The University of Arkansas Health Coverage Plan is self-insured and self-funded.  Effective 1/1/2013 the University of Arkansas is changing our third party administrator from  QualChoice to UMR (a division of United Healthcare).  Medimpact will remain our pharmacy benefits manager and process your prescription claims.

Coverage During the Transition Period
QualChoice will continue to process claims for services which occur through 12/31/2012 and will maintain their participant website access and provide customer service through April 2013.  All claims for services on and after 1/1/2013 will be processed thorugh UMR.  New UMR health cards were released for mailing beginning 12/14/2012.  The new UMR ID cards will also replace the MedImpact Pharmacy cards and a separate pharmacy card is no longer needed.  Contact UMR Customer Service if you have not received your UMR card.

Transition of Care Consideration
You or your dependents may currenlty be under treatment by a physician who is not a member the the UMR provider network.  In order to ensure continuity of care for certain medical conditions already under treament, you may submit the Transition of Care Consideration Form to UMR.   If approved, you can continue seeing your provider and have the services covered as in-network for a reasonable period of time (to be determined by UMR). 

University Medical Plans
University benefits-eligible employees have two health coverage plans to choose from, the Classic Plan and the Point of Service Plan. Both the Classic Plan and the Point of Service Plan cover a wide range of traditional expenses such as doctors' visits, surgical services, pregnancy, emergency room services, hospital stays, and diagnostic testing. With a goal of assisting you in being healthy, the plans also provide coverage for items such as well-baby check-ups, annual physicals, and mental health counseling and prescription drugs.
 
Classic Plan
The Classic Plan premiums are lower than the Point of Service Plan. However, benefits are only provided if you access care through your network providers. There are no benefits for out-of-network providers other than emergency or urgent care while traveling.  See the Health Coverage Comparison or Classic Plan Summary Plan Description (SPD) for details of the Classic Plan coverage.

Point of Service Plan
The Point of Service Plan is a "dual option" plan. Your out-of-pocket expenses are determined by whether you seek care from an in-network provider or an out-of-network provider. You get your best benefit by seeing in-network providers. Seeing a doctor or other provider outside of the network means that you will pay a higher share of the bill. If you obtain care from an out-of-network provider, your payment for these services will be based on the allowable amount for the services provided and not on billed charges.  See the Health Coverage Comparison or POS Plan Summary Plan Description (SPD) for details of the Point of Service Plan coverage.

Nutritional Counseling and Weight Management Program

The University of Arkansas Health Plan now provides coverage for nutritional counseling and weight management.   Click here for additional information.

Level I:  All covered members are eligible to receive an annual nutritional counseling (one visit per calendar year) with a registered dietitian at an in-network facility.

Level II: Members who have a BMI of 27 or greater are eligible to enroll in a nutritional counseling weight loss program.  This program allows up to three additional annual visits (four total) with a registered dietitian at an in-network facility.  The member must be under the direction of a physician with documentation through a Physician Attestation Form. 

Level III:  Members who have a BMI of 30 or greater are eligible for reimbursement (must file the Reimbursement Request Form with UMR) of the cost of non-surgical weight loss programs for up to $1,000 lifetime maximum.  The member must be under the direction of a physician with  documentation through a Physician Attestation Form.  Coverage will be for instruction, education, weight monitoring, counseling and support.  Initial and routine lab work is covered as provided within the benefit.  Weight loss products and meal replacement shakes are not covered. 

Additional Benefits for Joining the University's Health Coverage Plan
When you enroll in the University's Health Coverage Plan, you will enjoy services available to you through UMR's website  You can view your claims and eligiblity, order new ID cards, view your flexible spending account information (if enrolled), check on providers and much more.  Click here for information on how to use UMR's website.