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What is Lantern?

Lantern is a free supplemental program provided with your medical benefits. It provides many common outpatient surgeries and inpatient surgical procedures to help you from head to toe. The experts at Lantern negotiate costs before you undergo surgery and only work with board-certified providers. As a result, they can get an unbeatable price with the highest quality surgeons.

How do I enroll in Lantern?

Lantern is included as part of your ET medical coverage. You do not need to enroll. When you need to plan a surgical procedure, call 855-200-9512 to speak to a dedicated Care Advocate or go to mylantern.com.

How much does Lantern cost?

The Lantern program is included in your medical plan. Also, the Partnership picks up the entire cost of the surgery after your deductible is met. As an added incentive for employees enrolled in the CDHP plan, the Partnership will make an additional contribution to your HSA based on the type of surgery you receive, $250 for minor surgeries and $1,000 for major surgeries (limited to $1,000 total annual contribution).

Am I required to use Lantern for surgical procedures?

Yes, you are required to use Lantern for spine and bariatric surgeries. If you do not use a Lantern provider, these procedures will no longer be covered as of January 1, 2020. While Lantern also provides many other outpatient and inpatient surgeries, they are on a voluntary basis. Lantern can help you save money on pre-planned surgeries and procedures. Call 855-200-9512 to speak to a dedicated Care Advocate today!

How do I search for a Lantern doctor?

To locate a provider in the Lantern network, you must first contact a Care Advocate at 855-200-9512 to register and discuss your case. The Care Advocate and the Lantern provider team will review your case based on your medical needs and other preferences to develop a list of providers who are the best fit possible.

How do I know I’m going to a good doctor when I go through Lantern?

The criteria that Lantern uses to select surgeons is more stringent than most health plan requirements. All Lantern doctors are board-certified and are the best in their specialty. Not only will your doctor be high quality, he or she has already performed your specific procedure many times with great results. Surgery is complicated. Getting a high-quality doctor no longer needs to be. Call 855-200-9512 to speak to a dedicated Care Advocate today!

I already have a surgery planned. Can I use Lantern?

If you already working with a non-Lantern surgeon, it may not be too late to switch. Also, remember that all bariatric and spine surgeries must be performed with Lantern providers to be covered under your medical benefits. Experience the Lantern difference and call 855-200-9512 to speak to a dedicated Care Advocate today.

Will I have to travel to use Lantern?

It depends on the type of surgery you need and where you live. Your Lantern benefit includes the cost of travel and lodging. If you do need to travel, your dedicated Care Advocate will make all your travel arrangements and handle all the travel bills for you.

Is there an incentive to use Lantern?

Yes. Once your annual deductible has been met, the Partnership covers the full remaining cost of the surgery. This means that your coinsurance is waived completely. Additionally, if you are enrolled in the CDHP plan and you or a covered dependent use Lantern for a covered surgery, the Partnership will contribute extra money to your HSA: $1,000 for major surgery and $250 for minor surgery. The annual incentive maximum is $1,000 per family.

Does the travel benefit cover post op follow up appointments?

Post-operative care is provided locally when appropriate to avoid additional travel disruption.  However, if it is appropriate for a member to have a post-operative follow-up appointment with a Lantern provider, travel benefits will be provided as needed.

How soon should I reach out to Lantern about an upcoming surgery need?

It is recommended that you call Lantern as soon as you learn you may need surgery.

How far do I need to travel in order to be paid for my mileage for traveling to see a Lantern doctor?

If you drive a personal vehicle to a Lantern consultation and/or procedure, you will be given a flat-dollar allowance to cover travel expenses. For distances ranging from 0 – 99 miles, you will receive $25.  For 100 – 199 miles, you will receive $50. For distances 200 miles and over, you will receive $100. When travel distance approaches 300 miles or more, airfare is generally recommended. Mileage allowances are loaded to a Swift debit card that you receive in the mail from Lantern along with your welcome letter. Funds are pre-loaded 48 hours prior to the appointment.

What is covered as part of the travel to and from a Lantern facility?

If travel is necessary, benefits may include airfare, hotel, mileage reimbursement, rental car and a meal per diem of $35 per person ($70 total per day). Your Lantern Care Advocate will book travel arrangements in advance for you when possible. When this is not a possibility, funds to cover the cost will be loaded to a Swift debit card prior to your travel start date to ensure you avoid unnecessary out-of-pocket spending.

What if I can’t travel back home after my surgery?

If you travel for your surgery, travel benefits are provided until you have been cleared for travel back home by the surgeon. Travel benefits may include hotel and per diem amounts for food for you and your travel care companion.

Does Lantern pay for a family member to go along for the surgery?

Yes. A travel care companion is permitted to accompany you for procedures. The travel care companion can be a family member or other individual of the patient’s preference. Airfare, if needed, will be provided as well as the daily $35 per diem for meals loaded to the patient’s Swift card prior to the travel date.

Does Lantern pay for hotel accommodations for family members?

Yes, when necessary for a travel care companion.

How can I get my doctor on the Lantern list?

A surgeon is welcome to apply to join the Lantern network. Interested providers must be able to meet contractual and credentialing requirements in order to join the network. A physician can reach out directly by calling 1-855-200-2099.

Are epidural injections or other injections related to my spine considered part of the Lantern program?

Yes, epidurals are covered as part of conservative pain management services by some Lantern providers. For more information about this procedure, please reach out to a Care Advocate.

When do you use an Orthopedic surgeon versus a Neurosurgeon? Is Lantern referring to Orthopedic surgeons because no Neurosurgeons in their network?

The Lantern Network includes both Orthopedic Spine Surgeons (must have fellowship training specific to the spine) and Neurosurgeons. Depending on the specific details of the surgery, Lantern will recommend the most appropriate surgeon to perform the procedure required.

These frequently asked questions (FAQs) provide only an overview of benefit changes and clarifications effective Jan. 1, 2025. The respective plan documents and policies govern your rights. You should rely on this information only as a general summary of some of the features of the plans and policies. In the event of any difference between the information contained herein and the plan documents and policies, the plan documents and polices will supersede and control over these FAQs. The Partnership expressly reserves the right at any time and for any reason to amend, modify or terminate one or more of the plans or policies described in these FAQs.
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