|
|
Effective July 26, 2012:
- Nora M. Oakley, Doctor of Chiropractic
- The Plan will not reimburse, or otherwise pay any claims for any covered services provided after August 14, 2012 by Nora M. Oakley, DC, to any Plan Participants enrolled in the ILWU-PMA Coastwise Indemnity Plan.
- Kaiser Southern California HMO Participants who continue to receive services from Dr. Oakley after August 14, 2012 will only be able to receive out of network benefits for any covered services – 80% of the maximum allowable cost (MAC). Any amounts billed that are over the MAC permitted under the Plan will be the Participant’s responsibility.
|
Effective May 1, 2012:
- Dr. Julian Omidi
- The Plan will not reimburse any Plan participants or otherwise pay benefits for any claims for services, supplies, tests, or prescriptions provided to any Plan participants or beneficiaries by Dr. Julian Omidi or any of the health care service providers ordered by, or working under the direction or supervision of Dr. Julian Omidi.
- Locations including but not limited to:
|
9001 Wilshire Blvd. Ste 106 Beverly Hills, CA 90211
P.O. Box 74947 Los Angeles, CA 90040
|
465 N. Roxbury Dr. Ste 1012 Beverly Hills, CA 90210
16850 Bear Valley Road Victorville, CA 92395 90211
|
Effective May 1, 2012:
- Dr. Michael Omidi
- The Plan will not reimburse any Plan participants or otherwise pay benefits for any claims for services, supplies, tests, or prescriptions provided to any Plan participants or beneficiaries by Dr. Michael Omidi or any of the health care service providers ordered by, or working under the direction or supervision of Dr. Michael Omidi.
- Locations including but not limited to:
|
9001 Wilshire Blvd. Ste 106 Beverly Hills, CA 90211
|
Effective May 1, 2012:
- Beverly Hills Surgery Center
- The Plan will not reimburse any Plan participants or otherwise pay benefits for any claims for services, supplies, tests, or prescriptions provided to any Plan participants or beneficiaries by Beverly Hills Surgery Center or any of the health care service providers ordered by, or working under the direction or supervision of Beverly Hills Surgery Center.
- Locations including but not limited to:
|
9001 Wilshire Blvd. Ste 106 Beverly Hills, CA 90211
|
Effective May 1, 2012:
- Valley Surgical Center
- The Plan will not reimburse any Plan participants or otherwise pay benefits for any claims for services, supplies, tests, or prescriptions provided to any Plan participants or beneficiaries by Valley Surgical Center or any of the health care service providers ordered by, or working under the direction or supervision of Valley Surgical Center.
- Locations including but not limited to:
|
7320 Woodlake Ave., Ste 320 West Hills, CA 91307
8721 Santa Monica Blvd., Ste. 203 West Hollywood, CA 90063
|
Effective July 1, 2010:
- Dr. Nicol Lippman, M.D.
- Any of the health care service providers working under the direction or supervision of Dr. Nicol Lippman, M.D.
|
Effective August 15, 2007:
- Dr. Lawrence Saks, M.D.
- Any of the health care service providers working under the direction or supervision of Dr. Lawrence Saks, M.D.,
- Any of the health care facilities in which Dr. Lawrence Saks, M.D. has an ownership interest, including, but not limited to, Madison Park Surgery Affiliates and Reconstructive Surgery Affiliates
|
|