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High-Quality Care at $0 Cost to You

That’s right — with your SAG-AFTRA Health Plan, you get the best care at no cost to you. 100% of the program is covered by the SAG-AFTRA Health Plan.

The Transcarent Surgery Care program covers the preoperative appointment, surgery, and postoperative appointment for participants and their enrolled dependents. Transcarent Surgery Care includes bariatric, cardiac, general, neurological, orthopedic, spinal, women’s health, and vascular procedures.

Talk to a Care Coordinator now!

Call: (855) 601-0667

Email: [email protected]

 

Care Coordinator = Concierge Service

Lean on your Care Coordinator to:

  • Answer all of your health and benefit questions
  • Schedule all your appointments and work directly with the surgeon and facility
  • Gather your health records
  • Manage your paperwork
  • Build trust - You only communicate with one Care Coordinator the entire process!

 

The Transcarent Surgery Care program covers your:

  • Preoperative appointment
  • Surgery
  • Postoperative appointment

 

The process to get started isTranscarent visual easy

1. Get started

 Call: (855) 601-0667

2. Concierge service 

Your Care Coordinator will manage the entire surgery process so you don’t have to!

3. Receive care

You’ll be matched with a selection of our highly-rated surgeons specific to your procedure.

4. Feel better

All while paying $0 out of pocket! SAG-AFTRA Health Plan covers the program cost so you’ll never see a bill.

 

FAQs

High-quality care.

Transcarent’s stringent standards for providers ensure that you receive the best care specific to your procedure. They assess complications and other measures down to the facility, provider and procedure level, review a facility’s commitment to quality safe and effective care and engage in ongoing collaboration to assure and improve the quality of care they provide. That’s how Transcarent delivers best in-class results.

Help every step of the way - Concierge service

You will only work with ONE Care Coordinator for the entire process. A dedicated Care Coordinator provides concierge support that takes the headaches out of approvals, scheduling and paperwork.

Is there really no cost to me?

YES! Surgery costs are covered at 100% for participants and eligible dependents. You’ll never receive a surprise bill! It’s simple. The SAG-AFTRA Health Plan passes on the savings from Transcarent's pre-negotiated, bundled rates to you. In a typical scenario, a participant may need knee replacement surgery and is on the participant only plan. The participant will save on the total cost of the procedure.

Which surgical procedures are covered?

  • Bariatric
  • Cardiac
  • General
  • Orthopedic
  • Spine
  • Women’s health
  • Vascular
  • Neurological

 

Note: While all cases are different, the average time from start to finish is about 6-10 weeks.

Talk to a Care Coordinator now!

 

Note: Transcarent Surgery Care is an optional benefit

You’re not obligated to use Transcarent services. If you need surgery and prefer to see your own providers, you may do so. 

If you have surgery and do not use Transcarent Surgery Care, your plan deductible and coinsurance will apply.