THE
INDUSTRY HEALTH NETWORK
If you enroll in the Regular Plan, you can
take advantage of the savings available to you when you use The Industry
Health Network (TIHN), available only in Southern California. First,
you must choose a primary care physician (PCP). Your PCP will treat
you directly, coordinate your care and, if necessary, refer you to
a TIHN specialist. When you use the TIHN in this way, your benefits
will look like this: |
| PLAN
BENEFITS |
WHEN
YOU USE THE INDUSTRY HEALTH NETWORK |
| PCP
Office Visit |
$10
copay |
|
Specialist
Office Visit 1
|
$10
copay |
| Periodic
Physical Exam 2 |
$10
copay |
| Well
Child Care/Pediatric Visit 3 |
$10
copay |
| Lab
Works/X-rays 1 |
100% |
| Physical
Therapy 1 |
$10
copay |
| Hospitalization
1 |
100%
after $100 copay/admission |
| Surgery
1 |
$100 |
| Anesthesiology
1 |
100% |
IMPORTANT!
ALL TIHN benefits are subject to the maximums and limitations listed
in this Summary of Benefits and your Health &
Life Summary Plan Description 2004. |
24 Requires
a written referral from your PCP.
25 $200 is applied to your wellness benefit.
26 You can access pediatric services for children under age 13 by
calling the toll-free number on your member ID card.
|
