2019 medical benefit plans University of Nebraska.

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Presentation transcript:

2019 medical benefit plans University of Nebraska

Activate your member ID card Call the number and peel off the sticker After you enroll, you will receive an ID card for your medical, dental and prescription drug benefits. Your card tells you your member ID number and the number to call for customer service. It also gives health care providers information they need to file claims for services you receive. To activate your card, call the toll-free number printed on the sticker attached to the front of your card.

How to read your ID card Your group health plan number Your member ID number Family members covered under your plan Your pharmacy benefits information On the front of your card, you will find: The Member ID number assigned specifically to you to track all of your benefits and claims information. A list of the family members covered under your plan. Your medical provider network, also referred to as your preferred provider organization (PPO). Going to doctors, clinics and hospitals in your network will save you money. The number assigned to identify your group health plan. Information about your prescription drug plan. Pharmacists use this to process your claims. Your medical provider network

The back of your ID card Your number to call for prior authorization Your numbers for customer service and Teladoc Your number to call for pharmacy questions On the back of your card, you will find: The UMR Care Management phone number to call when your plan requires prior authorization for certain medical services. If you’re traveling outside your network coverage area, look to see if you have access to a regional or secondary network. The toll-free phone number to call when you have questions about Pharmacy benefits. The phone numbers to call for UMR customer service or the NurseLine Information about your dental benefits. Your secondary network

A digital ID card on umr.com View your member ID information on your computer or mobile device Have your doctor scan the on-screen bar code for your benefits information Print a temporary replacement card Fax a copy of your card to your doctor’s office With umr.com, you can log in and pull up a digital copy of your member ID card on your mobile device. You’ll find all the same information as what appears on your card. Your doctor can scan the on-screen bar code to get instant access to your benefits information. You can print a copy from your desktop Or fax a copy of your card to your doctor’s office.

Signing up for umr.com 1 2 Helpful hints Visit umr.com on your desktop computer or tablet device Click Login/Register to sign up 2 Helpful hints Have your UMR member ID card handy Spouses and adult children must create their own online account You must provide a valid email address Select a username and password you can remember Here’s a few things to know to help you through the registration process: Make sure you have your UMR member ID card handy. You will need your member ID number and group number to enroll. Dependent spouses must create their own online account by selecting “I am the spouse or dependent” when they register. You will need to provide a valid email address. Make sure you select a username and password you can remember for when you log in again in the future.

See your benefits information anytime, anywhere With umr.com you can: Check your benefits and see what’s covered Look up what you owe and how much you’ve paid Find a doctor in your network Learn about medical conditions and your treatment options Access tools and trusted resources to help you live a healthier life

Talk to someone who speaks your language Get help in Spanish from a UMR customer first representative Or get interpretation service assistance for more than 200 other languages All UMR customer first representatives speak English, and many also speak Spanish. When calling UMR, you may select the Spanish-language option to speak to a bilingual representative. If none are available, or if you need help in a different language, UMR has a language line providing interpretation services for more than 200 languages.

Make sure certain services are covered in advance Services that need prior authorization include: Hospitalizations Transplants and transplant- related services Durable medical equipment Over $500 for rental Behavioral health stays Over $1,500 for purchase Home health care Over $1,000 for prosthetics Clinical trials (QHDHP only) Infertility treatment If you or a dependent plan to be admitted to the hospital or receive certain outpatient services, UMR may require prior authorization. Your provider may be asked to provide information to confirm the service or inpatient stay is medically necessary, clinically appropriate and considered effective for treating your condition.

Thank you! Dedicated Plan Advisors: 1-844-659-5059 Mon-Fri 7am-7pm We look forward to the opportunity to serve you. If you have any questions, please contact: Dedicated Plan Advisors: 1-844-659-5059 Mon-Fri 7am-7pm or umr.com/UofNE