QUICK REFERENCE GUIDE

Transcription

1 Taft Hartley CCU QUICK REFERENCE GUIDE Updated 08/2014 Union Prefix Effective Date Timely Filing Type of Service Vendor Info Connecticut Carpenters ELH Local 478 Operating Engineers EWQ New England Electrical Workers 01/01/04 1 year 01/01/04 2 years 09/01/10 1 year Rx Optum Rx Specialty Rx Optum Rx Durable medical Letter medical necessity(fund) fax: Pre-certification Hines & Associates Mental health MHN Rx & Specialty Rx Caremark Durable medical Letter medical necessity fax: Pre-certification Health Care Strategies Call local directly Mental health Lower Hudson Valley EAP Rx & Specialty Rx Sav-RX Vision Call local directly Durable medical Letter medical necessity fax:

2 EWU 01/01/07 15 months IBEW Local 90 Call local directly Mental health Lower Hudson Valley EAP 800-EAP-2799 Rx & Specialty Rx Sav-RX Vision Davis IRU 01/01/07 2 years Roofers Local 12 No coverage Rx Sav-RX Vision No vision coverage Durable medical Letter medical necessity fax: IUB 07/01/07 1 year Bricklayers Local 1 Anthem Mental health and Lower Hudson Valley EAP or substance abuse 800-EAP-2799 Rx & Specialty Rx Sav-RX Vision Call local directly IUP International Union Painters and Allied Trades District Council No 11 Health Fund 10/1/04 1 year Pre-certification Alicare Call local directly Mental health Alicare Rx & Specialty Rx Sav-RX Vision Call local directly

3 NEH 01/01/04 1 year Pre-certification Coordinated Health Care Local 1199 Delta Mental health Coordinated Health Care Rx Rx Solutions Durable medical Letter medical necessity fax: PSH 01/01/05 1 year Call local directly Plumbers & Steamfitters Local 131 Mental health Lower Hudson Valley EAP 800-EAP-2799 PTH 01/01/04 15 months Pre-certification HealthLink Connecticut Pipe Trades Call local directly Mental health Alicare Rx & Specialty Rx Rx Solutions Durable medical Letter medical necessity fax: TRA 10/01/13 1 year Not covered Turbotec Products and Affiliates Vision Covered under the medical Durable medical Letter medical necessity fax:

4 TSJ 04/01/98 1 year Pre-certification Med-care management Tri-State Joint Fund Note: This includes inpatient/outpatient surgery, inpatient admissions, inpatient radiation, sleep study and durable medical equipment. Call local directly Mental health Med/care Management (inpatient only) Rx Medco Specialty Rx Accredo Health group Vision Davis (Contact Sue or Sandy x3047) Durable medical Med/care Management AWE 02/01/2014 Heat & Frost (Asbestos Workers) Insulators Local 33 UAK UA Local 716 Health & WF 01/01/ year 1 year Mental Health Hines & Associates Rx & Specialty Rx Optum Rx Vision Davis Vision Durable Medical Letter medical necessity fax: Anthem Vision Anthem Durable Medical Letter medical necessity fax:

5 LUA Luina Lab Local 35 TLP Teamsters Local 671 Additional Information Claim Submission 06/01/ months from the date of 07/01/ months from the date of PO Box 533 North Haven, CT Correspondence Anthem BCBS in Connecticut Taft-Hartley Unit PO Box 533 North Haven, CT Customer Service Telephone Contact IPI Mental Health Anthem Rx & Specialty Rx Sav-RX Vision Insurance Programmers Durable Medical Anthem Pre-certification Med/care Management Guardian Mental Health Med/care Management Rx & Specialty Rx Express Scripts Vision Davis Vision x3047 DME Med/care Management