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B


y now all Los Angeles Firemen’s Relief Associa- tion members should have received their Member Summary Report in their mailboxes. These reports


are generated from our automated FRITS system with the information that we have on file about you. PLEASE take the time and look it over carefully! Verify that we have the correct information on your sheet. This year we will be starting a new program where you can email, fax or snail- mail your updated forms back to us. If you still have ques- tions, contact our member service department to help you with your issues (323) 259-5200. Once again we will be having our Health & Wellness


Fair in April. This year we moved the event to FHMTC to allow on-duty members working special duty assignments in the downtown area to attend. The event will be only one day on April 6th from 0800 until noon. This free event was planned with you in mind - to help you and your family bet- ter understand your medical benefits. Please RSVP at lafra. org/healthfair or call (323) 259-5246. Here are three important things to remember about


your Medical Plan: 1) Be vigilant, 2) understand how your medical benefits work, and 3) stay in-network. We all need to do everything within our power to utilize our medical benefits correctly to avoid unwelcome surprises (bills) from arriving in the mail. Members need to make every effort to take control and ask the right questions. Managing costs is important for you and for the Plan.


When making an appointment for a doctor’s office visit, double-check to make sure your doctor is still contracted in-network with Anthem Blue Cross. Hospitals, doctors, labs, and other providers that contract in-network have an agreement with our health plan to accept patients at an agreed upon rate. Find an in-network provider by visiting www.anthem.com or by contacting HealthSCOPE Benefits (HSB) at (866) 995-2372.


Providers come in and out of the network so confirm your doctor is still listed in-network before scheduling an appointment. If the doctor is no longer contracted in-net- work, consider changing to a different doctor. When plan- ning an elective surgery, tell the scheduler it must be done in an in-network facility with an in-network surgeon and anesthesiologist. If you or a family member ends up in an emergency situation, do your best to monitor your Expla- nation of Benefits (EOBs) and contact HSB for assistance with billing issues.


Get comfortable reading your Summary Plan De-


scription (SPD). Refer to the SPD to learn how a benefit is covered, check to see if a copayment is due at the time of your office visit, or find out if proof of medical necessity is required for a particular service. You can also review your pharmacy and vision service benefits in the SPD. Visit the Relief website at www.lafra.org and click on ‘Medical’ and then ‘PPO Summary Plan Document’ to learn more.


Please mark your calendars for these upcoming LAFRA events: • March 18th – Hook and Ladder • April 6th - LAFRA Health Fair • May 2nd - Lane Kemper Softball Classic • May 22nd-26th – Pechanga Reunion • June 1st – Hope for Firefighters


Be safe and be kind to each other!


Robert D. “SteinTalker” Steinbacher president@lafra.org 323.259.5200


March 2017 • 5


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