Medical Plan Information

The Santa Monica UNITE HERE Health Benefit Fund provides eligible participants with the option to enroll in one of three different Plans: Martin Luther King Community Healthcare Plan, Kaiser or Health Net. Participants can review the Medical Plan Comparison shown below for information on each of the Medical Plans offered by the Fund.

An enrollment form is required for participants who select the Martin Luther King Community Healthcare Plan, Kaiser or Health Net Medical Plan.

To Save the document on your computer, right click, then select Save Target As (or Save Link As).

To Find a Provider in Your Plan (Prior Authorization is usually required for most care- contact your plan for more details):

Kaiser:

  • https://healthy.kaiserpermanente.org/southern-california/doctors-locations#/search-form

  • Health Net: (enter your location, then select "HMO-Salud HMO y Mas (with walk-in clinic large group/small group")

  • https://www.healthnet.com/portal/providerSearch.action

  • MLK:

  • https://mlkcare.org

  • Under certain circumstances, MLK members will use providers in the First Health network. Prior authorization is required to use the First Health network. To find a specific provider, or for a list of First Health providers, contact Member Services or the Fund.

    MLK Price Comparison Tool

  • santamonicaunitehere.medexperthealth.com

  • In network pharmacies include CVS, Rite Aid, Ralph's, Albertson's, Safeway, and many others. To find all in-network pharmacies near you, log in and search: https://express-scripts.com/ DO NOT USE WALGREEN'S, AS IT IS NOT A NETWORK PHARMACY

    Disclaimer: Health benefits are available only if your employer participates in the Health Benefit Fund by paying the proper contributions. If you are in doubt as to whether contributions are being made on your behalf, check with your employer or the Administrative Office.

     

    Disclaimer: The information provided on this website should not be solely relied upon, as it is based on currently available information that is subject to change.
    If you have any specific questions concerning the information contained on this website, please contact the Administrative Office.
    In the event of a conflict between the information contained in this website and the plan documents, the plan documents will be controlling.