Changes to the UK-HMO Plan for 2017-18Adding Out-of-Area Urgent Care to the UK-HMO Plan

SPRING 2017

HEALTHBEATNEWS for MEMBERS of UK-HMO

Effective July 1, 2017, UK-HMO is adding out-of-area urgent care as a covered benefit for the UK-HMO plan. This means that any time you are traveling outside the UK-HMO counties, you will now be able to seek treatment at an urgent treatment center for out-of-area urgent care. In the past, when UK-HMO members were out of area, the only thing they were covered for was emergent care.

However, while you are inside the UK-HMO counties, you still must be seen at the current participating urgent treatment centers for urgent care. Those will be the only participating facilities within the UK-HMO counties unless you are having an emergency. You can find a list of UK-HMO Participating Urgent Care Centers on the UK-HMO website at www.mc.uky.edu/ukhmo. Choose **UK-HMO Participating Urgent Care Centers** from the menu on the left.

OPEN ENROLLMENT EDITIONSpecial issue for all UK benefits-eligible employees

UK-HMO Open Enrollment 2017-18The UK Health Benefit Open Enrollment period that allows UK employees to sign up or switch their health benefits will be held April 24, 2017 through May 12, 2017. Changes made during the Open Enrollment period will go into effect July 1, 2017.

If you have any questions regarding your plan, contact the following numbers:

UK-HMO Customer Service 855-634-3383 (toll free)

UK Human Resources Benefit Office859-257-9519, Choose option 3, then choose option 1

Urgent care option near WilmoreUK Health Plan members who live in or near Wilmore, Ky., now have an additional in-network option for urgent care close to home. The Phyllis D. Corbitt Community Health Center in Wilmore, operated by the UK College of Nursing, sees patients 2 years of age and older for all basic urgent-care needs.

Illnesses commonly treated include:

• Colds and sinus infections

• Fevers

• Ear infections

• Bladder infections

• Minor injuries including sprains, insect bites, and minor cuts and burns.

The center, located at 317 E. Main St., is open 10 a.m. to 6 p.m. Monday – Friday, and features seven nurse practitioners, each board-certified in their specialty. No appointment is necessary.

Call 859-858-0339 for more information.

Highlights of UK-HMO Health Plans Medical Services UK-HMOChoice of Physician UK-HMO Participating Provider (Go to www.anthem.com and choose “Find a Doctor” on right of

page. Enter your ID # or alpha prefix (ULS for UK-HMO) and choose “continue.”

Choice of hospital UK Albert B. Chandler Hospital, Kentucky Children’s Hospital, and UK Good Samaritan Hospital

Emergency/accident (or urgent) care $100 co-payment per emergency department visit, waived if admitted to hospital as inpatient or observation stay.$25 co-payment at Concentra UTC - Lexington (Boardwalk, Dove Run and Sir Barton Way); and Nicholasville UTC (Bellaire Drive). Berea Urgent Care (Brenwood St.); Frankfort Urgent Care (Kings Daughters Drive); Georgetown Urgent Care (Osbourne Way, Suite 1); and Lexington Urgent Care (Nicholasville Road).$15 co-payment at UK Twilight Children’s Clinic$10 co-payment at UK Health Plan Urgent Care Clinic (University Health Service Building, first floor)

Preventive care – routine Pap smears, mammograms, PSA, screening colonoscopy and sigmoidoscopyRoutine child care and immunizations (through age 18)Routine adult physical exam (19 years and above)

100% covered

Physician (primary care) office visits for diagnosis and treatment $10 co-pay (except allergy injections, see below)

Physician (specialist) office visits for diagnosis and treatment $30 co-pay

Allergy injections $10 co-pay

Maternity care (physician) 100% covered. Inpatient co-pay will apply upon admission.

Prescription drugs Prescription drugs are covered under a separate plan through Express Scripts and UK Employee Benefits.

Chiropractic; physical therapy; occupational therapy; acupuncture; pool therapy/exercise therapy; cardiac rehabilitation; pulmonary rehabilitation; music therapy; speech therapy

$15 co-pay45 visits per plan year for all therapies combined

If a member completes at least 24 cardiac or 24 pulmonary rehab visits, UK-HMO will reimburse them 50% of the co-pays for that specific service.

Autism Autism is covered at 100% after $15 therapy co-pay for children 2 to 21 years of age for therapeutic, respite and rehabilitative care (unless receiving ABA therapy). Respite care covered at 50%.

Outpatient mental/nervous care or substance abuse care rendered by licensed psychiatrists and psychologists

$30 co-pay

Inpatient mental/nervous care or substance abuse care (acute care) 100% covered after $200 co-pay

Outpatient diagnostic tests, lab and X-ray, and other diagnostic tests (excluding HIGH COST below)Ambulatory hospital

100% covered

Ambulance (including Air Ambulance) $75 co-pay. Non-emergent ambulance will only be paid when transported to UK Chandler or UK Good Samaritan hospitals.

Outpatient diagnostic testing (HIGH COST - MRI, MRA, CT, SPECT and PET scans)Outpatient surgery

$75 co-pay

Hospital services, including semi-private room and board $200 co-pay per admission

Hospital services, observation stay $100 co-pay per observation stay

Skilled nursing 100% covered, 30-day limit

Tobacco cessation counseling 100% covered

Durable medical equipment (DME), prosthetics, orthotics 20% co-insurance ($500 maximum out-of-pocket per plan year for these services combined, then covered in full)

Durable medical equipment (DME), prosthetics, orthotics 20% co-insurance ($500 maximum out-of-pocket per plan year for these services combined, then covered in full)

Effective July 1, 2017

This is a partial listing and summary of benefits and services. For complete details of covered services, exclusions and benefit limitations, refer to the Benefits Booklet, which can be viewed at www.mc.uky.edu/ukhmo.

For the latest Open Enrollment information, including open house dates, times and locations, see the UK Employee Benefits website at www.uky.edu/HR/Benefits.

It is always important to make sure that your providers you are utilizing are UK-HMO participating providers. Even though a provider sends you to another provider or suggests that you obtain your physical therapy at a certain location, as the member, it is your responsibility to make sure you are utilizing participating providers. With all of the different insurances that are out there, the providers cannot be expected to know what providers are participating with every insurance plan.

To check to see whether a provider participates in your plan, visit anthem.com.

Check the menu icon, then choose “Find a doctor” from the “Care” column.

Log in with your username and password, or, if you have UK-HMO insurance, simply enter “ULS” in the box for alpha prefix, and click “Continue.”

Choose the type of provider you are looking for, their specialty and enter your ZIP code. If you are looking for a particular provider, you can enter that person’s name in the “Whose name is:” box.

Building Location Date Time

Good Samaritan Hospital 310 S. Limestone, Conference Room A & B Monday, April 24 7 – 9 a.m.

University Health Service Building 830 S. Limestone, 1st floor Tuesday, April 25 11 a.m. – 2 p.m.

Peterson Service Building 411 S. Limestone, Loading Dock Wednesday, April 26 7:30 – 11 a.m.

Coldstream Research Campus 1500 Bull Lea Rd., Conference Room 101 Thursday, April 27 1 – 3 p.m.

Chandler Hospital 800 Rose St., North Lobby Thursday, April 28 10 a.m. – 1:30 p.m.

Chandler Hospital 800 Rose St., North Lobby Tuesday, May 2 6:30 - 8:30 a.m.

UK HealthCare at Turfland 2195 Harrodsburg Road Family Medicine Conference Room A & B

Tuesday, May 2 1 – 3 p.m.

UK HealthCare – Sterlington Road 2317 Alumni Park Plaza, 1st Floor Lobby Wednesday, May 3 11 a.m. – 1:30 p.m.

University Health Services Building 830 S. Limestone, 1st Floor Thursday, May 4 7:30 – 10:30 a.m.

College of Ag – Good Barn 1451 University Drive Thursday, May 4 1 – 4 p.m.

Main Building 410 Administration Drive – Lexmark Room Friday, May 5 11 a.m. – 1 p.m.

Good Samaritan Hospital 310 S. Limestone, Conference Room A & B Monday, May 8 1 – 3 p.m.

Eastern State Hospital 1350 Bull Lea Road, Rooms 1A05, 1A11 and 1A17 Tuesday, May 9 7 − 10 a.m.

Scovell Hall Lawn 670 S. Limestone Friday, May 12 11 a.m. – 2 p.m.

2017-18 Benefits open house information

Click “Search” and you will be given a list of participating providers who meet your specifications.

If you are a UK-HMO member and you are out of the area and need to locate an emergency room, there is a number on the back of your ID card for a “24/7 NurseLine.” You can always call this number and speak directly with a nurse to determine the need to seek emergent care and find a provider.

Unless you have an emergency situation, it is better to check ahead of time and make sure your providers are participating because if they are not, you will be responsible financially for the bills.

You can also call the member services number on the back of your ID card, 855-634-3383 (toll-free), and they can assist you with determining if your provider is a participating provider.

Are you seeing UK-HMO participating providers?

How do I enroll in UK benefits?1. Enroll online

You may enroll from your office computer or in the comfort of your own home with your own computer.It’s easy! Visit myUK Employee Self-Service online at https://myuk.uky.edu/irj/portal. Enter your Link Blue user ID and password and click “sign on.” (This is the ID/password you use to log into your Exchange e-mail account or in some cases to log into SAP. For assistance with your ID or password, contact Information Technology at 859-218-HELP (4357).Then follow the Quickstart Guide, http://www.uky.edu/hr/sites/www.uky.edu.hr/files/benefits/documents/benefits_EnrollQuickStart.pdf, for those benefit plans you need to update.

2. Paper option

Enroll using paper forms. Pick up forms at 112 Scovell Hall or access printer-friendly forms at the URLs below:

• Employee Health/Dental/Vision insurance enrollment form: http://www.uky.edu/hr/benefits/forms/employee-benefits-enrollment-form-2017-18

• Life and AD&D insurance form: http://www.uky.edu/hr/benefits/forms/life-insurance-and-add-enrollment-form-2017-18

• Flexible Spending Account form (health and/or dependent care): http://www.uky.edu/hr/benefits/forms/flexible-spending-account-enrollment-form-2017-18

• Retiree Health/Dental/Vision insurance form: http://www.uky.edu/hr/benefits/forms/retiree-healthdentalvision-form-2017-18

Changes you can make anytime throughout the year

You can make the following changes anytime throughout the year:

• Decrease optional life insurance coverage. • Adjust voluntary retirement contributions. • Check out UK discounts on auto or home insurance. • Change beneficiaries for your life insurance or retirement plan.

Log in to the myUK Web site (https://myuk.uky.edu) with your “link blue” user ID/password. Click the “Employee Self-Service” tab in the dark blue bar. Then click “Benefits and Payment.”

online benefits enrollment Quick Start Guide

Getting Started: Sign in to myUK online, visit Employee Self-Service

Step #1 Personal Profile

Review your address(es) and click “Edit Personal Profile” to update as needed.

Step #2 Dependents & Beneficiaries

Review current information and click “Edit Dependents & Beneficiaries” to update as needed.

Add a dependent or beneficiary, save their updated details & be sure to enter an effective date.

Step #3 Current Benefits Summary

No action needed; review your current details and click “Next”.

Step #4Medical, Dental, & Vision Plans

Add benefits by clicking “Add” beside a desired plan and attaching dependents.

Step #5 Other Plans

Repeat Step #4 above for the remaining plan options: Select the desired plans, assign beneficiaries and choose “Next” to proceed. If you do not choose to enroll in a plan, simply click “Next”.

Step #6 Important! Review & Save

On this final screen, you will view all of your enrollment selections.

Be sure to click “Save” at the top of the screen to save all of the choices you have made.

The option to print your new selections, return to enrollment or review current and future selections will be available upon saving.

Update & Enroll

Access UK-HMO websitePlease visit the UK-HMO website at www.mc.uky.edu/ukhmo to find answers to all of your UK-HMO health plan questions. The UK-HMO website provides access to all of the following information:

• Benefit information including your Benefits Booklet.

• A link to the UK-HMO Provider Directory online search, which allows you to locate participating providers.

• A link to Anthem, which allows you to view your claims and authorizations and access healthcare information.

• Frequently asked questions (FAQs) regarding UK-HMO.

• Primary Care Access, which includes information about access to the Primary Care Practice options available for UK-HMO members.

• Information about and links to the other health services available at the University of Kentucky.

• UK-HMO current and past newsletters.

• UK-HMO pre-authorization lists.

• “In the News…” UK-HMO information updates.

Please be sure to visit the UK-HMO website regularly for updated information.

UK Chandler named one of the 100 Great Hospitals in AmericaUK Albert B. Chandler Hospital has been named among the 100 Great Hospitals in America by Becker’s Hospital Review, a monthly publication offering business and legal news and analysis relating to hospitals and health systems.

The hospitals included on this list are renowned for excellence. They are industry leaders in innovation, quality patient care and clinical research, and have received recognition across various publications and accrediting organizations.

Becker’s Hospital Review has published a version of this list since 2012.

The Becker’s Hospital Review editorial team selected hospitals for inclusion based on analysis of several ranking and award agencies, including U.S. News and World Report’s 2016-17 Honor Roll and specialty rankings, CMS star ratings, Leapfrog grades, Truven Health Analytics top hospitals, Most Wired hospitals and Magnet accreditation.

The full list of organizations – presented in alphabetical order – can be read at www.beckershospitalreview.com/lists/100-great-hospitals-in-america-2017.

New UK health plans primary care clinic opening in late 2017We’re working to make it easier for you to see a primary care provider. We have heard from you that it can sometimes require a lengthy wait to get an appointment with a UK HealthCare provider.

In response, UK HealthCare is developing the Team Blue Primary Care Clinic, a clinic dedicated to serving only UK employees and their adult family members who are on a UK health plan. We’re aiming to open this clinic at Kentucky Clinic South, just off Harrodsburg Road near New Circle, in late 2017.

Initially, the non-teaching clinic will have a dedicated doctor and advanced practice providers. Employees and their family members who are covered by a UK health plan can access the clinic for their routine primary care needs as well as same-day appointments when they’re sick.

Our Health & Wellness team will also be onsite to guide you toward any of our health and well-being services you might find beneficial.

We’re excited to offer this clinic just for you. Watch for more information later this year as we prepare to open the clinic, which is in addition to the urgent care clinic at University Health Service available to employees and their covered family members seeking same-day care.

In the short term, we have expanded our contract with Concentra. UK-HMO members who do not already have a primary care provider can visit a Concentra care center for primary care. For more information, visit www.uky.edu/hr/concentra.

Be a quitter!Tips for finally conquering your smoking addictionIf you’re a smoker, you probably already know it’s not a healthy habit. The benefits of not smoking are vast, but the bottom line is this: if you stop smoking now, you’ll have a better quality of life and more years to live it.

We know that quitting smoking isn’t easy, but we’re here to help. We’ve put together a list of tips and resources that can help you or someone you know start on the path toward success. Check them out and pass them along to family and friends.

• Learn about smoking-cessation aids. Quitting cold turkey isn’t the best option for everyone, and aids like nicotine patches, nicotine gum and medicines for withdrawal symptoms can help make quitting easier. At UK HealthCare, low-cost nicotine replacement products are available in our pharmacies and gift shops.

• Make it through the hardest part. It’s often said that if you can make it through your first week of not smoking, when withdrawal symptoms are at their worst, you’ll be on your way to success.

• Consider your triggers. Different triggers make different people reach for a cigarette. Plan ahead for the things that cause you to smoke and come up with an alternative plan.

• Avoid smoke at all costs. Ask people not to smoke around you, and avoid those who do.

• Realize that a relapse isn’t the end of the world. Don’t beat yourself up if you have a cigarette after quitting. Relapse is a common occurrence and nothing to be ashamed of. Understanding why you chose to smoke is often the key to preventing it from happening again. Treat a relapse like an emergency: Figure out what caused it, and come up with strategies to keep it from happening again.

• Remind yourself why you’re quitting. Consider writing all your reasons on a piece of paper and keeping it in your purse or wallet. “My kids. My husband. My health. Feeling more energetic. Looking younger. Keeping my breath fresh …” List as many reasons as you can think of, then pull the card out when you’re craving a cigarette to remind yourself of your motivation.

Access your medical records onlineMy UKHealthCare is a secure online portal that allows our patients to:

• Request prescription renewals when it’s convenient for you, not just when our offices are open.

• Request, cancel or reschedule appointments.

• View lab test results, radiology reports and office visit summaries.

• Get health maintenance reminders.

• View your immunization record and allergies.

• View your hospital discharge instructions.

You can even send secure messages (like an email, only more secure) to your physician’s care team.

If you don’t yet have access to My UKHealthCare patient portal account, visit myukhealthcare.org to learn more and to request an account. You can also request an invitation next time you visit your provider’s office.

For questions or help with portal operation, call 859-218-6221 or 844-820-7344 (toll free) 9 a.m. - 8 p.m.

University of KentuckyHealth Care Plans2333 Alumni Park Plaza, Suite 200Lexington KY 40517

Don’t forget to update your address when movingWhen you move, it is important that you fill out an updated health

benefits enrollment form with your new address and forward it to:University of KentuckyEmployee Benefits Office115 Scovell HallLexington KY 40506-0064The staff will forward the information to UK-HMO, and this will enable

us to ensure that you receive important information during the plan year. The health benefits enrollment form is available to you at www.uky.edu/hr/forms/benefits. If you are moving outside the UK-HMO service area, you must notify the UK Employee Benefits office and make arrangements for health insurance coverage within 30 days of your move date. Otherwise, you may find yourself with an unnecessary lapse in health insurance coverage and at financial risk for all of your healthcare expenses.

You can also change your address by going to http://myUK.uky.edu and logging in using your Link Blue username and password. Choose your “Personal Information” and change your address. This will transfer this change of address information to the UK Benefits office and then on to Anthem.

If you move out of the area and need to change insurance plans, it is a good idea to contact the UK Benefits office at 859-257-9519, option 3 and option 1 to discuss this with them.

HealthBeat is published by the UK Health Care Plans office. The information is intended to educate members of UK-HMO about subjects pertinent to their health and health coverage, not as a substitute for consultation with a personal physician.

Writing, editing and design for HealthBeat provided by UK HealthCare Digital and Brand Strategy.

7-7770

UK-HMO Monthly rates 2017-18

EmployeeOnly

Employee +Child(ren)

Employee +Spouse

Employee +Family [Spouse

& Child(ren)]

Employee eligible for university contribution

$28 $134 $261 $385

Employee NOT eligible for university contribution

$523 $783 $1,044 $1,307

(See UK Benefits website for retiree rates at www.uky.edu/hr/benefits.)

Coverage levels

Ballard

Carlisle

Hickman

Livingston

Marshall

Calloway

Lyon

TriggLogan

Daviess

Webster

Trimble

Oldham

Muhlenberg

OhioGrayson

Todd

Bullitt

Hart

Barren

AllenSimpson

Metcalfe

Casey

Butler

McCreary

Lincoln

Boone

McLean

EdmonsonGreen

Pendleton Bracken

Lewis

Pike

Martin

Lawrence

Carter

Greenup

Elliott

Mago�nWolfe

Jackson Owsley

Bath

Leslie

Breathitt

Knott

EstillWashington

MarionLarue

Cum berland

Anderson

FlemingNicholas

Bour bon

Owen

Jessamine

Adair

Russell

Meade

Cam

pbel

l

Kent

on

GrantCarroll

Gallatin

Garrard

Woo

dfor

d

Mercer

Clark

Montgomery

Hancock

Lau rel

Whitley

Knox

Bell

Harlan

Morgan

Lee

Powell

Clinton

Floyd

Johnson

Madison

Perry

Mason

ScottFranklin

Spencer

Boyle

Taylor

Caldwell

Hopkins

Christian

Graves

Clay

Boyd

Pulaski

McCracken

Fayette

Harrison

Breckenridge

Union

Henry

Monroe

Crittendon

Fulton

Henderson

Je�erson

Wayne

Letcher

Shelby

Nelson

Hardin

Warren

Rockcastle

Rowan

Menifee

Robertson

HMO

REGION B

University of KentuckyUK-HMO and UK-RHP (Region A and B)

REGION A