Medical
PPO Plan
The PPO Plan, administered through the Anthem Blue Cross Blue Shield Network, is available to all active members and their covered dependents.
Plan Details
This plan is a preferred provider organization (PPO). It gives you the flexibility to see any medical provider. However, you save money when you use in-network providers. See the summary plan description for details. This plan is self-funded, which means the Fund—not Anthem or Zenith American Solutions—pays the claims.
Medical Plan Comparison Chart
- Primary/acute health care
- Preventive care
- Certain generic medications
- Telemedicine
The most you pay for covered expenses in a calendar year (includes deductibles, in-network copayments, and coinsurance) before the plan begins to pay 100%
(Mail order available)
(Anthem Blue Cross Blue Shield Network)
In-Network Coverage
Family: $1,500
Single: $5,600
Family: $11,200
Prescription Drugs:
Single: $1,000
Family: $2,000
Specialist: $15 copay
Lab: $5 per service
Imaging: $50 per test
Generic: $5 copay
Preferred Brand: Greater of 20% coinsurance or $20 copay
Non-Preferred: Greater of 45% coinsurance or $45 copay
Specialty: $50 copay
(Anthem Blue Cross Blue Shield Network)
In-Network Coverage
Single: $4,000
Family: $8,000
Prescription Drugs:
Single: $500
Family: $1,000
Specialist: $5 copay (with wellness center referral/visit) or $100 copay (without wellness center referral/visit)
Lab: $5 copay (with wellness center referral/visit) or $15 copay (without wellness center referral/visit)
Imaging: $45 copay (with wellness center referral/visit) or $100 copay (without wellness center referral/visit)
Generic: $5 copay
Preferred Brand: Greater of 20% coinsurance or $20 copay
Non-Preferred: Greater of 45% coinsurance or $45 copay
Specialty: $50 copay
* If your emergency isn’t life-threatening, both the PPO and Engaged Care Plan pay $75 toward the total of emergency room charges and you pay the balance, which could be as much as $3,000 per visit.
Save Money on Medical Costs
Get Preventive Care
Teamsters Local 14 encourages members to get preventive care services, which are covered by both plans at 100%. Spending a relatively small amount of time now can save you a lot of time, money, and discomfort in the future. Early detection is often key to treatment of many diseases and conditions that cause serious illness or even death. For a list of covered preventive care services, see the Anthem preventive care flyer.
Tips and Resources
- Visit a Family Wellness Center for no-cost medical care. You’ll have access to an experienced medical team, including a full-time PCP. Your covered dependents can visit for free too!
- Be sure to use your Anthem ID card properly.
- Obtain precertification when needed. If you need surgery or other high-cost medical services, contact Innovative Care Management (ICM) at 800-862-3338 for precertification.
- Save up to 65% on lifestyle medications for acne, weight loss, dietary supplements, and more through the Personal Savings Program. Just show your EnvisionRx prescription card at the pharmacy counter. No forms to fill out or claims to send in!
- Register at anthem.com, then check out discounts on a variety of fitness and nutrition services. Just select “Fitness and Health,” then “Discounts.”
Larry R. Griffith Teamsters Family Wellness Center
Visit a Family Wellness Center for convenient, no-cost primary/acute health care, preventive care, and medications.
Available to all PPO plan and Engaged Care Members and their covered dependents.
Transparency In Coverage
The Transparency in Coverage Rules require certain group health plans to disclose on a public website information regarding in-network provider rates and historical out-of-network allowed amounts and billed charges for covered items and services.
Zenith American Solutions, in partnership with benefit vendors, creates and publishes the Machine-Readable Files (MFRs) on behalf of Teamsters Local 14.
How to Get an ID Card
For PPO plan and Engaged Care Plan members who have not received your ID card and sleeve in the mail, contact Zenith American Solutions at 702-851-8286 to request them.