Your medical plan works best when you know where to go,
who to call
, and how to keep care close to home.

For a quick review of how our medical plans works and common terms, view our Benefits 101 video.

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benefits 101 video poster

When you use LCMC Health providers and facilities, you are choosing a network built for LCMC Health employees,
with providers and facilities you know, trust and work alongside every day.

Starting with LCMC Health can also help you:

  • Stay in-network and use Tier 1 facilities (That means they’re part of the group of care options designed to give you the best value under your plan.)
  • Help avoid unexpected out-of-pocket costs
  • Find care within a system designed for you

Quick Links

  Find care that fits your plan

Your health journey starts with the providers you know and trust. This can help you understand what your plan may cover and avoid surprise costs.

Before you schedule care:

  • Check whether your provider is in-network.
  • Look for the Tier designation. Tier 1 means they’re part of the group of care options designed to give you the best value under your plan.
  • Confirm the location is covered by your plan.
  • Questions? Visit WebTPA or call 855.404.7776 to get started.

If you're on the Choice Plan:

To find a provider, search the Verity provider directory.  

  1. Select LCMC Health – Choice. 
  2. Enter your address, city or ZIP code. 
  3. Choose how close you want the location to be. 
  4. Search by specialty, doctor name or facility type. 

Common searches:

  • By Specialty: Primary Care, Back Pain, OB/GYN, Behavioral Health, Pediatrics
  • By Facility: Urgent Care, Independent Lab, Emergency Department, Hospital, Mammography, Physical Therapy Clinic 

 

  Helpful hint:

Tier 1 - edit

On each contact card, look for the Tier designation. All LCMC Health system facilities are Tier 1. 

If you're on the Basic Plan:

If you live in 700, 701, or St. Tammany ZIP codes, you must use LCMC Health facilities/hospitals in the Verity network.

Verity

To find a provider, search the Verity provider directory.

  1. Select LCMC Health – Basic.
  2. Enter your address, city or ZIP code.
  3. Choose how close you want the location to be.
  4. Search by specialty, doctor name or facility type.
Common searches:
  • By Specialty: Primary Care, Back Pain, OB/GYN, Behavioral Health, Pediatrics
  • By Facility: Urgent Care, Independent Lab, Emergency Department, Hospital, Mammography, Physical Therapy Clinic

  Helpful hint:

Tier 1 - edit

On each contact card, look for the Tier designation. All LCMC Health system facilities are Tier 1. 

Aetna

To find an Aetna provider, search the Aetna Signature Administrators directory.

Enter your address, city or ZIP code, choose how close you want the location to be, then use the search bar or search by category.

Helpful hint:

Only LCMC Health system facilities are Tier 1.

  Find a lab

Need lab work? Start with LCMC Health. Use the LCMC Health locations page to find lab services near you.

Other providers:

If you live in 700, 701, or St. Tammany ZIP codes, you must use LCMC Health facilities/hospitals in the Verity network. 

 Find urgent care

Start with LCMC Health and find a location that works for you.

Other providers:

If you live in 700, 701, or St. Tammany ZIP codes, you must use LCMC Health facilities/hospitals in the Verity network. 

 Find pharmacy

For prescriptions, start with LCMC Health pharmacies when you can.

LCMC Health Pharmacy Services Lakeside
Monday–Friday, 8:00 am–6:00 pm
504.577.2278 

LCMC Health Manning Family Children’s Hospital
Monday–Friday, 8:00 am–6:00 pm
504.896.7780

Did you know?

Skip the lines at the pharmacy! With Optum Home Delivery, you can get a 3-month supply of your long-term medication mailed right to you.

Need another pharmacy?

Search the Designated Pharmacy list. Or, you can create an OptumRx account to search for your nearest pharmacy, check if a drug is covered, set up mail order or get prior authorizations.

Specialty medicines

Specialty medicines must be filled at LCMC Health Pharmacy Services. Some require pre-approval. Call 504.896.7780 for help with specialty prescriptions.

 Choose the right care for your need

Choosing the right place for care can help you save time and better understand your potential costs.

LCMC Health Virtual
Care
 On-Demand

Virtual urgent care may be a good fit for minor issues. It’s often a faster, lower-cost option.

Great for common, treatable illnesses like:

  • Cough
  • Cold symptoms
  • Fever
  • Headaches
  • Pink eye
  • Rash
  • Runny nose
  • Sinus/allergies
  • Sore throat
  • Urinary tract infection

Virtual Care On-Demand appointments are available for adults and children ages 12+:

  • Monday–Friday, 9:00 am–6:00 pm 
  • Saturday–Sunday, 9:00 am–3:00 pm 

LCMC Health Urgent Care

Urgent care may be right for non-emergencies that need attention soon. Walk in or schedule a time that works for you.

Go to urgent care for:

  • Cold/flu
  • Congestion
  • Earaches
  • Fever
  • Minor infections
  • Minor injuries
  • Sprains or strains
  • X-rays
  • Labs

Emergency Room (ER)

Call 911 or go to the ER for life-threatening or severe symptoms that require immediate attention.

Go to the ER for:

  • Chest pain 
  • Difficulty breathing 
  • Heavy bleeding 
  • Major broken bones 
  • Major burns 
  • Severe head injury 
  • Spinal injuries 
  • Sudden change in vision 
  • Sudden weakness or trouble talking 

When in doubt, call the Nurse Hotline at 504.962.6202 or seek emergency care. 

Important reminder: 

Out-of-network services are only covered for emergencies. 

 Keep these numbers handy

Nurse Hotline – LCMC Health

Call 504.962.6202
Monday–Friday, 8:00 am–8:00 pm
Saturday–Sunday, 8:00 am–4:00 pm

The nurse hotline can help with:

  • Health questions or concerns
  • Finding care within the LCMC Health system
  • Connecting with a primary care provider or specialist

Medical plan questions

WebTPA: 855.404.7776

Prescription or pharmacy coverage questions

OptumRx: 800.285.3177

For detailed benefit questions, contact the People Service Center,
Monday-Friday, 8 am-5 pm at 504.702.5525 or PSC@LCMChealth.org.

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