UT System Medical Foundation 200910 Group Health Plan Enrollment

1
UT System Medical Foundation2009-10 Group Health
Plan Enrollment
2
About Us

• Welcome! MHealth wants to provide you with the
  highest level of service in keeping with the
  commitment of UTSMF to provide top-quality
  employee benefits. Our job is to manage your
  benefits, answer your questions, and to be here
  for you whenever you need our help.
• You can reach us 24 hours a day by going to our
  website, www.mhhnp.org. On this website, you can
  check the status of authorizations and claims,
  see the claims history of you and your covered
  dependents, and review the covered benefits on
  your medical plan.
• You can also call one of our courteous Customer
  Service Representatives at [phone] or
  1(888) 642-5040 between the hours of 8 AM and 5
  PM CST Monday through Friday. 

3
About Your Medical Benefits

EPO Plan - This plan offers in and out-of-network
benefits utilizing the HNP network. However,
out-of-network claims outside the coverage area
will be paid as in-network in the event of an
emergency. PPO Plan - This plan offers in and
out-of-network benefits utilizing the PHCS
network. PHCS is a national network that offers
additional flexibility at an additional cost to
the employee.
4
EPO Network Information

• EPO Plan
• HNP Network providers must be used by all
  residents of the 11-County HNP Service Area (see
  map of the 11 counties).  This includes all
  employees who work within the 11-County HNP
  Service Area.  All plan members who reside
  outside the 11 counties must use providers in the
  HNP Network when visiting the 11 counties except
  during emergency situations.  To find an HNP
  Network provider, go to www.mhhnp.org. 

5
Map of 11 County Area

6
PPO Network Information

•  

PPO Plan The PHCS Network is a national
network.  To find a PHCS Network provider go
to www.phcs.com then select
7
Prescription Drug Information

• The prescription drug plan has a three-tier
  co-payment structure with a formulary. The three
  tiers are described in detail below.
• First Tier Generic Generic drugs have the
  same active chemical composition, the same
  potency and can be offered in the same form as
  their brand-equivalents.
• Second Tier Preferred Brand Preferred-brand
  drugs are those which generally have no generic
  equivalent.
• Third Tier Non-Preferred Brand Non-preferred
  brand drugs are those which generally have
  equally effective and less costly generic
  equivalents and/or one or more preferred-brand
  options.

8
EPO/PPO Plan
9
EPO/PPO Plan
10
EPO/PPO Plan
11
EPO/PPO Plan
12
EPO/PPO Plan
13
EPO/PPO Plan
14
EPO/PPO Plan
15
EPO/PPO Plan
16
EPO/PPO Plan
17
Neighborhood Health Center
18
RediClinics
19
QUESTIONS