TO: Department Benefit Representatives (DBRs)
FROM: Laura Morgan, Health Care Facilitator, Human Resources/Benefits
RE: UC Care – Tier 1 Lab Services in Santa Barbara
This is a reminder for individuals enrolled in the UC Care PPO medical plan.
There are two clinical labs in the Tier 1/UC Select network in the Santa Barbara area:
- Quest Diagnostic Lab
Pacific Diagnostic Lab is in the Tier 2/Blue Shield Preferred network. With a PPO, the network status of a provider and the type of service that is delivered will determine how much you pay. If a Tier 1 Sansum physician writes an order to Pacific Diagnostic Lab, you will pay the Tier 2 rate for most services (see Coverage Reminder below).
With UC Care PPO, you select providers and manage your care. You can ask your physician to write the lab order for the facility you wish to use.
You can find information about providers online using the Find a Provider tool or you can call Blue Shield Concierge for assistance.
UC Care – Find a Provider: http://www.blueshieldca.com/uccareppo
Blue Shield Concierge: 1-855-201-2087
UC Care Web: http://uc-care.org
UC Care Medical Benefit Summary:
- Lab services, such as blood work, for a preventive service will be covered 100% if done by “in-network” Tier 1/UC Select or Tier 2/Blue Shield Preferred providers.
- Lab work for a diagnostic or problem oriented service will be covered according to the network status of the provider, for example:
- Quest Diagnostics & Unilab (Tier 1/UC Select) - $20 copay
- Pacific Diagnostic Lab (Tier 2/Blue Shield Preferred 2) – deductible and 20% coinsurance
If you have questions, please contact Laura Morgan at x4201 or firstname.lastname@example.org