PowerPoint: RA/TA/GA Health Insurance

Student Health
UK Student Insurance Coordinators
Melynda Burke
UK Graduate School
Emily Duncan
University Health Service
An Equal Opportunity
An Equal
Opportunity University
What is a Funded Graduate
Each semester students must be:
Enrolled in the Graduate School
In UK payroll with an assignment as a full-time TA, RA,
GA (20 hrs. per week), or qualifying institutional
fellowship recipient*
*or a full combination of these positions
Only the Graduate Funding Office can verify eligibility for fully-funded status.
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As a funded student, how do I
sign up?
Qualified funded graduate students are automatically
enrolled—the entire process is designed to be hassle free
There are no forms or paperwork to complete
Email and mailing address are obtained from My UK
account – make sure this is current
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When does coverage begin?
Coverage begins August 20th
The insurance year is broken into only two parts:
• Fall (August 20th – December 31st cost of $743)
• Spring/Summer (January 1st – August 19th cost of
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How will I receive policy
Create account in your
United “My Account”
– Email from
[email protected]
System includes:
– ID Cards
– Claim letters
– EOB statements
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What if I am not a funded
graduate student?
Voluntary Purchase: Identical coverage for domestic students is
available for purchase online via uky.myahpcare.com . The plan is
$2,022 per year. Monthly installments are available.
International Students: Insurance coverage for international
students is mandatory. The fee for the premium is automatically
applied to your student bill. The charge for fall semester is $743.
The charge for spring/summer will be $1,279.
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As a funded international student,
when will my insurance
charge be paid?
After your eligibility as a funded graduate student is
confirmed by the Graduate Funding Office, the premium
is then paid.
Allow one month after the first day of classes for
processing each semester. In the event of a processing
delay on the Graduate School’s part; you will not be
responsible for late fees incurred.
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Certificate Brochure
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Maximum Benefit
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#1 fundamental to understand
about the plan structure:
This policy is a PPO: preferred provider organization.
UK clinic and hospital physicians are the in-area preferred
You can incur significantly higher costs away from UK.
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Amount you must satisfy before
your insurance will pay for any
covered service.
$0 at UHS Providers
$100 at UK Providers
$500 at United Providers
$1,000 at Out-of-Network Providers
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Percentage of bill you pay
based upon the provider
10 % at UHS
20% at UK Providers
35% at United Providers
50% at Out-of-Network
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Prescription Benefit
Copays based upon provider network and drug
For drug tiers information:
– See Prescription Drug List (PDL) available at
www.uhucrs.com, login to “My Account”
– Call 1-855-828-7716 or the number on your
health ID card
Contraceptives covered:
– Tier 1 contraceptives covered at 100%
when filled at network pharmacy
– To locate $0 cost-share contraceptives
• Login to “To My Account” at
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Emergency Room Care
Your insurance will not pay for
care in the Emergency Room if
you do not have an emergency
medical condition as defined
in your plan brochure.
– For example: headache=NO
broken leg=YES
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If you are unsure if your condition
is an emergency, call United
Health care 24 Nurse Advice
855-383-7875, PIN 722
UHS also has a Phone Nurse Line
during business hours.
859 – 323-INFO (4636)
Other policy features...
Dependent coverage - if insured on the plan, you can purchase coverage for qualifying
dependents at uky.myahpcare.com. Please note this coverage can only be purchased
during open enrollment windows or with a qualifying life event.
Travel assistance – provided by On Call International including:
– Medical evacuation, medical referral, lost luggage, travel information, visa, passport,
and inoculation requirements.
UnitedHealth Allies Discount card - savings of 10% to 25% at the point-of-service for dental
and vision care, as well as health and wellness products.
– For details, Log in to www.sr.unitedhealthallies.com to download the member
handbook, and locate providers and learn more about each savings opportunity. The
discount program is not insurance and is provided by OptumHealth as a value-added
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Policy Information……
All the tools you will need are available
24 hours a day at: uky.myahpcare.com.
 Read the Certificate Brochure
 Search for health care providers in
the national network when away
from UK
 Purchase coverage for yourself
and/or your dependents
 Print or request replacement ID
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University Health Service
University Health Service is located at 830 S. Limestone Street, directly
south of the Kentucky Clinic and in front of the Wethington Building
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What is University
Health Service?
University Health Service (UHS) is an
on-campus clinic available
for student use.
Primary Care Clinic
Women’s Care Clinic
Nursing Clinic
Behavioral Health Clinic
Health Education & Promotion
Urgent Care
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Who can use UHS?
• Full-time students are assessed the health fee with their
mandatory fees and tuition.
• Summer coverage available with optional health fee or on a
fee for service basis.
• Year round health fee available for some programs.
(Medicine, Dentistry, MBA (1 year), PT post doc.)
2014-2015 Health Fee: $175/semester
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UHS Providers
• 11 Physicians
– Board certified in family practice, internal
medicine, emergency medicine, medpeds, psychiatry, occupational and sports
• 6 Nurse Practitioners
– Certified in family medicine, women’s
health and psychiatry.
10 Nurses
7 Nursing Assistants
1 Dietician
2 Certified Health Educators
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What does the
Health Fee not Cover?
The health fee is designed to cover primary care and preventive
medicine. Items not covered by the health fee include:
• Diagnostic testing (X-rays, most lab tests)
• Hospitalization
• After hours care: Urgent Treatment, Emergency Room
• Surgical procedures
• Referrals to specialists
• Prescriptions
• Vaccines
Students are encouraged to have health insurance to cover these expenses.
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Clinic Hours
Monday – Friday:
8:00 a.m. – 6:00 p.m.
9:00 a.m. – 11:00 a.m.
Summer and when school is not in session:
Monday – Friday
8:00 a.m. – 4:30 p.m.
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What should I bring to my
appointment at UHS?
Don’t forget:
• Immunization record (copy or picture is OK)
• UK Student ID card
• Health insurance card
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Cheese! (Take my picture!)
Primary and women’s care appointments: (859)
323-APPT (2778)
Behavioral health appointments:
(859) 323-5511
Phone Information Nurse:
(859) 323-INFO (4636)
On call physician for after hours emergencies:
(859) 323-5321
Compliance fax: (859) 257-9809
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Key take-away facts
Set up your online account in the United My Account system
UK’s physicians and pharmacies will help your dollars go the
Instead of memorizing, know how to locate your resources
Ask questions as preparation instead of panic
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