UNITE HERE Staff Plan

UNITE HERE Staff Health Benefits Plan (Plan 173)

Do you have a primary care provider (PCP)?

Our Health Fund

 

(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


You can also 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 or use BCBS Blue Access for Members.

If you need help finding any kind of doctor, just
Call (866) 686-0003.

 

Pharmacy

Hospitality Rx now manages your pharmacy benefits!

Choose your plan: Actives | Retirees

Copays

  What you pay
When you use a nework or mail order pharmacy
Certain preventive drugs/supplies $0
Generic drugs $15 copay
Preferred brand name drugs $25 copay
Non-preferred brand name drugs $35 copay
Mail order $10 copay
Specialty brand or biosimilar drugs 25% coinsurance ($35 max copay)
effective 6/1
Existing out-of-pocket limits continue to apply.

Benefits

Good health starts with knowing your benefits!

The UNITE HERE Staff Health Benefits Plan has two versions: current staff and retirees.

Download a copy of your “Benefits at a Glance.” It is an overview of your benefits, but some information may have changed. Information for retirees may also vary.

Call us to double-check: (866) 686-0003

 

View your SPDs here: Current Staff SPD or Retiree SPD.

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 the "UNITE HERE Staff Plan" button)

Fill out this Out of Network claim form and submit it to OONclaims@uniteherehealth.org or fax it to 630-748-2241

 

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.
Call us to get a lower co-pay, and/or find out what needs prior authorization.

Call (866) 686-0003

Forms

Coordination of BenefitsEnrollment Form

Life Insurance BeneficiaryOut of Network claim form

Specialist Referral and Pre-notification Form

Biometrics

Health/Care Profile: English | Español

 

Pharmacy forms

Appeal FormMail Order Form

Prior Authorization Initiation FormReimbursement Claim Form