The ILWU-PMA Coastwise Indemnity Plan is a self-funded indemnity plan, which allows you to obtain services from any licensed doctor, or at any licensed hospital or Medicare approved skilled nursing facility. Benefits are paid according to a Schedule of Allowances under Basic Benefits and under Major Medical. By selecting a Doctor, Hospital or other provider that is a participant in the Preferred Provider Organization (PPO) you are guaranteed the maximum benefit, generally 100% of the PPO charge, for covered services.

Print Coastwise Indemnity Plan Claim Form
for Non-Medicare Members

If you are a Medicare eligible member, you will receive the same benefits as an active member. The Plan pays supplemental benefits to your Medicare coverage.

Print Claim Form for Medicare Eligible Members

A detailed description of the Coastwise Indemnity Plan is available in the Supplemental Summary Plan Description booklet. Copies of the Supplemental Summary Plan Description booklet are supplied to ILWU Locals and are available without cost upon request at the Plan office.

View and Print the Coastwise Indemnity Plan Summary Plan Description Booklet

Preferred Provider Organization (PPO)

                                 (Non-Medicare Eligibles Only)

The Welfare Plan has entered into agreements with Preferred Provider Organizations (PPOs) to provide medical care to plan members at special rates.  The PPO hospitals, doctors and facilities are among those already used most frequently by Welfare Plan participants.  You can use any hospital or doctor of your choice but the Major Medical plan will pay a higher benefit for Preferred Providers.

PPO directories listing the names and addresses of Preferred Providers are available from the Locals.  If you have questions about whether a provider is a Preferred Provider, you may call the PPO directly at the following numbers:

California

Coastwise Claims Office		1-800-955-7376
Great-West Healthcare www.ilwu-pma-ppo.com		1-415-543-0114
Magellan Behavioral Health (Mental Health)		1-800-424-5945

Washington

First Choice Health Network		1-800-231-6935
www.fchn.com		1-206-292-8255

Oregon and Southern Washington

Managed Healthcare Northwest		Outside Portland:
www.mhninc.com		1-800-648-6356
		Portland Area:
		1-503-413-5800