ProvidersBenefitsPharmacyPrior AuthorizationFormsEnrollmentLog In
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).
If you need help finding any kind of doctor, just call: (855) 405-FUND (3863)
Click here to find a dentist or eye doctor.
Dental | Cigna Dental Care Access |
|
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 calendar year |
What you pay | |
VSP Network | Non-network | |
Eye Exam | No copay |
Reimbursed up to $45. You pay the rest. |
Frames | $25 copay; plan pays up to $175 for frames | Plan pays up to $70. You pay the rest. |
Lenses | $25 copay; plan pays up to $175 for frames | Plan pays up to $30-$65 depending on lens type. You pay the rest. |
Contact Lenses |
No copay; up to $50 for exam; plan pays up to $175 | Plan pays up to $120. You pay the rest. |
English: Doctor on Demand
Talk to a doctor by downloading the Doctor on Demand app here.
Download a copy of your participant guide (English / Spanish / Vietnamese). It’s an overview of your benefits starting January 1, 2019.
Call us with questions about your health care coverage: (855) 405-FUND (3863).
You can also download your benefits at a glance:
English: Gold Plus Silver Plus
Spanish: Gold Plus Silver Plus
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".)
You can also download a copy of your SBC:
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)
View your Pharmacy Book (English/Spanish or English/Vietnamese) to find out about your pharmacy benefits starting January 1, 2019.
Hospitality Rx has a new website. View it now!
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
Call us if you need help understanding these forms: (855) 405-FUND (3863)
The mission of UNITE HERE HEALTH, a Taft-Hartley labor management trust fund, is to provide health benefits that offer high-quality, affordable health care to our participants at better value with better service than is otherwise available in the market. We believe our success depends on innovation and on engaging our participants.
UNITE HERE HEALTH 711 N. Commons Drive, Aurora, IL 60504