An important note about reaching the "ceiling" on a project

• When you are paid for work on a project, the employer has an obligation to contribute funds to the SAG-AFTRA Health Plan based on them.
• However, there is a “cap” to that obligation, which is determined by the “ceiling” for each project which is indicated in the SAG-AFTRA agreements.   
• Once those ceilings have been met, the producer is no longer obligated to pay contributions to the Plan, and the earnings you received won’t be reported.
• This is why you might notice your earnings with the SAG-AFTRA Health Plan do not always match your personal records or your SAG Union dues statement.
• Please see the Covered Earnings page on our website for more information about ceiling thresholds by production type.
• You can always contact the production’s payor to inquire if you have met the ceiling on a project.

Memorial Sloan Kettering and Anthem Blue Cross and Blue Shield reached an agreement. Memorial Sloan Kettering will remain in the Anthem network. Please visit https://www.anthem.com/msk/ for more information.

We are committed to ensuring Plan Participants impacted by the devastating Southern California fires have access to the resources you need to meet your immediate health care demands. Below is a list of special benefits for Participants to make sure you and your families get seamless access to the physical and behavioral health care you need now.

CVS

• Early Prescription Refills: If you or a family member needs an early prescription refill, you can receive up to an additional 30-day supply at any CVS Caremark network pharmacy.
• Expanded Access: If you take “maintenance medication” for a long-term condition (like blood pressure, cholesterol, or diabetes) you can receive an additional 30-day supply from any CVS Caremark network pharmacy (including Vons, Costco) instead of having to visit a CVS-owned pharmacy. Contact CVS Caremark Customer Care through the app or website to adjust your copay as needed.
• Special Medication Delivery: If you take a specialty medication, CVS will contact you to review delivery options.
• Pharmacy Locator: Log into the Caremark app or website to locate the closest CVS network pharmacy. You can also check CVS’ store locator website for real-time open/closed status.

Contact CVS Caremark at (833) 741-1361.

Carelon

• Behavioral Health Benefits: SAG-AFTRA Health Plan Participants can access virtual (and in-person) mental health counseling and clinical support 24/7 by calling (866) 277-5383. 

Anthem

• Anthem has revised its guidelines through February 6, 2025 (unless extended) for Participants impacted by the California wildfires in Los Angeles and Ventura counties as well as emergency responders activated to the area. 
  • Durable Medical Equipment (DME): Replacement of DME and supplies is allowed for affected Participants.
  • Authorization and Claims: Time limits for prior authorizations, pre-certifications, and referrals are waived.
  • Claim Filing Deadlines: Deadlines are extended for affected Participants.

Contact Anthem at (833) 414-5790.

If you have any questions or need any additional assistance, please contact us. 

Additional Help

Additional assistance is also available to all Participants, including those not currently covered by the SAG-AFTRA Health Plan:

Carelon

Crisis Support Line

• Carelon Behavioral Health’s Crisis Support Line is open for the entire community, regardless of medical/behavioral health coverage. Crisis Support Line: 988

Website Resources

• Carelon’s website offers informational content on how to cope with the emotional impact of wildfires.

VSP

If you need replacement eyeglasses or contacts contact the local American Red Cross chapter or shelter, or call 800.RED-CROSS (800.733.2767). You can also visit their website 24/7 for information on VSP Eyes of Hope gift certificates or alternative solutions. 

Additional Resources

Additional assistance resources are available at SAG-AFTRA Foundation’s Disaster Relief Fund website and on SAG-AFTRA's website.