Together, we can
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Together, we can
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Where can we find a full summary of benefits?
All benefit summaries can be found on the AHP portal
Detailed plan documents are currently under development by UHCSR. Once they are complete, they will be available at the above links.
My provider is out of network with UHCSR – will I be covered? What can I do?
For the first 12-months of coverage, UHCSR will pay out of network claims the same as in-network. During this transitionary period, the out-of-network provider has 12 months to enter into an in-network agreement with UHCSR. After August 1, 2022, providers can reach out to UHCSR to begin the in-network agreement process.
My specialist is out of network with UHCSR – What do I do?
For the first 12-months of coverage, UHCSR will pay out of network claims the same as in-network. During this transitionary period, the out-of-network provider has 12 months to enter into an in-network agreement with UHCSR. After August 1, 2022, providers can reach out to UHCSR to begin the in-network agreement process.
How will the 12-month transitionary period work?
If the out-of-network provider is identified before the claim processes, UHCSR will flag that provider to process as in-network and process the claim accordingly.
If a claim processes out-of-network, then it will be reprocessed as in-network through the appeal process.
Additional information on how the above requests can be made will be shared in the coming weeks.
How can providers speed up the process of being brought in-network?
See process above. After August 1, 2022, providers can reach out to UHCSR to begin the in-network agreement process. Providers have 12 months to transition to in-network.
Are deductibles at the Purdue Pharmacy increasing?
No. There are no plan design changes, meaning the deductible, out of pocket maximums and co-insurance levels remain the same with the new plan year.
Will gender-affirming care be covered?
Yes. There was no change to the services covered.
Where can we find a breakdown of which drugs are in each tier?
This is still pending with UHCSR. Once the breakdown has been finalized, we will share the information.
My mental health provider is not in-network with UHCSR; where do I go?
You can access a complete list of mental health providers (292 unique providers serving at various locations) that are in-network with UHCSR within Tippecanoe County. You can complete a provider search for other locations or other services by clicking here. The network for the medical plan is UHC Choice Plus.
More information on graduate staff enrollment is available on the Graduate Staff Enrollment website.
For questions about the change or UHCSR, please contact hr@purdue.edu