Medical Insurance
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Useful Contacts |
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QualChoice 1-501-219-5133 1-866-724-3570
QCARE 1-888-795-6810
Caremark 1-800-375-2596
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Useful Links |
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QualChoice
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The UA Medical Plan is self-insured and self-funded. QualChoice is our third party administrator and processes your medical claims. Caremark is our pharmacy benefit manager and processes your prescription claims.
UAMS Medical Plans
You have two medical plans to choose from: Point of Service or Classic Managed Care. [If you live outside the State and QualChoice provider area, you have a third option called the “Alternative Point of Service” plan. Contact Human Resources at (501) 686-5650 for further information.] Both plans cover a wide range of traditional expenses such as doctors’ visits, surgical services, pregnancy, emergency room services, hospital stays, and diagnostic testing. With a goal of assisting you in being healthy, the plans also provide coverage for items such as well baby check-ups, mental health counseling and prescription drugs.
Point of Service Plan
The Point of Service plan is a “dual option” plan. Your out-of-pocket costs are determined by whether you seek care from an in-network provider or an out-of-network provider. You get your best benefit by seeing your PCP (primary care physician) or other in-network provider. Seeing a doctor outside the network means you’d pay a higher share of the bill. If you’re traveling out of state without access to network providers, you may lower your costs by going to a provider in the national Private Health Care Systems network, www.phcs.com.
Classic Plan
If you select the Classic plan you will enjoy a lower premium cost than the Point of Service plan. However, benefits are only provided if you access care through your PCP or other in-network provider, similar to an HMO. There are no benefits for out-of-network providers other than emergency care while traveling.
New employees have a waiting period before coverage takes effect. Once you enroll and complete the required forms, coverage takes effect the first of the following month.
Be sure to enroll within your first 31 days of employment. Late enrollments are not allowed, nor does the University of Arkansas offer an annual open enrollment. However, if you experience a qualified family event in the future, you have a 31-day window to make changes.
Additional Benefits for Joining the UA Plan
When you enroll in the UA Medical Plan, you will enjoy free Internet access to physicians and medical advice via QCARE. First, login as a member at QualChoice, then click on QCARE. QCARE is your resource for health coaching and medical management. Take the assessment and see how you score.
Visit Get Healthy UAMS to learn about the fitness center and other wellness programs offered by UAMS.
Additional Medical Information & Forms
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Medical Information |
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| Alternative POS | Description of alternative plan available only to employees who live out of state. Click here for rates. |
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The Drug Formulary is created and maintained by the University of Arkansas. Caremark pays claims according to this formulary. |
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Side-by-side comparison of Point of Service and Classic Plans |
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What happens to your medical benefits when you turn 65 and become eligible for Medicare and Social Security |
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Verifies you would not have to pay a late enrollment penalty for Part D if you were covered under our medical plan when you first became eligible for Part D at age 65 |
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How we protect your health information under HIPAA |
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Insurance rates for staff and most faculty (excluding FGP) |
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Insurance rates for College of Medicine Faculty Group Practice members. Click here to learn more about your FGP benefits that are handled through that office. Click here for other faculty information. |
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Insurance rates for College of Medicine Housestaff and AHEC Medical Residents |
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Summary Plan Description (insurance booklet) for Classic medical plan |
| SPD - Point of Service | Summary Plan Description (insurance booklet) for Point of Service medical plan |
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SPD - Alternate Point of Service
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Summary Plan Description (insurance booklet) for Alternate Point of Service medical plan |
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UAMS faculty members who are included in QualChoice’s network of Primary Care Physicians |
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Medical Forms |
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Following are the benefit forms that you can print, complete, and send to Human Resources. Not all forms are listed here, as some are printed on multiple-copy paper and are only available through our Employee Services office, located in Room 1R/08 of the Barton Research Building. If you are unable to visit Employee Services, please call (501) 686-5650 and ask for the form to be mailed to you. Once you complete your form, you can drop it off at Employee Services. Or you can send it through campus mail to Benefits, box # 564-1. You can fax it to UAMS Benefits at (501) 603-1318. Or you can mail to:
Benefits, # 564-1
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| QualChoice Claim Form | Your health care provider should file the claim directly to QualChoice. Use this form only if you had to pay your entire medical bill up front. |
| QualChoice Coordination of Benefits Questionnaire | If you have other medical coverage, QualChoice may need you to complete this form. |
| QualChoice Disabled Dependent Form | If you have an adult child who is disabled, Qualchoice may request this form. |
| Caremark Claim Form | Contact Caremark at 1-800-375-2596 before filling out this form, so they can contact your pharmacy and try to have your prescription drug claim reprocessed. |
| Student Status Verification | Send to QualChoice each semester to verify your child age 19-24 is a full-time student. |
| Taxation of Premium Deduction | Change the way your Medical premium is deducted (before-tax or after-tax) |
University of Arkansas for Medical Sciences
4301 W. Markham St., Little Rock, AR 72205
For the Office of Human Resources & Employee Services, Call 1-501-686-5650
To Make an Medical Appointment Call the Appointments Center at: 1-501-686-8000
For Patient Information/Rooms, Call 1-501-686-6416
For General Information and for Numbers Not Listed, Call 1-501-686-7000
For International Patient Appointments, Call 1-501-686-8071
Questions about the Office of Human Resources website? Send us
an email.
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