As of January 1, 2013, Blue Shield of California will be the Preferred Provider Organization (PPO) for Eligible Active Longshoremen and their eligible dependents, and Pre-Medicare eligible retirees and their dependents, and Pre-Medicare Survivors and their dependents enrolled in the ILWU-PMA Coastwise Indemnity Plan.
The ILWU-PMA Coastwise Indemnity Plan will no longer use the Cigna PPO Network (formerly Great-West Healthcare PPO Network)
in California for dates of service after December 31, 2012. After this date, only services rendered by Blue
Shield network providers will be reimbursed at the network rate (PPO rate).
You may continue with your current treatment with your Cigna PPO Network Provider at the in‐network benefit level for a limited time until March 31, 2013. Any claims for covered services incurred with any Non PPO Network Provider on or after April 1, 2013, will be paid at the Non‐PPO benefit level.