Our Provider Networks

The Board of Trustees have agreements with certain networks for health care services for our members. A network arranges with health care providers for their services at fees which are usually less than their regular fees.

Participants are required to use network providers for mental and nervous conditions, substance abuse, routine vision care benefits and prescription drugs.

Participants are not required to use network service providers for medical, surgical, or dental needs.

For hospital confinement, surgical treatment or home health care services, you must first secure authorization from the Fund's utilization review program (TMRP). If you choose to use a network provider, you may receive the benefit of the negotiated fees since the coinsurance amounts on each bill will be less if the negotiated fee is less. The Plan's reimbursement percentages are the same regardless of whether a provider is in or out of a network.

Directories of network service providers are available in the Fund Office.
The network is responsible for selecting its health care providers.

The Fund and its Trustees assume no responsibility for the qualifications or for each quality of services of any health care provider.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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