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Directors Guild of America – Producer Pension and Health Plans
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Self-Pay Plans

If you become eligible for COBRA coverage or Extended Self-pay Coverage, you may have the option
of choosing the following:

  • DGA Gold Plan;
  • DGA Silver Plan; or
  • DGA Bronze Plan.

The chart below summarizes the differences between your coverage options. For a more detailed explanation of the plans, refer to the March 2020 Health Plan Summary Plan Description beginning on page 22.

DGA–Producer Health Plan Self-Pay Plans
Gold Plan Silver Plan Bronze Plan
Medical Coverage Yes Yes Yes
Prescription Coverage Yes Yes No
Dental Coverage Yes No No
Vision Coverage Yes No No
Individual Deductible $325 $325 $750
Family Deductible $975 $975 $2,250
Network Co-insurance 90% 90% 70%
Network Out of Pocket Limit $1,000 $1,000 $7,500
Non-Network Co-insurance 70%-Premier Gold*
60%-Choice Gold*
60% 50%
Non-Network Out of Pocket Limit $3,550 – Premier Gold*
$8,900 – Choice Gold*
$8,900 $12,500

Once you elect self-pay coverage, you may not switch to a more expensive plan for as long as you remain on self-pay coverage (unless you subsequently requalify for Earned Coverage).

The DGA Gold Plan offers two levels of coverage: a premier level and a choice level. These coverage levels do not affect benefits eligibility but do affect the non-network co-insurance and non-network out of pocket limits for this plan. Participant eligibility for premier or choice level coverage is determined by their plan coverage immediately prior to becoming eligible for a self-pay plan.

For more information, see the DGA Gold Plan section of the March 2020 Health Plan Summary Plan Description beginning on page 22.

More on the Health Plan

HIPAA Notice of Privacy Practices

Benefits Overview

About the Health Plan

Medical

Dental

Prescription Drugs

Vision

Preventive Care

MPTF

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

Notice to E-Bill Express Online Bill Payment Users

Notice to E-Bill Express Online Bill Payment Users

By DeLon Howell  /  January 14, 2021
Martin Luther King, Jr. Day Office Closure

Martin Luther King, Jr. Day Office Closure

By DGA-PPHP Communications  /  January 11, 2021
Winter 2020 Spotlight on Benefits Newsletter Now Available

Winter 2020 Spotlight on Benefits Newsletter Now Available

By DGA-PPHP Communications  /  December 18, 2020
New Premium-Free Benefit Created for Eligible Participants. For those who Lost Earned Active Coverage on June 30th, September 30th or December 31st, 2020, the Board of Trustees has created the Bronze Plus Plan as an Alternative to COBRA Continuation Coverage

New Premium-Free Benefit Created for Eligible Participants. For those who Lost Earned Active Coverage on June 30th, September 30th or December 31st, 2020, the Board of Trustees has created the Bronze Plus Plan as an Alternative to COBRA Continuation Coverage

By Peggy Bottger  /  November 24, 2020

Contact Us

Main Phone: (877) 866-2200

Faxes:

Address Change: (323) 866-2389
Contributions: (323) 866-2311
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

Copyright 2020 Directors Guild of America–Producer Pension and Health Plans | All Rights Reserved

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