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UWHC,UWMF,

Benefits,

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Pay & Benefits,Benefits,Health, Dental, Vision Insurance,UW Medical Foundation

Health Insurance (UWMF)

Health Insurance (UWMF) - Pay & Benefits, Benefits, Health, Dental, Vision Insurance, UW Medical Foundation

Focus

Benefit Summary

For your health and protection, we offer an HMO medical plan though Unity Health Insurance Company which includes vision, behavioral health and prescription drug coverage. Your coverage may begin as early as the first of the month coinciding with/following one month of employment.

  Traditional HMO HMO HDHP
Deductible $250 single/$500 family $2500 single/$5000 family
Out-of-Pocket Limit

$1250 single/$2500 family for medical expenses

$2000 single/$4000 family for prescription expenses

$2500 single/$5000 family
Copay

$15 Primary care visit
$15 Chiropractic/adult vision visit
$25 Specialty visit 
$75 Emergency room visit
$25 Urgent care

Pay full cost for services until the deductible is met.
Co-Insurance 10% coinsurance after deductible

0% coinsurance

Flexible Spending Account (FSA) Eligible to enroll in a Health Care Flexible Spending Account to set aside pre-tax dollars to use for medically necessary expenses not covered by health insurance such as, deductibles and co-insurance, office or prescription co-pays, major dental expenses, glass or contacts and refractive surgery. Enrollment must be done annually.

Eligble to enroll in a Combination Flexible Spending Account  to pay for medically necessary vision and dental expenses not covered by health insurance, as well as health care costs after your annual deductible has been met. Enrollment must be annually.

Health Savings Account (HSA) Not eligible to enroll in a Health Savings Account. 

If enrolled in the HDHP, employees must enroll in the associated Health Savings Account (HSA) annually. 

 

Benefit Eligibility

All regular full-time and part-time employees with an FTE of 0.50 or greater are eligible to enroll in UWMF’s health insurance.

Premiums/Rates

2018 Unity HMO Traditional and HMO High Deductible Health Plan Health Insurance Premium Rates

How Do I Select My Primary Care Provider (PCP)

If you were previously covered by Unity Health Insurance, a Quartz Affiliate (Unity) and have a PCP on file that is still a par provider, Unity will reactivate this PCP for you and your eligible dependents.

If you were previously covered by Unity Health Insurance, a Quartz Affiliate (Unity) and your PCP on file is no longer a par provider, or you were not previously covered by Unity Health Insurance:

Enrollment

Initial Enrollment

Enrollment in health insurance requires submission of the Quartz Application Form to Human Resources within 30 days of the date of hire. Coverage will be effective the first of the month coinciding with/following one full month of employment.

Qualifying Life Event

Changes may be made to your Health Insurance if a qualifying life event occurs. To make changes, please review Life Events (UWMF) page for information on what changes you can make due to a Qualifying Life Event, how to obtain applications, and when the change is effective. Completed applications must be submitted to Human Resources within 30 days of the qualifying life event.

A qualifying life event includes marriage, birth or adoption of a child, a death, divorce, termination of employment, or for dependent care only, a change in childcare providers or cost.

Open Enrollment

An annual enrollment period is offered for Health Insurance each year during the Open Enrollment period in the fall. This is an employee’s opportunity, outside of a qualifying life event, to make changes to your benefits.

Resources

Additional Resources

e-Visit Online Tutorial

Preventative Services Covered under the Affordable Care Act

Unity Web Site

Unity's Choice90 Program

Domestic Partner Information

Domestic Partner Affidavit

Enrollment Forms

Premiums/Rates

2018 Unity HMO Traditional and HMO High Deductible Health Plan Health Insurance Premium Rates

Summary of Benefits and Coverage

Schedule of Benefits

UW Medical Foundation Schedule of Benefits (SOB) HDHP HMO

UW Medical Foundation Schedule of Benefits (SOB) Traditional HMO