Southwest Service Administrators, Inc.
Sheet Metal Workers Local 49 Family Health Plan
|Health Provider Links||Other Useful Links|
BIN# 610011 PCN# IRX Group# SMWLOC49
Customer Service: 844-265-1719
Mail Order: 844-265-1719
Specialty Drugs: 855-427-4682
Click above to find a provider "Provider Finder" or call 1-800-810-2583
Click here for more information on Blue 365 - A Discount Program
MRF Link This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers.
Out of Network Providers Must Submit Claims Directly to Southwest Service Administrators -Electronic Payor ID CX100
Click above for Website
MDLIVE is a telemedicine program that delivers quality healthcare by using Board‐certified doctors who can diagnose and treat many common minor illnesses. Convenient 24/7/365 nationwide access to Board‐certified doctors from your home, office, or on the road.
MDLIVE can be used for the following: Colds, sore throats, flu, allegories, infections, upset stomach, pink eye, or rashes.
For assistance with MDLive registration click link below to watch a short video:
Click above for website or call 1-800-847-7605
Precertification*AHG also offers patient advocacy and voluntary case management services that assist members and families in navigating their way through the healthcare system to make informed medical choices, work effectively with providers, understand their benefit options, and become educated and self‐directed consumers of healthcare.
Click here to locate a dental provider, then click on "Find a Dentist"
Click above to find a doctor or call (505) 727-2727 or 1-800-727-2701
No Surprise Act - Click here for information on No Surprise Act
Click here for Reimbursement Form.
Click here to view online claims status for participant claims.
Click here to reprint an explanation of benefits
Looking for your documents/forms? Click here.
1095B Notices are now available by logging in to your portal account
For Medicare-Eligible Retirees & Medicare-Eligible Spouses of Retirees who participate in the Prebyterian Senior Care HMO-POS Employer Plan 4
New Effective December 1, 2022 Hearing Benefits with TruHearing
Effective 12/1/2022, TruHearing will supply active employees, retirees and eligible dependents of SMART Local 49 Family Health Plan with access to hearing aids and related professional services at little to no out of pocket cost. Employees, retirees and eligible dependents will have the opportunity to utilize a larger network of providers with this new exclusive vendor.
If you or your eligible dependent is interested in scheduling an appointment, or if you have questions regarding your hearing benefits contact TruHearing at 833-312-2942.
The TruHearing program - what is covered click here
Alliance Work Partners - Employee Assistance Program (EAP)
WorkLife Services - Here for you as life happens …
We all know drinking & driving don’t mix
Your employer encourages all employees and their family members to act responsibly by not driving under the influence
SafeRide is available to employees and family members for reimbursement up to $50.00 for a cab or rideshare distance of up to 50 miles one-way to the employee or family member’s place of residence, should the employee or family member be impaired and consequently, unable to drive responsibly
SSA Portal Mobile App