Carpenters Southwest Administrative Corporation

Southwest Carpenters Health & Welfare Trust

California

Medical Plans -- Active

  You have 3 medical plans to choose from.  You may make this choice when you become eligible for benefits or during Open Enrollment.   All new or reinstated eligibles must enroll in an HMO plan unless they reside outside an HMO service area until the next scheduled open enrollment period.

Benefit Comparison Chart   To see how the medical plans compare with each other, please click here.

 
 

Kaiser Permanente is a Health Maintenance Organization (HMO) option.   You must go to their medical clinics and hospitals.  To contact Kaiser's Customer Service, call (800) 464-4000.

To view Kaiser benefits, click here.

To view Kaiser 2011 Addendum, click here.

Click here for a Kaiser Permanente Enrollment/Change form. IMPORTANT!  THIS FORM MUST BE SUBMITTED TO CARPENTERS ADMINISTRATIVE OFFICE, NOT TO Kaiser Permanente. Click here for a Spanish Enrollment/Change form.

PacifiCare is a Health Maintenance Organization (HMO).   Effective December 1, 2009, PacifiCare will provide the Signature Value HMO plan to California participants.  You select a primary care physician when you sign up for coverage.

To contact PacifiCare Customer Service, call 800-624-8822. To go to PacifiCare's web site or to search for providers, click here.

For the PacifiCare Summary of Benefits, click here.

For the PacifiCare Deductible Amendment, click here.

For the PacifiCare Behavioral Health Summary of Benefits, click here.

For a PacifiCare Enrollment form, click here.

For a PacifiCare Change Request form, click here. 
For a PacifiCare Change Request form in Spanish, click here.

For a Continuity of Care form, click here.

IMPORTANT!  THESE FORMS MUST BE SUBMITTED TO THE CARPENTERS ADMINISTRATIVE OFFICE, NOT TO PACIFICARE.

 
 

The Fee-for-Service Plan allows you to go to any physician or any hospital.  However, if you use a physician or a hospital that is on a preferred provider list, your out-of-pocket costs are reduced. 

Effective June 1, 2010, the Trust has contracted with Anthem Blue Cross to provide a national PPO network of providers called BlueCard.  This change will provide you with greater access to PPO providers near your home, work, and across the country.

The BlueCard network consists of hospitals, physicians, home health care providers, laboratories, durable medical equipment providers, physical therapists and other allied health care professionals under contract with Blue Cross organizations throughout the country.  To find PPO providers in your area, click here or call 800-810-2583 (800-810-BLUE.)

For more information about the BlueCard PPO program, click here.  For information in Spanish, click here.

Obtain a medical claim form from the Fund Office and send an itemized bill directly to Southwest Carpenters P.O. Box 60007 Los Angeles, CA 90060