Southwest Service Administrators, Inc.
Sheet Metal Workers Local 49 Family Health Plan
***EFFECTIVE APRIL 1, 2019- PPO NETWORK CHANGE FROM CIGNA TO BCBS***
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Click above to find a doctor or call (505) 727-2727 or 1-800-727-2701 Click above to find a provider "Provider Finder" or call 1-800-810-2583 Click above for form If you or a family member is currently in treatment for a particular medical condition (i.e. chemotherapy, third trimester of pregnancy, etc.) and such treatment will no longer be covered at the PPO benefit level due to the BCBSIL PPO network transition, please have your treating physician contact the Fund Office to receive a Transition of Care form. By completing the Transition of Care form, you may be able to continue to receive services for your medical condition with health care providers who are not in the PPO network at the PPO benefit level. If approved, this care is for a defined period of time until the safe transfer of care to a PPO physician or facility can be arranged. More details can be obtained by contacting the Fund Office at (505) 265‐8422 and (800) 432‐6636. Click above for Website MDLIVE is a telemedicine program that delivers quality healthcare by using Board‐certified doctors who can diagnose and treat many common minor illnesses. Convenient 24/7/365 nationwide access to Board‐certified doctors from your home, office, or on the road. MDLIVE can be used for the following: Colds, sore throats, flu, allegories, infections, upset stomach, pink eye, or rashes. Click above for website or call 1-800-847-7605 Precertification*AHG also offers patient advocacy and voluntary case management services that assist members and families in navigating their way through the healthcare system to make informed medical choices, work effectively with providers, understand their benefit options, and become educated and self‐directed consumers of healthcare. Click here to locate a dental provider, then click on "Find a Dentist"
Click here to access the Employee Assistance Program (EAP)
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Click here to view online claims status for participant claims.
Click here to reprint an explanation of benefits
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For Medicare-Eligible Retirees & Medicare-Eligible Spouses of Retirees who participate in the SMART Humana Medicare Advantage Prescription Drug Plan Option2
For Medicare-Eligible Retirees & Medicare-Eligible Spouses of Retirees who participate in the Prebyterian Senior Care HMO-POS Employer Plan 4
SSA Portal Mobile App
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