This section is a user guide to your LM HealthWorks Plan that takes you step by step through the process of seeking care and using your benefits. |
How to Seek CareKnow what to do, what to expect and what your responsibility will be when you or a family member needs health care. Using in-network providersWhen you need care, you have a choice. You may visit doctors and other care providers who belong to the network, or you may seek care outside the network. Remember, in-network doctors have negotiated special rates with Aetna. This, in addition to a higher level of benefits paid for in-network care, means you’ll pay less for your care when you visit in-network providers. Follow these steps for in-network care »Using out-of-network providersIf you seek care outside the network, the process is slightly different. Follow these steps for out-of-network care »When you have a prescription filled at a participating retail pharmacyYou can find a participating retail pharmacy near you by visiting https://info.caremark.com/lmrx. When you visit the participating retail pharmacy:
The Benefits Summary shows coinsurance amounts for prescription drugs.Using an onsite Wellness CenterWellness Centers are another way to get the health services you need. The centers provide onsite care that includes routine physical exams, bloodwork, urgent and minor acute care, and much more – all free of charge. |