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OPERATING ENGINEERS
TRUST FUNDS

Archive

Dental

Western Dental / MIB (DHMO)

Western Dental / MIB (DHMO) Overview This is a DHMO (Dental Health Maintenance Program) with over 3,400 participating dental offices throughout California. Members choosing this option must pre-select a primary dental office to provide and coordinate all your dental care. If you do not choose a dental… Details

Benefit Summaries

MAP

Please note this coverage information is for non-Medicare Primary members. Overview The MAP is a free, confidential, professional consultation and referral program. It is designed to help you and your household members address and resolve personal problems that may be interfering with work or home life. There are no costs… Details

Benefit Summaries

Health Plan NV

Covered Features Operating Engineers Health Plan of Nevada is the only plan available to participants who reside in Nevada. The plan is not available to members for whom Medicare is primary. Choice of Providers Must use Health Plan Providers Plan Maximums No plan maximum Out-of-Pocket Maximums $6,000/individual $12,000/family Hospital… Details

Benefit Summaries

Anthem HMO

Covered Features Anthem HMO is one of the three medical plans available to eligible participants in certain areas of California. The plan is not available to members for whom Medicare is primary. Choice of Providers Must use only Anthem HMO Health Plan Providers Plan Maximums No plan maximum Out-of-Pocket Maximums… Details

Benefit Summaries

Kaiser

Please note this coverage information is for non-Medicare Primary members. Covered Features Kaiser Permanente is one of the medical plans available to eligible participants in certain areas of California. Contact Information Phone: (800) 464-4000 Website: kp.org Choice of Providers You must use Kaiser Permanente facilities… Details

Benefit Summaries

PPO

Please note this coverage information is for non-Medicare Primary members. Covered Features This is a Self Funded PPO Plan with coverage worldwide for medically necessary treatments. After you or your family meet the annual deductible, the plan will pay for services generally at 90% or 70% until you reach the… Details

Benefit Summaries

LiveHealth

Overview LiveHealth Online is a program that allows you to visit with a doctor online 24 hours a day, 7 days a week, and 365 days a year using webcam, chat or voice. No appointment is needed and there is no Out-of-Pocket cost for using this service. Eligibility Available to… Details

Health and Welfare

No Surprises Act & ACA

Surprise Billing Did you know, when you receive emergency medical care from an out-of-network provider at an in-network facility (hospital or surgery center) you are protected from surprise balance billing? Click the above link for more information. Details

Health and Welfare

Price Comparison and Transparency

Provider Price Comparison Tools Anthem Transparency in Coverage Machine Readable Files Kaiser Permanente Transparency in Coverage Machine Readable Files Carelon Behavioral Health Transparency in Coverage Machine Readable Files Dental PPO Price Comparison Also available as Excel/CSV files. Details

About

Work History Report Request

The Work History Report you will receive from this request is to be used as needed to comply with the California State Skilled and Trained Workforce (STW) requirement related to your employment for an employer signatory to I.U.O.E. Local 12. The Work History Report IS NOT a history of… Details