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医疗保健计划

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Explore additional resources, and find links and forms that could be relevant to you.

表格和资源

员工福利表格
找到与你的医疗保健计划相关的表格.

术语词汇表
当你阅读福利材料时, refer back to this list for the definitions of terms that are commonly unknown or misunderstood.

2024 ALEX工具
An interactive online benefits decision tool that will assist you in understanding your benefit options.

2024健康计划指南
详细介绍大学医疗保健计划的PDF小册子, 处方药计划, 牙科计划, 金融服务管理局, 保险公司, 个人健康管理, Well-U福利.

医疗计划基础
通过此网页和视频回顾医疗计划的基本知识.

保险公司对. 金融服务管理局
A video helping explain the important distinctions between a 健康 Savings Account (保险公司) and a 弹性开支帐户(金融服务管理局)

卫生保健服务局视频概述

有限用途金融服务管理局视频概述

依赖护理金融服务管理局视频概述

2024年药房覆盖率

1月1日生效, 2024, Navitus will be the administrator of the University 药店 benefits that are included in the 治愈th plan enrollment.

如果你参加了澳门威尼斯人网上赌场的医疗保健计划, you will automatically receive prescription drug benefits in conjunction with your plan. New 治愈th plan ID cards will be mailed by Excellus prior to the start of the plan year effective January 1, 2024, that will include the necessary information for both medical and 药店 coverage. 的 Navitus药物处方 is used to determine the level of 元钱(s) or coinsurance you will be responsible for depending on the medication prescribed.

Through Navitus, you have the opportunity to utilize a mail-order 药店 – Costco. You can conveniently fill your prescriptions via phone or online and have them delivered to your home. 访问 药店.好市多.com 了解更多信息.

的 UR Employee Pharmacy offers a discount to all employees 和ir eligible dependents enrolled in a 澳门威尼斯人网上赌场 卫生保健 Plan. 药房位于医疗中心, though they do offer courier services for employees located in off-site locations. 参观 UR员工药房网站 了解更多信息.

Employees on the PPO Plan will have a plan feature called Access Guidance Services through the University’s partnership with Navitus. 该计划为某些专业处方药提供了节省. Employees are only eligible while enrolled on the PPO Plan due to rules and regulations surrounding High Deductible 医疗保健计划 (保险公司-Eligible Plan).

有关过渡到Navitus的更多信息,请参阅我们的 常见问题 或信息 概述幻灯片.

负责任卫生伙伴(AHP)

AHP is a clinically integrated network of hospitals and physicians with a proven record of improving quality outcomes and delivering value. 当访问AHP提供者时, 也被称为一级提供商, 你的免赔额会更低, 元钱, 并且自付额最高高于二级或三级供应商. To find Accountable 健康 Partners providers in your area or learn more about the AHP network, 参观 AHP提供者搜索网站.

当您访问AHP提供商时,您将获得最高水平的福利, 你可以通过AHP的组合来接受治疗, Tier 2和Tier 3提供商. 注册时不需要选择级别, your level of savings will vary as you visit providers in different tiers throughout the Plan year.

区外支付计划适用于以下大学员工, 由于业务需要,他们的职位, 必须在外面工作和生活吗 AHP网络区域 因此不能与一级医疗保健提供者一起参加. As a result, these employee will receive a stipend to assist with their 治愈th care costs. If you believe you are eligible for this program, please have your supervisor or manager contact the 总奖励办公室. 查看 2024健康计划指南 了解更多信息.

寻找供应商并估算成本

要在Excellus国家网络中找到供应商,请使用他们的 医生搜索工具. 出现提示时,选择“选择位置和计划”. 输入您的地址、城市或邮政编码. 输入您的计划前缀“URL”,然后选择“Continue”.

Excellus also offers treatment cost advisor and provider selection advisor tools. 要访问,请登录 Excellus BCBS 并选择“卓越BCBS管理我的UR医疗保健计划”.

旅行时的保健

无论你去哪里旅行,你都要带着你的医疗保险. Excellus has nationwide networks and offer international coverage which means you have access to medical assistance services, 世界各地的医生和医院. 查看网上可获得的重要保险信息:

为某些29岁以下的成年子女提供特别延长的医疗保险

为成年子女提供特别扩展医疗保险, who are not otherwise eligible for coverage under his or her parent’s University 卫生保健 Plan due to age, 学生的地位, or federal income tax dependent may be eligible to elect continuation coverage through age 29 under the University 卫生保健 Plan. 符合条件的成年子女是:

  • 年龄在30岁以下;
  • 是未婚的;
  • Live, work or reside in the state of New York or the service area of the insurer;
  • Are not covered by Medicare; and
  • Are not covered by or eligible for 治愈th insurance coverage through another employer’s group 治愈th plan (e.g. 他们自己雇主的计划,或他们另一方父母雇主的计划).

To enroll for coverage, the employee and/or the employee’s child will need to complete an 优秀报名表格 and may be asked to verify the child’s state of residency or other requirements for this coverage. 费率信息可通过供应商获得. 报名时间如下:

  • Within 60 days prior to or following the date the child’s coverage under the University 卫生保健 Plan ends due to age, 学生的地位, 或依赖联邦所得税的身份
  • 在达到成年子女身份的资格标准后60天内, when coverage for the child under the University 卫生保健 Plan had previously terminated (e.g., 在搬回纽约州后的60天内, 失去雇主保险, 成为未婚, 等.)
  • 在大学每年的公开招生期间
眼镜蛇

If you or a covered dependent lose coverage through the University 健康 and/or 牙科计划, 眼镜蛇保险可能是可用的. 查看 眼镜蛇的通知 了解更多信息.

覆盖透明度最终规则

覆盖透明度最终规则 require certain group 治愈th plans to disclose on a public website information regarding in-network provider rates and historical out-of-network allowed amounts and billed charges for covered items and services in two separate machine-readable files (MRFs).  的 MRFs for the benefit package options under the 医疗保健计划 for Faculty & 可以找到澳门威尼斯人网上赌场的工作人员 在这里.

常见问题

您的医疗保健计划问题的答案

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