Compounded medications are prepared to meet the needs of individual patients and are not FDA approved. Preferred insulins and certain preventive products are covered by the prescription drug plan at $0 copay under the Affordable Care Act with a written prescription from your health care provider, including for over-the-counter (OTC) products. A student who is receiving a U-M health insurance plan or, A student who is graduating and receiving health insurance through their new employer, You will receive an email that contains your BCN enrollee ID number, On your Member Page, go to Your ID cards then click View or order ID cards. Student Health Benefit Plan | Office of Student Health Benefits To have a 90-day supply dispensed, your health care provider must write your prescription for a 90-day quantity. For enrollment questions, contact Relation Insuranceat: For benefit information, see BCN U-M Student Health Plan or call 800-287-4103. Most modern hard drives store half of this amount of data. They are covered only if they meet ALL of the following criteria (note: compounded medications cannot be filled through Birdi mail order): The compounded medication must contain at least two covered ingredients. If you enroll in the plan and you change the amount of your coverage at a future date, the beneficiary you designate now will remain your beneficiary until you make a change online or complete and submit abeneficiary designation form. If your date of hire is prior to 1/1/2001 and you are not enrolled in the . These term plans have neither cash value nor provisions for loans. By Jean DolegaHuman Resources Communications. If any inconsistency exists between this site and the written plans or contracts, the actual provisions of each benefit plan will govern. Benefits Who can enroll (eligibility)? Brand name drugs are patent-protected and product-trademarked. The Safety, Benefits and Future of Genetically Modified Organisms 3333590. Compounded prescription medications that contain bulk chemicals. If you'd still like a copy, please see. are eligible. If you need health insurance, please consider this plan, which was developed with students' needs in mind. These files may be large and require a computer that can download at least up to 1TB (terabyte) of data. Please note:If you choose a level of Life Insurance coverage for yourself or your eligible spouse or other qualified adult (OQA) that requires completion of a Statement of Health, you will receive an email from MetLife. For a summary of all new opioid laws in Michigan, please refer to the Department of Licensing and Regulatory Affairs (LARA) and the Michigan Department of Health and Human Services (DHHS)s Frequently Asked Questions document. After insurance has been purchased, there are no cancellations and no refunds other than: There are two ways that you can obtain your insurance card: Follow instructions at Find a Doctor outside of Michigan - Step by Step (PDF). Benefits and Wellness | Human Resources University of Michigan A U-M student enrolled in the Plan who is on an approved medical leave of absence needs to have purchased the insurance prior to the event causing medical leave. Click to accept the terms and conditions. Call the SSC Contact Center at 5-2000 from the Ann Arbor campus, (734) 615-2000 locally, or (866) 647-7657 toll free, Monday through Friday from 8 a.m. to 5 p.m. 2023 The Regents of the University of Michigan, Medicare Part D Prescription Drug Coverage, Frequently Asked Questions About Pharmacy Compounds, See News and Updates for the information ondrug coverage changes, State-Wide Initiative to Standardize the Compounds of Oral Liquids in Pediatrics, For more information, see Frequently Asked Questions about Pharmacy Compounds, Download the University of Michigan Prescription Drug Claim Form, University of Michigan Prescription Drug Planformulary, The Regents of the University of Michigan. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Home Health and Well-Being Health Plans Prescription Drug Plan Well-Being at U-M Dental Plan Mental and Emotional Health There are two types of FSAs, pre-tax accounts used to pay for qualified health care expenses or child day care expenses. Although the University has elected to provide these benefits, no individual has a vested right to any of the benefits provided. Dental Plan | Human Resources University of Michigan However, if any provision on the benefits plans is unclear or ambiguous, the Benefits Office reserves the right to interpret the plan and resolve the problem. Open Enrollment for 2021 benefits includes new health plan option This list will change as standardized formulations containing bulk chemicals are added, removed, or revised. For longer overseas trips, contact the SSC Contact Center at 734-615-2000. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. However, with out-of-network providers, you may pay higher fees and receive bills for the balance. Retired university faculty and staff who were participating in the University Plan on the date of their retirement are eligible forRetiree Group Term Life Insurance. For more information, visit theU-M Benefits Officewebpage on Prescription Drug Plan. during spring/summer session) at the Ann Arbor, Dearborn or Flint campuses, including: U-M degree-seeking students who are taking their classes on-line or remotely are eligible. The Student Health Insurance Committee negotiates this insurance plan for students and addresses domestic student health insurance issues. If your credit card is denied, you will be given the opportunity to provide alternative payment details, but this must be received no later than the deadline as listed below. They may be extremely large (more than 100GB and up to 1TB) and will require a special application to open. If you still want an ID card, you can print a customized ID card on demand using Delta Dentals Consumer Toolkit. Diabetic injectable insulin without available biosimilars, needles, and syringes. Kraft Heinz Co. 's employee benefit plan filed a suit June 30 against Aetna Life Insurance Co. in the US District Court for the Eastern District of . Annual Installment Payments: This is available only to those who purchase the annual planfor the entire policy year. Before calling, please make sure your pharmacy has a prescription with enough refills for the duration of your trip. Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. Benefits changes and new rates will take effect Jan. 1, 2021. Graduate Student Research Assistants (GSRAs) who have at least a 25% appointment and funding for a minimum of four continuous months in any term. The University of Michigan prescription drug plan covers outpatient, self-administered medications that require a written prescription. The University of Michigan provides access to approved medications, although there may be higher copays for non-preferred drugs. If you received a notice from the university because a Social Security number is not on file for one or more your dependents covered by your University of Michigan health plan, please complete the Dependent Information Form and return it as instructed on the form. Major services, such as crowns, implants and dentures, are covered at 50% with a PPO dentist and 40% with a Premier dentist. Coverage for medical leave cannot extend beyond one Policy Year past the current year enrolled for classes. More information can be found on theU-M Benefits Officewebsite. As alleged in the Indictment, Cesar was a licensed physical therapist assistant at Elite . New drugs are subject to review by the university and Magellan Rxbefore being covered or excluded. However, if any provision on the benefits plans is unclear or ambiguous, the Benefits Office reserves the right to interpret the plan and resolve the problem. Coverage and Drug Information - Human Resources University of Michigan Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. Learn More Shop and Compare Plans Make a Payment Health & Wellness Resources Keep track of your health and learn how to use our tools to reach your health and wellness goals. Eligible students are enrolled in a Point of Service (POS) plan. Your lowest out-of-pocket costs with be with a Delta Dental PPO dentist. For most faculty, staff, and retirees, the university pays the full cost for coverage for you and your eligible dependents enrolled in Option 1. Preventive and wellness services and chronic disease management. Important: To receive the Tandem PPO in-network benefits, before receiving services, always verify your doctor's status in the Tandem PPO Network by calling Shield Concierge at (855) 599-2657 . All three options cover diagnostic and preventive services, including: Option 1 is for those who primarily need preventive dental work including regular checkups and cleanings. Appeals for lower copays are not accepted. An email notification will be sent prior to the next payment due date. Horizon BCBSNJ: Monmouth University HRA Administrator Coverage for: All Coverage Types Plan Type:DA (00851V6:0035,00 36,0037,0038,0039,0040,0041,0042) M/PM (Prescription/Direct Access HR A Compatible)/BlueCard 1 of 9 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Frequently Asked Questions about how to use the plan. If your credit card is denied, you will be given the opportunity to provide alternative payment details, but this must be received no later than the deadline as listed below. The University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents. Get online mental health support, and more. Vitamins, other than select prescription prenatal vitamins, vitamin D, K, injectable B-12 and those specified in theAffordable Care Act. Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. The active ingredient(s) must be approved by the FDA for medicinal use in the United States. Compounds containing bulk chemicals are not covered by the prescription drug plan. In general, new drugs and medicines that have not been reviewed by the plan. Annual Installment Payments for 2021-22 Policy Year: Enrollment is only available during open enrollment periods, unless you have a Qualifying Life Event such as turning age 26 and being removed from your parent's health insurance, the birth of a baby or marriage or ending of an insurance policy. 734-764-8320 This NPRM proposes to modify the definition of short-term, limited-duration insurance (STLDI) and modify the conditions for hospital indemnity or other fixed indemnity insurance to be . Full eligibility requirements can be found in the member guidein the "Enrollment" section under "StudentCoverage". The university provides a basic level of life insurance coverage at no cost to faculty and staff, with the option to add more coverage for yourself or your dependents at your expense. One way to gain these skills and become a more effective leader is through a public health dual-degree program, which allows you to complete a public health master's program alongside a. Preferred insulins and certain preventive products are covered by the prescription drug plan at $0 copay under the Affordable Care Act with a written prescriptionfrom your health care provider, including for over-the-counter (OTC) products. The pricing tool will not provide cost estimates for theproduct selection penaltyor medications that require prior authorization. When you elect life insurance coverage for the first time (including automatic enrollment into the University Plan), you must designate a beneficiary with MetLife online or by completing and submitting thebeneficiary designation form. University coverage continues only through the end of the month in which the faculty or staff member terminates. This summary is intended to provide highlights of the plan. University Plan - $30,000 of coverage for you paid for by the university (automatic enrollment if your date of hire is after 1/1/2001). Qualifying Life Events include turning age 26 and being removed from your parent's health insurance, the birth of a baby or marriage or ending of an insurance policy. Regular purchasing of monthly supplies outside the U.S. is discouraged and may result in denial of claims being paid unless pre-approved by the drug plan (i.e., for individuals who live outside the U.S.). However, members will pay a discounted rate for these services when they use a PPO or Premier dentist. A maximum of two vacation overrides per medication are allowed each year. 2023 The Regents of the University of Michigan. Email questions to sharedservices@umich.edu, or call 734-615-2000 or 866-647-7657 (toll free), 8 a.m.-5 p.m., Monday through Friday. Ann Arbor, MI 48109-1050 If you're an Ann Arbor campus student, you'll save money by going to University Health Service or by selecting an in-network health care provider for health care. Kraft Heinz Co.'s employee benefits committee accused Aetna Life Insurance Co. of mismanaging its health and dental plans by pocketing undisclosed fees and paying millions of dollars worth of claims that shouldn't have been approved.. Aetna, which served as the third-party claims administrator Kraft's plans, approved false, fraudulent, and improper claims, including thousands of .