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Effective January 1, 2016, Woman's Hospital IS in the LSU First Choice network. 

Effective June 1, 2015, Our Lady of the Lake (OLOL) Hospital, including Our Lady of the Lake Cardiology, Physicians Group, Surgical Specialty, and Lake Quick Care are now in the LSU First Choice network. Lake After Hours continues to be a First Choice Provider. 

*To confirm specific physicians and facilities are covered for these 2 facilities, please contact WebTPA at (855) 346-5781. This information has not yet been updated in the LSU First Choice Provider search link.

 

1.LSU First Choice Provider

  • First Choice Provider
  • All claims paid at 100% after HRA is exhausted when a First Choice Provider is utilized.
  • Generic drugs paid at 100% after HRA is exhausted.
 

2. Verity providers

  • In-network provider
  • Medical claims and Brand/Specialty prescriptions paid at 80/20 co-insurance rate (80% by insurance/20% by member) after HRA is exhausted and deductible has been met.
  • Generic drugs paid at 100% after HRA is exhausted.
 

3. Aetna providers

  • In-network provider
  • Medical claims and Brand/Specialty prescriptions paid at 80/20 co-insurance rate (80% by insurance/20% by member) after HRA is exhausted and deductible has been met.
  • Generic drugs paid at 100% after HRA is exhausted.
 

*Out-of-network provider claims paid at 60/40 co-insurance rate (60% by insurance of MRC (Maximum Reimbursable Charge)/40% and anything over the MRC by member ) after HRA is exhausted and deductible has been met.

LSU FIRST

Claim Support:

1-855-346-LSU1 (5781)

Escalated claim or pharmacy issues? Contact a Member Advocate:

225-906-1280 or 866-607-5325

Member Support:

225-578-8200

LSUFIRST@LSU.EDU

LSUFIRST.WEBTPA.COM

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2018 LSU FIRST PLAN HIGHLIGHTS

Praxis Rx (home delivery pharmacy provider) phone ordering service can be reached at 813-374-6550. For questions about orders, please call 888-903-7453.