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Directors Guild of America – Producer Pension and Health Plans
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Summary of Coverage Plans

The table below summarizes the applicable deductibles, co-insurance rates and out-of-pocket limits for each plan offered under the DGA-Producer Health Plan. Additional details on each plan are available in the March 2020 Health Plan Summary Plan Description, pages 41-43, and its updates, which are available at www.dgaplans.org. For questions, please call Participant Services, Monday through Friday from 8:30 a.m. to 5:00 p.m. Pacific Time, at (877) 866-2200, Ext. 401.

 

Premier Choice/
Premier Gold

Choice/
Choice Gold

Silver

Bronze

Deductibles

Individual

$325

$325

$325

$750

Family

$975

$975

$975

$2,250

Co-Insurance Rates

Network

Network co-insurance rate is based on amount of Covered Expenses

90%

90%

90%

70%

Non-Network

Non-Network co-insurance rate is based on Reasonable and Customary amount of Covered Expenses1

70%

60%

60%

50%

1If you use a Non-Network provider, other than for Emergency Services, Emergency or Non-Emergency Services received from a Non-Network provider at certain Network facilities, or air ambulance services by a Non-Network provider, you will be responsible for either 30% or 40% (or 50% under the DGA Bronze Plan) of the remaining Covered Expenses depending on your plan of coverage, as well as any amount above the Reasonable and Customary amount.

Out-of-Pocket Limits

Individual Network

$1,000

$1,000

$1,000

$8,700

Individual Non-Network

$3,550

$8,900

$8,900

$12,500

 

More on the Health Plan

HIPAA Notice of Privacy Practices

Benefits Overview

About the Health Plan

Medical

Dental

Prescription Drugs

Vision

Preventive Care

MPTF

Summary of Coverage Plans

Qualifying for Coverage

Eligibility Requirements

Open Enrollment

Adding Dependents

Coverage Extensions

Types of Self-Pay Coverage

Self-Pay Plans

Pay Your Premium

Find a Network Provider

Filing A Claim

Filing a Claim

Dental Claims

Medical Claims

Prescription Claims

Vision Claims

Claims for Services Received Outside the U.S.

Medicare

Affordable Care Act Information for Participants

Resources for Non-Covered DGA Members

 

About Us

Created as a result of the Directors Guild of America's collective bargaining agreements with producer associations representing the motion picture, television and commercial production industries, the DGA-Producer Pension and Health Plans provide excellent benefits to participants.

The DGA-Producer Pension and Health Plans are separate entities from the DGA and are administered by a Board of Trustees made up of DGA representatives and Producers' representatives.

RECENT NEWS

Order More Free At-Home COVID-19 Tests Through the US Postal Service

Order More Free At-Home COVID-19 Tests Through the US Postal Service

By DGA-PPHP Communications  /  May 18, 2022
The Plan’s Office Has Reopened to Visitors

The Plan’s Office Has Reopened to Visitors

By DeLon Howell  /  May 13, 2022
Spring 2022 Spotlight on Benefits Newsletter Now Available

Spring 2022 Spotlight on Benefits Newsletter Now Available

By DGA-PPHP Communications  /  April 29, 2022
The Health Plan Will Cover At-Home COVID Tests for Covered Participants and Dependents with No Cost-Sharing Beginning January 15, 2022

The Health Plan Will Cover At-Home COVID Tests for Covered Participants and Dependents with No Cost-Sharing Beginning January 15, 2022

By DeLon Howell  /  January 14, 2022

Contact Us

Main Phone: (877) 866-2200

Faxes:

Contributions: (323) 866-2311
Demographics: (323) 866-2389
Health Plan Claims: (323) 782-9287
Health Plan Eligibility: (323) 866-2399
Pension: (323) 866-2372

5055 Wilshire Boulevard
Suite 600
Los Angeles, CA 90036

Office Hours:
Monday through Friday
8:30 a.m. to 5:00 p.m. Pacific Time

More contact options

HIPAA Notice of Privacy Practices           Surprise Billing Notice

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