AdministrativeCommercialDecember 1, 2024

The 32BJ Health Fund introduces new program through partnership with Lantern Surgery Care

Because of the success of its current Centers of Excellence (COE) program — where thousands of 32BJ members have received high-quality $0 surgery — the 32BJ Health Fund will partner with Lantern Surgery Care, a national leader in managing COE healthcare. The new COE program takes effect on January 1, 2025, and will be available at no cost to plan participants for a broad range of surgeries.

Important features of the program include:

  • Coverage for 32BJ members: Under the new benefit, there will be two categories of surgery for which 32BJ Health Fund plan participants will have a $0 copay for the procedure:
    1. Mandatory procedures, specifically, bariatric surgery, joint replacement (newly expanded to cover hip, knee, ankle, and shoulder surgery), and spine surgery, which will only be covered when performed by a Lantern Surgery Care provider
    2. Voluntary procedures, such as cardiac, gastrointestinal, gynecological, orthopedic (other than joint replacement), ear/nose/throat, and many general surgeries, which plan participants may choose to have with a Lantern Surgery Care provider
  • To get started: Plan participants may call Lantern Surgery Care directly at 855-413-7197 to speak with a care advocate.
  • Distance threshold: 32BJ Health Fund plan participants living within 50 miles of a Lantern Surgery Care provider must have a mandatory procedure, such as bariatric, joint replacement (hip, knee, ankle, shoulder), or spine surgery performed by a Lantern provider through the 32BJ Health Fund Centers of Excellence for Surgery program to be covered. Because Lantern Surgery Care’s network is nationwide, more than 90% of 32BJ Health Fund plan participants live within 50 miles of a participating provider.

Providers can easily identify 32BJ Health Fund plan participants by the unique prefix to their Anthem ID — ETRBJ. Any provider looking for more information about surgery for a 32BJ Health Fund plan participant — particularly anyone currently caring for those who may be candidates for bariatric, joint replacement (hip, knee, ankle, shoulder), or spine surgery — should tell their patients to call Lantern Surgery Care at 855-413-7197.

Commercial services provided by Anthem Blue Cross and Blue Shield, trade name of Anthem HealthChoice HMO, Inc. and Anthem HealthChoice Assurance, Inc., or Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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PUBLICATIONS: December 2024 Provider Newsletter