* Administering Health, Pension and Vacation Benefits For the Men and Women Who Help Build the Southwest *
DISABILITY EXTENSION: Participants who were previously granted an extension of health coverage through July 31st due to disability and have exhausted the 2 quarter extension will automatically be eligible through October 2020.
Learn about Virtual Office Visits.
The MemberXG portal allows participants and dependents to check their individual benefits information 24/7. Create your account
How is the Anthem PPO different than the Kaiser HMO?
With the Kaiser HMO, you choose a primary care physician (PCP) and can only see providers who participate in Kaiser’s network. The Anthem PPO is more flexible. It doesn’t require you to choose a PCP. It also offers out-of-network coverage for providers who aren’t in Anthem’s PPO network, although your out-of-pocket costs are greater when you use an out-of-network provider.
Also, the Anthem PPO is different in how it covers medical care. For most covered expenses, you pay a calendar year deductible before the PPO starts paying benefits. Then, you and the PPO share expenses (called “coinsurance”) until you reach the plan’s calendar year out-of-pocket maximum. At that point, the PPO pays 100% of covered expenses for the rest of the calendar year.
IMPORTANT: The PPO pays 100% of the cost of in-network routine preventive care (like your annual physical) and related lab fees and tests with no deductible.
Copyright © Carpenters Southwest Administrative Corporation. All Rights Reserved.
Benefit information varies by Active/Retired status and state. Please make a selection from each drop-down menu below:
La información sobre las prestaciones varía según su posición Activo / Jubilado y su estado. Por favor, haga una selección en cada menú desplegable a continuación:
