The University offers five medical plan options; some are designed to save you money and others to give you more flexibility. The options available to you depend on your geographic location.
You have 30 days from your date of employment or your newly benefits-eligible job to enroll in a medical plan. Use the resources included here to help you decide which plan is the best choice for you and your family.
- Visit the Medica website for more information to help you select a medical plan or call their Customer Service at 952-992-1814 or 877-252-5558; TTY users, please call 711.
- The Medical Plan Comparison (pdf) gives you a side-by-side look at each plan's coverage for services ranging from office visits to hospital services to lab and x-ray services to prescription drugs and much more.
- If you want to do more research, the 2019 Medical Summary of Benefits (pdf) has the details on the full range of benefits in your medical plan.
- UPlan Medical Plans
- Choosing a Plan
- Resources to Help You Make Your Decision
- Enrolling in Medical Coverage
- Using Your Medical Plan
- Additional Benefits with Your Medical Plan
UPlan Medical Plans
The medical plan options that are available to you vary by geographic location. Each geographic region has a base plan that is the most widely used plan in that area and offers low rates and copayments. You can select your medical plan based on where you live or work.
- Medica Elect/Essential is a base plan in specific geographic locations within the state.
- Medica Choice Regional is another base plan offered in a specific location within the state.
- Medica ACO Plan is a defined network plan available in specific geographic locations.
- Medica Choice National is an open access network plan with providers available statewide and nationwide.
- Medica HSA is a high deductible plan with a health savings account and an open access network available statewide and nationwide.
Choosing a Plan
The plans cover the same set of health care services, so you’ll want to pay attention to differences in provider networks, biweekly rates, and the out-of-pocket amounts that you pay up front, such as copays, deductibles, and coinsurance. Questions to consider as you review your options include:
- Does the plan meet the needs of you and your family? Some plans require everyone in the family to use the same healthcare network.
- Is your current doctor within the network?
- Do you want to choose a plan based on where you work or where you live?
- Are the associated costs--such as copays, deductibles, and rates--worthwhile given the benefits of the plan?
Visit the Medica website for more information to help you select a medical plan or call their Customer Service at 952-992-1814 or 877-252-5558; TTY users, please call 711.
- 2019 Guide for UPlan Benefits Enrollment (pdf) provides an overview of your options.
- Medical Plan Comparison (pdf) gives you a side-by-side look at each plan's coverage for services plus the biweekly rate.
- 2019 Medical Summary of Benefits (pdf) has the details on the full range of benefits in your medical plan.
- Member Guide to Medica (pdf) explains some of your health care options and has important information about your rights and responsibilities as a consumer. It also tells where to find more information if you need it.
- UPlan Members’ Frequently Asked Questions (pdf) answers questions about when and how to enroll plus basics of the UPlan.
- UPlan Wellbeing Program Rates table.
Enrolling in Medical Coverage
Take Action During Your First 30 Days
You have 30 days from your date of employment or your newly benefits-eligible job to enroll in a medical plan through MyU. Your medical coverage starts on the first day of the month following your first day in your new job.
If you’re not happy with your first choice, you can choose a different plan if you’re still within the first 30 days, and it will be retroactive to your initial date of coverage. If you choose to not pick a medical plan during your first 30 days, then you will only be able to sign up for medical insurance during Open Enrollment in November.
Enroll Your Family
If you have a family, you can add your legal spouse and your dependent children from birth through age 25 (up to 26th birthday) to your coverage. Go to the Benefits Eligibility section for the full definition of eligible dependents. The University will ask you to verify that your dependents are eligible. Typically, it means sending copies of your marriage certificate, birth certificate, or tax forms.
Check the schedule for the New Employee Benefits Enrollment Workshop if you would like more information.
Member ID Card
The medical plan you selected will send member ID cards to your home for you and each covered family member. You are automatically enrolled in the UPlan Pharmacy Program when you enroll in a medical plan, and you will also receive member ID cards from Prime Therapeutics.
Understanding an Explanation of Benefits
After you’ve seen a doctor or other care provider, you will receive a document from Medica that shows the amount that Medica paid on those services. This record of the services you received is called an Explanation of Benefits or EOB. It isn’t easy to interpret so check out Understanding an Explanation of Benefits (pdf) for help figuring out what you need to know.
Questions about Your Plan or Provider Options?
Questions related to your medical plan can be answered with a call to Medica Customer Service or a with a visit to their website.
TTY users, please call 711
Additional Benefits with Your Medical Plan
When you choose a medical plan, you get access to a number of benefits designed to make getting care easier for you. All are available at no additional cost.