The Trust has Preferred Provider Organization (PPO) arrangements with the First Choice Health Network for medical services. This network of hospitals, physicians and other healthcare professionals provides eligible employees and dependents with efficient, cost-effective services and supplies at discounted rates.

Providers not in the network are called non-PPO providers. Non-PPO providers are reimbursed at a lower level of benefits and charges are allowed only up to usual, customary and reasonable (UCR) fees.

Although you may see any provider covered by the plan, you receive higher benefits if you use PPO providers—the choice is yours, each time you use your benefits.

• Find a Preferred First Choice network provider with the First Choice Provider Directory. Or call the First Choice network directly at (800) 231-6935 for a list of current medical PPO providers.
• Find the details of your medical coverage in your Summary Plan Description booklet (choose the link below based on whether you are in the “Sound” or “SoundPlus” plan). To determine whether you are covered under the “Sound” or “SoundPlus” plan, look at the front of your Sound Health & Wellness Trust ID card. It is printed on the far left-hand side under the Trust logo.
  • Sound Plan PPO Summary Plan Description (including 1/1/11 Benefit Changes)
  • SoundPlus Plan PPO Summary Plan Description (including 1/1/11 Benefit Changes)
  • Eligible Dependent Children Definition
• Eligibility or claims questions? Call the Trust office at (206) 282-4500 or (800) 225-7620. And check out the “Numbers to Know” section at the far right-hand side of this page for a quick phone guide for other benefit and wellness questions.

Find out more about other aspects of your medical plan.

• Your LiveWell Health Reimbursement Arrangement is an account used to pay for covered medical expenses. HRA funding is received through a combination of automatic credits and your completion of the Personal Health Assessment (PHA) when it is offered. The maximum annual HRA funding is $500 for employee only coverage and $1,000 for family coverage. The funds in your HRA will be used to cover the first eligible medical expenses covered by the plan in each calendar year. This includes your doctor office visits, lab tests, or other eligible, covered medical expenses.
• LiveWell Prevention @100% means that preventive services, such as annual physical exams, routine immunizations and screenings are covered at 100% when provided by an in-network provider.
• Other LiveWell programs include the annual LiveWell Personal Health Assessment, LiveWell Health Coaching and other programs to help you achieve and maintain a healthy lifestyle.