Office of Human Resources - Benefits Design & Management
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Other Benefits
MEDICAL
EXCLUSIVE PROVIDER ORGANIZATION (EPO)
An EPO is similar to a traditional HMO and provides the lowest-cost benefit because it uses contracted network physicians, hospitals, ancillary healthcare providers and facilities. Although it is recommended that everyone have a Primary Care Physician, it is no longer necessary to name one. You have access to any physician (including specialists) within your network without notifying the Plan Administrator.
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ORGANIZATION (PPO) With a PPO you can use both in-network and out-of network tiers of physicians, hospitals and facilities. In-network services cost less out-of-pocket, but the out of-network tier offers more provider choices. |
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OUTSIDE ARIZONA
An employee whose permanent residence is not in Arizona must enroll in Beech Street, a national PPO network. |
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| MEDICAL MANAGEMENT
Effective February 1, 2008, Strategic Health Development Corporation will begin providing Medical Management provides oversight of provider and treatment quality and effectiveness. * Education to help members and their families understand medical conditions and treatment plans * Coordination of discharge planning from the hospital * Assistance with making health care decisions * Review of potential risks and consequences of proposed medical services Strategic Health Development Corporation’s Medical Management services are available 24 hours a day, 7 days a week. For information, contact the Benefit Options Claims Administrator, Fiserv Health at 888-999-1459.. |
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| PLAN ADMINISTRATORS | ||
For RAN+AMN, Schaller Anderson or AZ Foundation |
For United Healthcare EPO or PPO UnitedHealthcare 1.800.896.1067 www.myuhc.com |
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| DOMESTIC PARTNER BENEFITS Although domestic partner health care benefits are not offered by ASU, the University Provost Office does administer two programs for an employee and their same or opposite sex domestic partner and eligible dependents: • In-State Tuition Reduction Program • Retention Subsidy Program that supplements an employee's salary for the purchase of health insurance. To apply, please complete the Declaration and Request forms and forward to Beverly Buddee at Mail Code 7805 or call 480.965.7405 for more information. |
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| This information is not binding and subject to change at any time. Federal regulations, ABOR, ASU and ADOA policies and vendor contracts govern benefits eligibility and coverage. If there is any discrepancy between this information and the plan documents, the plan documents will govern. | ||