Benefit Plan Best Practices

1. Use the Prescription Drug Program wisely.

   • Ask for generics.
   • Use the mail-order pharmacy.

2. Use Blue Card PPO hospitals and doctors.

   • PPO negotiated fees are usually lower.
   • Lower out-of-pockets expenses.

3. Remember your Member Assistance Program Benefits (MAP).

   • 6 free visits with a MAP counselor.

4. Use dentists in the Dental Network of America (DNoA).

   • Fees are usually lower.
   • Lower out-of-pocket expenses.

5. Precertify all inpatient hospital admissions.

   • Reduces excessive expenses.
   • $250 noncompliance deductible applies.

6. Complete the Healthy Moms = Healthy Babies Program.

   • $250 gift card if you complete program.
   • Prevent complications of pregnancy.

7. Respond promptly to all requests from the Fund Office.

   • Lack of information can cause delay or denial.
   • Always send primary plan's benefit explanation.
   • Call the Fund Office if you have any question about what is needed. Don't wait!

8. Know what is covered and what is not.

   • Work-related claims should be filed through your employer — LINECO doesn't cover these claims.
   • Only medically necessary services and supplies are covered.
   • Read the list of exclusions and limitations in your booklet.

9. Know whether or not you are eligible before incurring expenses.

   • Do you have enough hours? Remember you can check your hours in your secure portal
   • Enroll your dependents.
   • If you divorce, remarry, or have a child, you must inform the LINECO Fund Office.
   • Register with the IBEW's Electronic Reciprocal Transfer System (ERTS) if you work outside of LINECO's jurisdiction.

10. Let LINECO know when you move.

    • Don't miss important announcements.
    • You can use the change form on the LINECO's web site (www.lineco.org).

11. Use providers in the TruHearing network - Hearing Aid Discount Program.

    • Lower contracted rates.
    • Lower out-of-pocket expenses.

12. Use providers in the VSP-Vision Service Plan network.

    • Vision Exam allowance every calendar year.
    • Lens allowance every calendar year.
    • Frame allowance every 2 calendar years.
    • Lower contracted rates.
    • Lower out-of-pocket expenses.
    • Prescription Safety Glasses allowance.

Many of the actions suggested in these tips can be completed by logging into your secure portal. Log In