Lutheran Preferred is a Preferred Provider Organization (PPO) offered to self-funded employers throughout Northern Indiana. It consists of carefully selected networks of quality healthcare providers that have been selected to become part of an employer's medical benefit plan.
With the right plan, you can reduce out-of-pocket expenses for services such as doctor visits, hospital stays, prescriptions, dental, and vision care. Not only will you receive the best benefit your medical plan offers, but you also receive negotiated, discounted rates from network providers.
What Lutheran Preferred Coverage Includes
Health insurance helps cover the cost of medical care in exchange for a monthly premium. Having coverage improves access to care, supports better health outcomes, and provides peace of mind by reducing financial stress for you and your family.
The Lutheran Preferred and Three Rivers Preferred team of physicians, hospitals, and other providers have joined forces in a cooperative effort to help control the cost of healthcare while assuring that quality services are provided. Lutheran Preferred and Three Rivers Preferred, Preferred Provider Organizations (PPOs), are carefully selected networks of quality healthcare providers that have been selected to become part of your employer's medical benefit plan.
| Coverage feature | How it applies |
|---|---|
| Provider network | Access to selected physicians, hospitals, and other healthcare providers. |
| Medical benefits | Doctor visits and hospital stays are among the services that may be covered under the medical plan. |
| Prescription coverage | Prescriptions may be included according to the employee's benefit plan. |
| Dental and vision care | Dental and vision care may be included according to the employee's benefit plan. |
| Discounted rates | Network providers offer negotiated, discounted rates. |
Who Offers Lutheran Preferred
Lutheran Preferred and Three Rivers Preferred are PPO products offered to self-funded employers throughout Northern Indiana. The Lutheran Preferred and Three Rivers Preferred network are managed by MedPartners.
The MedPartners organization provides employers with a variety of cost-effective options addressing a wide range of needs. TPA MedPartners offers a variety of services to our long-standing TPA partners in the local, state and regional markets.
Services for Employers and Administrators
Our services include network management, utilization review and large case management. These services support the administration of healthcare networks and employer medical benefit plans.
An employee's benefits are dependent on the Summary Plan Document (SPD) that has been issued by the employer. The SPD is administered by a Third Party Administrator (TPA) that has been selected by the employer.
Claims are paid according to the employee's benefit plan. The benefit plan is administered by a Third Party Administrator (TPA) that has been selected by the employer.
How to Review Benefits and Claims Information
Please enter your company name or group number below to discover which TPA to contact to review benefit information. Please enter your company name or group number below to discover which TPA to contact to review claims information.
The employer's SPD determines the benefits available to an employee, while the selected TPA administers the plan. Reviewing the SPD and identifying the appropriate TPA are therefore necessary steps for understanding benefits and claims information.
Provider Networks and Available Resources
These highly-regarded Preferred Provider Organizations service regional self-funded employers by offering a wide choice of quality physicians, facilities and ancillary services. Network providers can click here to access current employer reports.
Available network resources include Lutheran Advanced Map, Lutheran Preferred Map, Three Rivers Preferred Plus Map and Northwest Health Preferred Map.
Important Network Change Effective January 1, 2025
Effective 1/1/25 Orthopaedics Northeast, Parkview Physician Group and any remaining Parkview Community Hospitals will be out of network for Lutheran Preferred and Three Rivers Preferred.
Contact our special dedicated phone line to switch your physician to an in network provider. Call 260-416-5962 to find a physician that works for you.
This network change applies to Lutheran Preferred and Three Rivers Preferred and may affect the provider location or physician used for care. Confirming network participation before receiving services helps identify an in network provider under the applicable plan.
Choosing an In-Network Provider
The Lutheran Preferred and Three Rivers Preferred network offers access to physicians, hospitals, and other providers that participate in the employer's medical benefit plan. Network participation is important because network providers offer negotiated, discounted rates.
Contact our special dedicated phone line to switch your physician to an in network provider. Call 260-416-5962 to find a physician that works for you.
Benefit levels, covered services, and claim payments are determined by the employee's benefit plan. Claims are paid according to the employee's benefit plan.
Relationship Between the PPO and the Employer Plan
Lutheran Preferred is the provider network component of a PPO product offered to self-funded employers. The employer selects the medical benefit plan and the TPA that administers it, while the network provides participating healthcare providers and negotiated rates.
An employee's benefits are dependent on the Summary Plan Document (SPD) that has been issued by the employer. The SPD is administered by a Third Party Administrator (TPA) that has been selected by the employer.
For that reason, the name Lutheran Preferred alone does not describe every benefit available to an employee. The applicable SPD and the employer-selected TPA determine the details of coverage and claims administration.
Employer Directory
Need to know what employers utilize our networks? Network providers can click here to access current employer reports.
The employer directory and group information can help identify the applicable network and the TPA responsible for reviewing benefit or claims information.
Related Preferred Networks
Lutheran Preferred and Three Rivers Preferred are offered as PPO products for self-funded employers throughout Northern Indiana. Related network resources include Lutheran Advanced Map, Lutheran Preferred Map, Three Rivers Preferred Plus Map and Northwest Health Preferred Map.
These network options are designed to provide a choice of quality physicians, facilities and ancillary services for participating employer plans.