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Effective January 1, 2016, Woman's Hospital is in the LSU First Choice network. Effective January 1, 2022, Louisiana Anesthesiology Group utilized by Woman’s Hospital is in the First Choice Network.
Effective June 1, 2015, Our Lady of the Lake (OLOL) Hospital, including Our Lady of the Lake Children’s Hospital, Our Lady of the Lake Cardiology, Physicians Group, and Surgical Specialty, are in the LSU First Choice Network. Note: OLOL-Ascension is not in the LSU First Choice Network, but is within the Aetna network.
These providers will not show up in the First Choice search engine below. To verify if a provider is considered First Choice within Woman’s Hospital and/or Our Lady of the Lake, please contact WebTPA Customer Service at 855-346-5781.
LSU First Choice Provider Search
- All claims paid at 100% after HRA is exhausted when a First Choice Provider is utilized.
- *$150 Emergency Room Copay, waived if admitted.
LSU First Choice - Outpatient Surgery
- *$300 penalty for outpatient surgery performed in a hospital setting.
- No penalty if performed at ambulatory surgery center.
Penalty waived at the following First Choice hospital facilities:
- Rapides Regional Medical
- Baton Rouge General
- Acadian Medical Center
- Ochsner LSU Health Monroe Medical Center
- Touro Infirmary Hospital
- Children’s Hospital Inc.
- East Jefferson General Hospital
- Ochsner LSU Health Shreveport
- St. Mary Medical Center
LSU First Choice - Imaging
- *$150 penalty for CT scan and/or MRI performed in a hospital setting.
- No penalty if performed at free-standing imaging center.
Penalty waived at the following First Choice hospital facilities:
- Baton Rouge General
- Acadian Medical Center
- Ochsner LSU Health Monroe Medical Center
- University Medical Center
- Ochsner LSU Health Shreveport
Verity HealthNet Provider Search
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.
- *$150 Emergency Room Copay, waived if admitted.
- *$150 penalty for CT scan and/or MRI performed in a hospital setting. No penalty if performed at free-standing imaging center.
- *$300 penalty for outpatient surgery performed in a hospital setting. No penalty if performed at ambulatory surgery center.
Aetna Signature Administrators Provider Search
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.
- *$150 Emergency Room Copay, waived if admitted.
- *$150 penalty for CT scan and/or MRI performed in a hospital setting. No penalty if performed at free-standing imaging center.
- *$300 penalty for outpatient surgery performed in a hospital setting. No penalty if performed at ambulatory surgery center.
Out-of-network provider claims paid at 60/40 co-insurance rate (60% by insurance of MAC (Maximum Allowable Charge)/40% and anything over the MAC by member ) after HRA is exhausted and deductible has been met.
Please be aware that some network facilities may use ancillary providers such as emergency room physicians, pathologists, radiologists, or anesthesiologists who are not part of the First Choice, Verity HealthNet, or Aetna ASA networks. These providers would be considered Out-of-Network. If you are scheduling a procedure at a facility, contact the facility directly to find out what ancillary providers it may use so you can better determine your out-of-pocket costs.