, Class II

Benefits at a Glance, Class III

 

View your SPD here: Pittsburgh

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 "Atlantic City Region".)

Prior Authorization and Forms

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 for certain medical care
Call HealthCheck360 at (844) 462-7812

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.

Pharmacy forms