Introducing Lantern for Specialty and Complex Care — Your Guide to Better Support

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We are pleased to introduce this new benefit Lantern for Specialty and Complex Care, available to employees and covered dependents age 18 and older who are enrolled in an SMP medical plan.

Lantern is a personalized healthcare support service that help members navigate planned, non-emergency specialty and complex medical procedures. The program connects members with high-quality specialists and provides dedicated guidance throughout the care journey, helping to ensure better outcomes, a smoother experience, and potential cost savings.

Lantern supports a wide range of planned procedures, including but not limited to joint replacements, spine and orthopedic surgeries, colonoscopies, ligament repairs, hysterectomies, and certain cardiac procedures. Emergency surgeries and cosmetic procedures are not included in this program.

Key features of the Lantern program include:

  • Access to highly qualified, board-certified surgeons and specialists selected based on experience, quality, and outcomes
  • One-on-one support from a dedicated Care Advocate who assists with education, scheduling, and coordination of care
  • Expedited access to care including help securing appointments and managing pre- and post-procedure needs
  • Cost savings for eligible procedures with reduced or waived member cost share when Lantern is used in accordance with plan guidelines
  • Travel and lodging support for procedures requiring travel of more than 100 miles, including assistance with booking and reimbursement for travel, lodging, and meals, when applicable
  • Language support services to ensure accessible care for members and their families

How the Program Works:

  1. Members contact Lantern before scheduling a planned procedure.
  2. A Care Advocate reviews the member’s needs and explains available care options.
  3. Lantern coordinates care with an appropriate specialist and assists with logistics, scheduling, and follow-up.

Please note, care provided through Lantern is considered in-network under SMP medical plans.

  • Under the PPO Plan, eligible procedures have no member cost share when using Lantern.
  • Under the HDHP Base and Value Plan, eligible procedures have no member cost share after the minimum deductible is met.

Employees and eligible dependents are highly encouraged to contact Lantern before scheduling a planned specialty or complex procedure.

If you have any questions, do not hesitate to contact the Benefits team.