Benefits - University Health Plan (UHP)
NOTE: Effective January 1, 2013, the UHP medical and prescription drug benefits were enhanced in response to passage of the Patient Protection and Affordable Care Act (PPACA), as amended.
Medical Benefits: The UHP partners with Coventry Health Care of Missouri to administer the medical benefits of the plan. Coventry's responsibilities include insurance identification card production, medical coverage verification, claims processing and prior-authorization/pre-certification. Coventry Member Services may be reached at (800) 775-3540.
Medical benefits are offered at three levels/tiers. Members receive a higher level of coverage when medical services are provided by Tier 1 providers and facilities. Tier 1 providers are SLUCare providers that practice at SLUCare offices and affiliated facilities. Tier 2 providers are practitioners and facilities contracted with Coventry. Tier 3 providers and facilities include those outside of Tier 1 (SLUCare) and Tier 2 (Coventry).
Prescription Drug Benefits: The UHP partners with Catamaran (formerly CatalystRx) to administer the prescription drug benefits of the plan. The UHP prescription drug benefits do not include a mail order option. Catamaran responsibilities include pharmacy identification card production. Catamaran Member Services may be reached at (800) 207-2568, TTY: (888) 411-0767.
The RxBIN# for the UHP retail prescription plan is 603286. The RxGRP# is 514619. The PCN# is 01410000.
The plan's specialty pharmacy provider BriovaRx Specialty Pharmacy can be contacted at 855-427-4682.
Page Updated: 04/09/14