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 Amplifon Hearing Health Care 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