Medical
University Health offers a comprehensive medical plan called the University Family Care Plan. This plan includes two networks:
• University Health Family Network
• First Health Network
Category | Semi-monthly Premium |
---|---|
Employee | $49.21 |
Employee + Spouse/Domestic Partner | $90.67 |
Employee + Child(ren) | $89.24 |
Employee + Family | $153.24 |
Schedule of Benefits [PDF] – A summary of covered services and fees.
Summary of Benefits [PDF] – A overview of benefits.
Summary of Benefits Expanded Network [PDF] – An overview of benefits under the Expanded Network.
Summary of Benefits and Coverage – Employees Only [PDF] – A summary of covered benefits for employees only.
Summary of Benefits and Coverage – Employee & Spouse [PDF] – A summary of covered benefits for employee and spouse.
Summary of Benefits and Coverage – Employee & Children [PDF] – A summary of covered benefits for employee and their children.
Summary of Benefits and Coverage – Employee & Family [PDF] – A summary of covered benefits for employee and their family.
Benefit Election Form [PDF] – For qualifying events. Submit to Human Resources within 31 days from the event date.
Dependent Verification [PDF] – A list of acceptable documentation to be submitted for any dependents that will be added to your benefits.
University Family Care Plan Provider Directory (UFCP) – A list of available providers.
First Health Network Provider Directory – A list of available providers.
RX & Go Program – Access the prescription-filling service for University Family Care Plan members. No co-pays for new prescriptions and refills at University Health pharmacies.
RX Medications & Vaccines List [PDF] – A overview of medications, vaccines, quantity limits and medication instructions.
Notices
Community First Notice of Privacy Practices [PDF] – (Spanish [PDF])