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Do the university-sponsored UHC Group Medicare Advantage plans include coverage for hearing aids?

The university-sponsored Medicare Advantage plans include a $500 hearing aid allowance every 36 months. Members will submit a claim to UHC and be reimbursed up to the $500 amount.

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What is the coverage area for the Custom Network Plan?

Employees who live and/or work in specific counties are covered by the Custom Network Plan. See the coverage map on the Custom Network Plan webpage.

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Will retirees still be able to use the hearing aid discount available from TruHearing through VSP?

If a member uses the discount provided by the TruHearing program, they may still submit a claim for reimbursement up to $500 to UHC. Please visit http://umurl.us/hearing for more information on TruHearing.

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Is there a difference in reimbursement between original Medicare and Medicare Advantage plans?

The university-sponsored Medicare Advantage plans are employer-sponsored group Medicare Advantage plans; therefore, members are not limited to utilizing network providers and can see any Medicare-willing provider. Non-network providers are reimbursed up to the Medicare-allowed amount. Therefore, a non-network provider will receive the same reimbursement as they receive under original Medicare. See the chart in question 1 to determine how your claim will be processed for providers who accept Medicare but are not in the UHC Group National PPO Network.

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What providers are in-network under the Custom Network Plan?

The Custom Network Plan is able to keep costs low by partnering with a select network of providers. For example, in the Columbia Custom Network, providers are primarily from MU Health, and in the St. Louis Custom Network consists primarily of providers affiliated with Mercy Health System. To see the list of providers, log in to your myUHC.com account, where UnitedHealthcare keeps a list of providers and facilities associated with each medical insurance plan. If you do not yet have a myUHC account, you may also visit the comparison website that UnitedHealthcare created specifically for the UM System.

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How much does the Employee Assistance Program (EAP) cost?

There is no cost for Employee Assistance Program (EAP) services. The Employee Assistance Program (EAP) is designed help university employees with personal or work-related problems by providing short-term counseling (up to 5 sessions).

If it is determined that more than five sessions are needed, the practitioner will provide employees with a referral within the community. EAP practitioners attempt to ensure sure all referrals are covered by insurance, or if money is a concern, to help employees locate counseling services that are offered at a sliding fee or reduced rate. If a referral is necessary to a counselor in the community, the cost of covering that service is the responsibility of the employee.

Visit the Employee Assistance Program webpage for more information.

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I’m in the ExpressScripts Step Therapy program; what if I need a prescription filled immediately?

If you’ve just started taking a prescription drug regularly or if you’re a new plan member, you may be informed at your pharmacy that your drug isn’t covered. If this should happen and you need your medication right away, you can talk with your pharmacist about filling a small supply of your prescription right away. (You may have to pay full price for this quantity of the drug.) Then, to ensure your medication will be covered by your plan, ask your doctor to write you a new prescription for a front-line drug. Remember: only your doctor can change your prescription to a front-line drug.

If you have more questions, you can go to StepTherapyFacts.com to watch informative videos or call the Express Scripts Pharmacy at the number on your ID card. (This FAQ answer provided by ExpressScripts.)

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When pricing my prescriptions, why should I consider generics or preferred brand-name drugs?

You may save money since generics or preferred brand-name drugs usually cost less than non-preferred brand-name drugs. There are generic versions to many brand-name drugs and many new generics become available on a regular basis. Check with your doctor if a lower-cost generic or preferred brand-name drug would be the right option for you.

(This FAQ answer provided by Express Scripts.)

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Are some Medicare Advantage plans restrictive? Do the university-sponsored plans have restrictions?

The university-sponsored UHC Group Medicare Advantage plans are employer-sponsored group Medicare Advantage plan; therefore, the plans do not carry the same limitations as individual Medicare Advantage plans have, such as, limited service areas, network restrictions, limited benefits, etc. The UHC Group Medicare Advantage plans represent a national solution that offers in- and out-of-network coverage at the same copay for members. You are not restricted to a limited service area. You do not need to select a primary care physician, and no referral is needed to see a specialist. The plans cover all of the benefits of Original Medicare and also have some added benefits and clinical programs to help members manage their health more effectively. You still retain the rights and protections of Medicare.

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How does the department verify hours for PPACA if supervisors are not required to approve hours?

For the Patient Protection and Affordable Care Act (PPACA), reports will be provided to the departments to allow them to reconcile the full-time equivalency (FTE) in the Peoplesoft HR system with the recorded hours in the time reporting system. Remember that tracking the hours worked is to determine whether an individual is eligible to be offered medical coverage and does not determine pay or the workforce needs of the department. It is the departments’ responsibility to manage staffing.

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What are the tax-favored accounts for health care expenses?

There are two tax-favored accounts available. Which you use will depend on what medical plan you choose. The two accounts are a Health Savings Account (HSA) and a Health Care Flexible Spending Account (FSA). The HSA is available to those people enrolled in an IRS-qualified high-deductible health plan. The only university medical plan that qualifies is the Healthy Savings Plan. The Health Care FSA is available to those employees enrolled in the Custom Network Plan or the PPO Plan, or those benefit-eligible employees who are not enrolled in any university medical plan. More information is available on the understanding your HSA and understanding your FSA webpages.

(Keep in mind that a Dependent Care FSA is different than a Health Care FSA. A Dependent Care FSA is available to every benefit-eligible employee, regardless of which medical plan you choose.)

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What does it mean that the university-sponsored Medicare Advantage plans are “medically managed”?

Just as the university plans do now, the university-sponsored UHC Group Medicare Advantage plans will include programs and outreach designed to help retirees and their covered Medicare dependents receive preventive care and generally live a healthy lifestyle. Upon enrolling in one of the UHC Group Medicare Advantage plans, you may receive a call from UHC to discuss your care needs. Please accept this call as it helps ensure that UHC can best support your medical care needs. In cases where more serious care is needed or chronic conditions exist, the university-sponsored UHC Group Medicare Advantage plans will help retirees and their covered eligible dependents actively manage those conditions and help ensure they have access to appropriate resources to help them treat the condition. You have the ability to opt-out of these services if you desire.

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Can I still get a second opinion without a referral under the Medicare Advantage Plans?

Members can receive a second opinion, if needed. Members are not limited to utilizing network providers and can see any Medicare-willing provider.

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What is Form 1095-C?

The 1095-C is titled “Employer-Provided Health Insurance Offer and Coverage.” It is a form you will receive from any employer required to offer health insurance coverage to you, your spouse, and/or other dependents for all or a portion of the tax year, whether you enrolled in the employer’s coverage or not. UM will mail the 1095-C to the home address of employees, retirees, and others who were offered medical insurance during the tax year. It is important that you share it with any listed covered dependents who are filing a tax return separately from you.

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Do ALL copays and coinsurance go toward the Maximum-Out-of-Pocket (MOOP)? If not, which do?

Out-of-pocket amounts such as co-payments or co-insurance for Medicare-covered services all count towards the maximum out-of-pocket. Non-Medicare services, such as routine podiatry, routine vision, and routine chiropractic service, do not apply toward MOOP.

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How often should the full-time equivalency (FTE) be adjusted to reflect actual hours worked?

Reports will be provided monthly, and the FTE in PeopleSoft should be averaged over the measurement period.

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What is an HSA?

If you choose the Healthy Savings Plan and are not covered by another plan (including Medicare) or claimed on another’s taxes, you are eligible to set up a Health Savings Account (HSA) to pay for current health expenses and save for future qualified medical and retiree health expenses on a tax-free basis. The account is owned and managed by the employee/retiree, and funds remain in the account from year to year if not used for qualified (medical , dental, and/or vision) expenses. Penalties may apply when funds are withdrawn to pay for anything other than qualifying expenses. If you leave the university, the funds in the account go with you. Both you and the university can make pre-tax contributions to the account if you are an active faculty or staff member; retirees can make after-tax contributions to the account. The university makes an annual contribution to active employees' HSAs regardless of whether you make a contribution yourself, for as long as you are enrolled in the Healthy Savings Plan. If you change your insurance plan (to the Custom Network Plan or PPO Plan) in a given year, the university will stop contributions. While you will keep what's in your HSA, you will have to pay an administration fee to keep the HSA as-is. Learn more at Understanding your HSA.

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Who should receive Form 1095-C?

Form 1095-C is mailed to benefit-eligible (i.e., average of 30 hours or more per week) faculty and staff who worked all or part of the tax year, to non-Medicare Advantage retirees, to non-Medicare dependents of Medicare Advantage retirees and to recipients of COBRA or Long Term Disability.

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How do I open my account with Optum?

The enrollment process is different for employees and retirees.

For employees: During your enrollment period, by electing to enroll in the HSA, you will authorize the university to open an HSA on your behalf. Optum Bank will mail you a welcome packet to complete the set-up process.

For retirees: Your HSA will be an individual account, so you can choose to open an HSA anywhere that offers them after you’ve enrolled in the qualified Healthy Savings Plan. However, if you’d like an HSA with Optum Bank, contact them directly to open an individual HSA or enroll online at Optum Bank. Find contact information on the plan contacts webpage. Because your HSA will be an individual account (as opposed to a university-sponsored account), you will be responsible for any fees associated with the account.

Find details on the understanding your HSA webpage.

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I received a Health Survey from UHC. Do I need to complete it? Will it affect my coverage or costs?

After your enrollment is effective in one of the university-sponsored UHC Group Medicare Advantage plans, you will receive a Health Survey. The Health Survey is a short questionnaire asking general questions about your health, and responding to the survey allows UHC to identify and recommend wellness and health-improvement programs for which you might qualify. UHC will attempt to reach you two times by phone to complete the survey, or if you wish, you may complete the survey on paper and return it to UHC. This survey is optional and your participation will not affect your coverage or your costs, but we encourage you to complete it as it will help UHC guide you toward programs and information that could be helpful to you.

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When should I receive Form 1095-C?

All employees have the option of receiving an electronic Form 1095-C. If an employee opts for an electronic form by December 31, that person will be able to view and print it from myHR around the middle of January. The University will postmark paper forms by the end of January (or early February if the end of January falls on a weekend) to employees who opt for a paper form. Please allow 10 business days for delivery. Those who opt for an electronic form will not have a paper form generated.

You may not need to wait until Form 1095-C arrives to complete your taxes. UM cannot provide tax advice. To learn more, we recommend you consult a tax advisor or read the IRS' FAQs about this form and whether it is necessary to wait.

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Can I drop my coverage under the university-sponsored UHC Group Medicare Advantage plans?

Yes, you will be able to change your election and opt out of a university-sponsored UHC Group Medicare Advantage plan during Annual Enrollment or at any time during the year. If you drop or cancel your coverage, you will not be able to re-enroll at a later date. 

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How do I opt for an electronic Form 1095-C?

If you have not already opted into receiving electronic 1095-C forms, the University will send you an end-of-the-year email asking you to choose to receive Form 1095-C electronically. Instructions for opting in or out will be included in that email. You must choose to opt in or opt out before midnight, December 31. Also, at any time, you may log into myHR to change opt in/opt out status: Select the “Benefits” tile and in the left-hand menu, scroll down and choose “1095-C Consent.” From there, provide or remove electronic consent. The consent status on file as of December 31 will be the status used for 1095-C generation (electronic or paper form).

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How many hours are student employees allowed to work?

Because education is the primary relationship of students to the university, students should average no more than 28 worked hours per week in a 12-month measurement period (October 4 through October 3). Please refer to Chapter 320.050: Employee Status in the university’s Collected Rules and Regulations and HR Policy 204: Graduate and Undergraduate Student Titles, or your campus specific guidelines (campus policy may be more restrictive). An individual who is expected to average more than 30 hours per week should be placed in a staff or academic title.

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What is an FSA?

Faculty and staff enrolled in the Custom Network Plan or the PPO Plan, as well as faculty and staff who are benefit-eligible but not enrolled in any university medical insurance, can enroll in a Health Care Flexible Spending Account (FSA). Retirees are not eligible for an FSA. An FSA allows money to be deducted from your paycheck on a pre-tax basis to pay for qualifying health care expenses. (Note: Any benefit-eligible faculty or staff member, regardless of the medical plan they are enrolled in, may also use a Dependent Care FSA for child/day care expenses, but this is a separate election.) By reducing your taxable income, a Health Care FSA can save you a substantial amount on a wide range of IRS-qualified medical, dental, and vision expenses that are not covered by your insurance. Contributions to your FSA accounts are exempt from federal and, in some cases, state income taxes.

It is important to carefully budget your contributions and expenses. The University FSA Health Care Account has a 2.5-month Grace Period (through March 15 of the following year), which allows you extra time to incur expenses to use your flexible spending health care balance after the close of the plan year. The FSA Dependent Care account does not have the extended period of coverage so those expenses must be incurred during the plan year (i.e., by December 31). If you do not use all your contributions within the plan year (including the Grace Period for FSA health care), you forfeit any money left in your account.

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I didn’t receive my Form 1095-C. How can I obtain a reprint?

Form 1095-C will be postmarked for delivery by the US Postal Service by the end of January for each previous tax year. Please allow 10 business days for delivery. Also, you can print a copy through myHR. After navigating to myHR, select the “Benefits” tile and in the left-hand menu, scroll down and select “View Form 1095-C.” From there, you’ll select the year you’d like to view. If you have not received your 1095-C form by mid- to late-February, and do not have access to myHR, please contact the HR Service Center to request a reprint.

Note: You may not need to wait until Form 1095-C arrives to complete your taxes. UM cannot provide tax advice. To learn more, we recommend you consult a tax advisor or read the IRS' FAQs about this form and whether it is necessary to wait.

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Why does having medical insurance require the SSN / TIN of my dependents?

The IRS requires that certain employers, including UM, that are classified as “applicable large employers” (ALEs) provide evidence of every person (employee, spouse, and other dependents) offered medical insurance. UM must provide the Social Security number or another tax identification number for each person.

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Why doesn’t the amount on Form 1095-C match the monthly premium I pay for medical insurance?

Box 15 of Form 1095-C indicates the monthly premium for the least costly insurance plan offered by UM, whether you chose that plan or not, so this amount may not match the actual premium amount deducted from your paycheck.

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Will it affect my future enrollment if I drop coverage under the new university-sponsored plan?

The university-sponsored UHC Group Medicare Advantage plans are employer-sponsored group Medicare Advantage plans; therefore, they do not carry the same limitations as individual Medicare Advantage plans. Because these are group plans, the member has more flexibility in moving from a university-sponsored Medicare Advantage plan back to Original Medicare and may do so without any restrictions or penalty. If a retiree or dependent cancels their university coverage, they will return to Original Medicare and may enroll in an individual Medicare Advantage, Medigap (Medicare Supplement) plan separate from the university. They will also need to enroll in a Part D Prescription Drug Plan separate from the university to avoid paying a penalty.

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Can I enroll in another Medicare Advantage plan if I drop coverage under the new university plan?

Yes. Because this is a group Medicare Advantage plan if a retiree or Medicare-eligible dependent terminates from the university-sponsored Medicare Advantage plan, he/she has a Special Election Period in which he/she can enroll into an individual Medicare Advantage plan.

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Do I have to have health insurance to have an HSA?

Yes. To be eligible to open and contribute to an HSA, you need to be enrolled in a qualified high-deductible health plan (HDHP), per the U.S. Internal Revenue Service. Enrollment in the university’s Healthy Savings Plan qualifies you for an HSA, as long as you also meet the other eligibility requirements, which are specified on the HSA webpage.

You may keep an old HSA with contributions from previous years--including an HSA from a previous employer or from previous years with the university--even if you are not enrolled in a high-deductible health plan. But if you are not currently enrolled in an IRS-approved HDHP, you may not contribute to the old HSA, and you may be charged an administration fee.

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Under the PPACA, how should Graduate Research Assistants (GRAs) track actual hours?

Because the work performed by GRAs is partially for work purposes and partially for educational purposes, there is more work to be done in determining how to track hours for GRAs. More information will be forthcoming as we continue to work with the Graduate Student leadership. At this time, GRAs are not required to record actual hours in the time reporting system.

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Are there resources about if I opt-out of the University-sponsored Medicare Advantage plan?

Each year, all Medicare members receive a “Medicare & You” booklet from Medicare that explains the various Medicare components and guidelines, including plan types. Since the university-sponsored UHC Group Medicare Advantage Plans are group plans, the university retains the ability to renew the plans in future years or return to a Medicare Fee-for-Service arrangement. In addition, each state has a State Health Insurance Assistance Program (SHIP) that can assist Medicare members with understanding their Medicare plan options and benefits. In Missouri, the SHIP program is CLAIM. Visit https://www.missouriclaim.org for more information. For states outside of Missouri, visit https://www.shiptacenter.org/ to find your local SHIP.

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Why are there X’s for the Social Security numbers listed on Form 1095-C?

The University has masked part of the Social Security number for privacy purposes. The IRS does not require full Social Security number(s) on the Form 1095C.

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What is dependent eligibility verification?

Dependent eligibility verification is a process in which an employer asks employees to provide proof that dependents remain eligible for coverage under their insurance plans.

In February of 2017, UM System coordinated with Conduent HR Services to conduct a dependent eligibility verification. To learn more, visit our dependent eligibility verification frequently asked questions

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What’s changing with health care reform and/or Patient Protection and Affordable Care Act (PPACA)?

Included in the Patient Protection and Affordable Care Act (PPACA) (health care reform) is a mandate for employers to offer medical coverage to employees who average 30 hours or more across all jobs over a defined measurement period.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

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How are hours quantified for those currently paid for a unit of work?

The use of unit pay should be eliminated if possible because it is difficult to programmatically track actual hours worked for purposes of determining medical insurance eligibility. This includes the practice of processing additional pay forms for one‐time assignments completed by variable-hour employees in a concurrent position. Please contact your campus HR office if you believe you need to continue to use unit pay for any jobs in your area.

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How do I start using the Express Scripts Pharmacy for home delivery?

You can choose one of these easy methods:

  • Call Express Scripts at 877-603-1032, and let them do all the work. For most medications, Express Scripts will be able to contact your doctor and arrange for your first mail-order supply.
  • Ask your doctor for a new prescription for up to a 90-day supply, plus refills for up to one year (if appropriate). Then, have your doctor fax the prescription to the Express Scripts Pharmacy. (Only your doctor can fax your prescriptions.)

For refills remaining on covered medications you take regularly and fill at a retail pharmacy, log into Express-Scripts.com, scroll down the Order Center page to "Transfer your retail prescriptions," and select the medications you'd like to transfer. Express Scripts will do the rest. (If you’re a first-time visitor to the Express Scripts website, please take a moment to register using your member ID number and a recent prescription number.)

[This FAQ provided and written by Express Scripts.]

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When will my HSA funds be available for claim reimbursement?

Once you have been enrolled in a Health Savings Account (HSA) for 30 days, the university will deposit your seed money within 7-14 days. Those who enroll during Annual Enrollment can expect to receive the university contribution in the third or fourth week of January. This applies to employees only; retirees do not receive university contributions.

Any funds that you have elected to contribute through pre-tax payroll deduction will be deposited into your HSA within 5-7 days of payroll. Any funds that you contribute outside of payroll deduction are contributed directly to Optum Bank.

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Who contributes to the HSA?

The employee/retiree and the employer may contribute a combined amount that equals up to the annual IRS annual limits. An additional catch-up contribution may be made if you are 55 years old or older. See the understanding your HSA webpage for details.

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Who owns the HSA?

The HSA is owned and managed by the employee/retiree. The minute the university's annual contribution is deposited in your account, it is yours to keep, even if you leave the university. (University contributions are made only for active faculty and staff members enrolled in the Healthy Savings Plan.) Likewise, any contributions you make with your own money are yours to keep.

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Will I still be able to drop university coverage and enroll in a Medigap policy at any time?

Once a retiree or dependent is enrolled for the 01/01/2017 effective date, he/she can disenroll from a university-sponsored UHC Group Medicare Advantage plan by contacting the university at any time during the year. This disenrollment will trigger the member to go back to Original Medicare, and they can enroll in a Medigap (Medicare Supplement) plan outside of the university as a secondary coverage. They will also need to enroll in a Part D Prescription Drug Plan separate from the university to avoid paying a penalty. It is important to note that once a retiree or covered dependent chooses to dis-enroll from their university medical coverage, they cannot enroll at a later time. If a retiree chooses to drop or opt-out of university medical coverage, their covered dependent(s) will be also be dis-enrolled at that time.

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For the ExpressScripts Step Therapy program, what do I do if I can’t use the front-line drug?

With step therapy, more expensive brand-name drugs are usually covered as a back-up in the program if:

You’ve already tried the generic drugs covered in your step therapy program
You can’t take a generic drug (for example, because of an allergy)
Your doctor decides, for medical reasons, that you need a brand-name drug

If one of these situations applies to you, your doctor can request an override or a “prior authorization” for you, allowing you to take a back-up prescription drug. Once the override is approved, you’ll pay the appropriate copayment for this drug. If the override isn’t approved, you will either have to pay full price for the back-up drug or take an alternative.

If you have more questions, you can go to StepTherapyFacts.com to watch informative videos or call the Express Scripts Pharmacy at the number on your ID card. (This FAQ answer provided by ExpressScripts.)

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How do I find out which prescription drugs are considered “preferred” drugs?

To see if a medication is one of the thousands covered on the preferred drug list for the currently plan year, visit the Express Scripts official website, www.express-scripts.com and select “Price a Medication” from the drop-down menu under “Manage Prescriptions.” If the prescription drug you are looking for is not on the preferred list, talk with your doctor to identify an appropriate alternative that will effectively treat your condition.

(This FAQ answer provided by Express Scripts.)

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If I talk to an Employee Assistance Program (EAP) counselor, is it confidential?

Yes. Employee Assistance Program (EAP) services are confidential. All case records and information about services provided to employees by the EAP are maintained in the strictest confidence. Exceptions to confidentiality are as follows:

  • If the EAP is under court order or subpoena compelling disclosure; or
  • If the EAP practitioner has reason to believe that a client is a threat of harm to himself, or other persons; or
  • If the EAP practitioner has reason to believe that a child or vulnerable adult has been subject to abuse or neglect.

In cases of supervisory referral to EAP, the employee is asked to sign a release giving permission for EAP to confirm attendance. This release only authorizes the employee's supervisor to confirm that the employee scheduled an appointment with the EAP and whether or not they attended that appointment. All personal information that is shared within the conversation between the EAP practitioner and employee will remain confidential and is not released to the supervisor of the employee.

Visit the Employee Assistance Program webpage for more information.

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Under the Affordable Care Act, are there any changes for fully benefit-eligible employees?

No, there are no changes for employees who are already fully benefit eligible (.75 full-time equivalency (FTE) and at least a 9 month appointment). The information regarding the Patient Protection and Affordable Care Act (PPACA) measurement period applies to variable hour employees (part‐time) who do not currently receive benefits.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

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What is a “measurement period” under the Patient Protection and Affordable Care Act (PPACA)?

The term “measurement period” indicates a time frame for the employer to look back to determine if an employee met the 30-hour requirement. The university evaluates variable-hour employees only; fully benefit-eligible employees are eligible for medical insurance by definition and therefore do not need measurement.

There are two types of measurement periods: (a) new-hire measurement periods and (b) ongoing measurement periods. See the “medical insurance eligibility” webpage to read the definitions.

The first ongoing measurement period for the University of Missouri (UM) System was October 4, 2013, through October 3, 2014 (12 months). Employees who averaged 30 hours or more over this 12-month period, were offered medical coverage for 2015. The first new-hire measurement period was November 1, 2013, to October 31, 2014.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

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Why does the Affordable Care Act (PPACA) ongoing “measurement period” start October 4?

The measurement, administrative, and stability periods have been determined based on current practices. The UM System wants to make sure the stability (coverage) period for variable-hour employees who are eligible for medical insurance mirrors that of the plan year for fully benefit-eligible employees (Jan. 1 – Dec. 31) and provides variable-hour employees the same plan year and annual deductible period as fully benefit-eligible employees.

Please note: The stability period is Jan. 1 – Dec. 31 of each year only for ongoing eligible employees. The stability period for new hires or newly eligible employees varies.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

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What is a “stability period” under the Patient Protection and Affordable Care Act (PPACA)?

For the Patient Protection and Affordable Care Act (PPACA), the short answer is that a “stability period” is the period you are guaranteed coverage. Once the UM System offers you medical insurance, you are guaranteed to have coverage for a 12-month stability period provided you enroll for insurance in the first 31 days of your stability period. In other words, you cannot lose your insurance coverage from the UM System even if your average hours worked drop below 30 hours per week, as long as you enroll within the first 31 days and assuming you do not separate from the university.

Keep in mind that you may have to enroll in a medical plan more than once per year when you are first offered insurance. That’s because your new-hire stability period varies, tracking with your new-hire measurement period, but it does not necessarily track with the ongoing measurement period.

The new-hire process is as follows:

Process Measurement Period Administrative Period Stability Period
  12 months when the UM System measures variable-hour employees’ work hours. Beginning and end dates vary based on the date an employee starts work. The UM System reviews the measurement period data and prepares offers to those variable-hour employees qualifying for medical insurance coverage. 12 months following the administrative period in which an eligible employee cannot become ineligible for insurance, assuming they enroll within the first 31 days of the stability period and do not separate from the university.

The new-hire measurement period varies based on your hire date, but the ongoing measurement period is always October 4 of one year to October 3 of the next year. If you intersect the middle of the ongoing measurement period, then you will receive an offer to enroll in medical insurance more than once per year.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

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Do “measurement periods” for the Patient Protection and Affordable Care Act (PPACA) remain the same?

Employers have the ability to change the measurement period under the regulations. At this point, it is not expected that the measurement period will change. However, as we navigate through the first few measurement, administrative, and stability periods, we will continue to evaluate whether this is the most appropriate time period for variable-hour employees and the UM System.

The new-hire measurement period varies based on your hire date, but the ongoing measurement period is always October 4 of one year to October 3 of the next year. If you intersect the middle of the ongoing measurement period, then you will receive an offer to enroll in medical insurance more than once per year.

Visit the Patient Protection and Affordable Care Act (PPACA) page for more information.

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