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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.

First Choice Network

The First Choice network is a network of local providers within Louisiana. Services are covered at 100%* after your HRA is exhausted. This means you pay no out of pocket for covered services with these providers.

  • $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 a free-standing imaging center or at one of the First Choice hospital facilities listed below 

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 Network

The Verity HealthNet network is a network of local providers within Louisiana. After your HRA is exhausted and your deductible is met, the Plan will pay 80% and you are responsible for 20%.

  • *$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. 

Search for a Verity HealthNet Provider


Aetna Signature Administrators (ASA) Network

The Aetna Signature Administrators (ASA) Network is a nationwide network. After your HRA is exhausted andyour deductible is met, the Plan will pay 80% and you are responsible for 20%. 

  • *$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. 

Search for aN Aetna (ASA) Provider


Out-of-Network

Any providers not participating in the above networks will be considered Out-of-Network. This may include ancillary services received at in-network facilities, such as emergency room physicians, anesthesiologists, etc. After your HRA is exhausted and your deductible is met, the Plan pays 60% of the Maximum Allowable Charge (MAC); you pay the remaining 40% plus any billed charges over MAC.

 

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.

LSU First

WebTPA:
1-855-346-LSU1 (5781)
webtpa.com

MedImpact
1-833-229-3594
medimpact.com

Escalated claim or pharmacy issues?
Contact a Member Advocate:
1-866-607-5325
bac.lsu@ajg.com

LSUFIRST@LSU.EDU

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