Provider Network Options

University Health Care Plus
Provider Network
Administered by University of Utah
Health Plans
• Access to 46 hospitals in Utah.
• Includes all University of Utah
Health Care providers as well as over
5,600 community physicians
throughout the state.
• Access to 62 urgent care clinics
in Utah.
• Nationwide coverage through the
MultiPlan Network.
Search for providers at uhealthplan.utah.edu;
click on Uof U Health Care Plus Campus
Preferred ValueCare
Provider Network
Administered by Regence BlueCross
BlueShield
Participating (PAR)
Provider Network
Administered by Regence BlueCross
BlueShield
• Access to 40 hospitals in Utah.
• Access to 49 hospitals in Utah.
• Includes all University of Utah
Health Care providers as well as over
5,300 community physicians
throughout the state.
• Includes all University of Utah
Health Care providers as well as
over 5,400 community physicians
throughout the state.
• Access to 50 urgent care clinics
in Utah.
• Access to 50 urgent care clinics
in Utah.
• Nationwide coverage through the
BlueCard Network.
• Nationwide coverage through the
BlueCard Network.
Search for providers at www.regence.com/find-a-doctor
Provider Network Options
The provider network is physicians and facilities that your plan has negotiated with
to accept a reduced payment amount for eligible medical services. The services
covered under each plan design option are the same, regardless of the provider
network you select. If you visit physicians and facilities that are in your network,
you will only be required to pay your copay or coinsurance amount on the lower
negotiated network cost of the service (after any deductible, if applicable).
You are still able to visit physicians and facilities that are not in your network;
however, you will pay a higher coinsurance amount (in Advantage and
Comprehensive). In all plan design options, the plan will pay what it would pay a
network provider and you may be billed by the out-of-network provider for costs in
excess of the amount a network provider would accept. Additionally, the Advantage
option has a deductible for out-of-network providers that must be met before
benefits are payable by the health plan.
The University has three provider networks from which to choose: University Health
Care Plus (administered by University of Utah Health Plans), Preferred ValueCare
and Participating (PAR) (both administered by Regence BlueCross BlueShield). The
University encourages employees to utilize the outstanding University of Utah Health
Care medical staff who are an important part of each of the provider networks.
The University is pleased to announce that later this year we will be adding health coverage for
Autism Spectrum Disorder. We believe Autism Spectrum Disorder affects approximately 2%
of children in our country. To assist us in developing this program, we encourage employees
whose children could take advantage of covered health plan services to complete a short,
anonymous survey. The survey will help us understand treatment needs, accessibility of
certified providers, affordability of services, and any treatment in process. Please visit
www.hr.utah.edu/benefits/autism anytime during May 2014 to complete the survey.
Receive your Health Plan
Explanations of Benefits
Electronically
Printing and mailing explanations of
benefits (EOBs) costs approximately
$32.71 per employee each year. It can take
up to 17 days for a paper EOB to reach your
mailbox – electronic EOBs are available
within 24 hours of claim processing.
Electronic EOBs help keep your personal
health information safe and private
through password-protected accounts.
To elect to receive EOBs electronically
visit your health plan’s website:
University Health Care Plus Provider
Network:
Log in to your MyChart account at
www.mychart.med.utah.edu. To request
an access code please call 801-587-6480
or email [email protected].
Preferred ValueCare and Participating
(PAR) Provider Networks:
Log in to your account at www.myregence.
com. Click on “My Account” and then click
“Set Communication Preferences”.
2014-2015 Employee Benefits 7