UC Only AAUP Faculty Onboarding Binder 2022

MEDICAL INSURANCE

MEDICAL PLAN INFORMATION (AAUP)

ELIGIBILITY

65%+ FTE FACULTY

PLAN INFORMATION

PPO

HDHP

BLUE ACCESS PPO CARE NETWORK

IN NETWORK

OUT OF NETWORK

IN NETWORK

OUT OF NETWORK

$100 INDIVIDUAL $200 FAMILY $1,100 INDIVIDUAL $2,200 FAMILY

$400 INDIVIDUAL $800 FAMILY $1,100 INDIVIDUAL $2,200 FAMILY

$1,500 INDIVIDUAL $3,000 FAMILY $3,000 INDIVIDUAL $6,000 FAMILY

$3,000 PER PERSON $6,000 FAMILY $6,000 INDIVIDUAL $12,000 FAMILY

ANNUAL DEDUCTIBLE

ANNUAL OUT OF POCKET MAXIMUM

ANNUAL HEALTH SAVINGS ACCOUNT FUNDING (UC)

$350 – $800 EE $700 - $1,600 FAMILY

$350 – $800 EE $700 - $1,600 FAMILY

NOT APPLICABLE

NOT APPLICABLE

70% AFTER DEDUCTIBLE 70% AFTER DEDUCTIBLE

70% AFTER DEDUCTIBLE 70% AFTER DEDUCTIBLE

PREVENTIVE CARE**

COVERED 100%

COVERED 100%

90% AFTER DEDUCTIBLE

90% AFTER DEDUCTIBLE

COVERED SERVICES

TIER 1 (GREATEST VALUE): $15 TIER 2 (BRAND): $25 TIER 3 (HIGHER COST BRAND): $35 TIER 4 (SPECIALTY): 25% CO-INS, $250 MAX

90% AFTER DEDUCTIBLE IN NETWORK, 70% OUT OF NETWORK

RETAIL PHARMACY

MAIL ORDER 90 DAY SUPPLY (MANDATORY FOR MAINTENANCE MEDICATIONS)

TIER 1: $30 TIER 2: $50 TIER 3 : $70

90% AFTER DEDUCTIBLE IN NETWORK, 70% OUT OF NETWORK

EMPLOYEE CONTRIBUTION

RATES VARY BASED ON PLAN SELECTION AND TOTAL ANNUAL BASE PAY

ANTHEM

PLAN ADMINISTRATOR

FOR MORE INFORMATION: www.anthem.com

EMPLOYEES HAVE 45 DAYS TO ENROLL VIA UC Flex/ESS  IF NO ELECTIONS ARE MADE WITHIN 45 DAYS, EMPLOYEES WILL BE ENROLLED IN THE PPO EMPLOYEE ONLY COVERAGE PLAN

NEXT STEPS

** AS RECOMMENDED BY THE AMERICAN MEDICAL ASSOCIATION

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