UMR/UHC Health Benefits

New Hires:  1st of the month after 30 days of employment.

Annual Enrollment: January 1st of next calendar year.

Coverage may not be changed during a calendar year unless you have a qualified status change.

*Spouse who works at NKU in a benefit eligible position

**Spouse with coverage available from own employment

ALL OPTIONS:

Use CHART #3 to estimate your 2025 prescription drug costs. All specialty prescriptions must be filled through Accredo to be covered. Specialty prescriptions filled through any other source will NOT be covered. A list of covered prescription drugs is available on the Benefits Pharmacy website.  

HDHP OPTION ONLY:

Certain prescriptions, when taken on a regular basis, help control chronic conditions. These prescriptions will be covered with a 15% coinsurance up to the deductible. See list of the preventative drugs eligible for 15% coinsurance.  

PRESCRIPTION COVERAGE:

You are automatically enrolled in prescription coverage if you are enrolled in one of our health plans. Express Scripts, the company managing your prescription drug benefit, provides 24-hour customer service, web-based drug information, and an integrated mail/ home pharmacy service.

Know Your Rx is a member of the Know Your Rx Coalition, which is staffed with consulting pharmacists to assist you with your NKU Prescription benefit. Services of Know Your Rx include:

• Identification of lower cost prescription alternatives.

• Direct contact with pharmacists.

• Contacting physician to facilitate seeking authorization for lower cost alternative therapies.

• Assistance working with Express Scripts to fill yourprescriptions in a timely and easy manner.

• Drug interaction management.

Sometimes medicines can change categories (generic, preferred brand, non-preferred brand). It’s always a good idea to check which category of your medicine. To view the current prescription drug formularies, visit the NKU Pharmacy website. Questions? Please call our pharmacists with the Know Your Rx Coalition at (855) 218-5979 for information specific to your medication, formulary and costs.

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