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.

Coordination of Benefits
Short-Term Disability
Life Insurance Beneficiary
Authorization for Release of Protected Health Information
Health/Care Profile -
English / Español

Pittsburgh (Plan 106)

do you have a primary care provider (pcp)?

Click on the following to learn more

Our Health Fund

Here to Help

View claims, manage your health and more here.

UNITE HERE HEALTH—Our Health Fund

Find a Doctor

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

Pharmacy

Copays