UNITE HERE Staff Health Benefits Plan (Plan 173)
Do you have a primary care provider (PCP)?
Click on the following to learn more
Our Health FundProvidersPharmacyBenefitsPrior AuthorizationOur Health Fund
Phone Hours:
Monday-Friday
9 a.m. to 6 p.m. Eastern Time
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
You can also view claims, manage your health and more here.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.
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!
Choose your plan: Actives | Retirees
Copays
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.
Choose your plan or call for assistance:
SPDs
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
We're always careful with your personal information but email is not always private or secure – keep this in mind before emailing UNITE HERE HEALTH.
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 certain types of outpatient care or have an inpatient stay.
Call HealthCheck360 at (844) 462-7812
Forms
- Accident Inquiry
- Coordination of Benefits
- Enrollment Form
- Life Insurance Beneficiary
- Out of Network claim form
- Authorization for release of protected health information
