Medical Plans: Comprehensive coverage for you and your family.

2018 New Medical Plan Options

The following two medical plans will be offered for 2018, depending on your eligibility:

  • UnitedHealthcare Choice Plus Value Point of Service Plan
  • UnitedHealthcare Choice Plus Advantage Point of Service Plan


To view plan coverage, check claim status, search for a provider, and print a temporary ID, visit UnitedHealthcare’s website. First time users will need the member ID number from their UHC ID card to register for access.

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Key Features
Value Plan Value Plan Advantage Plan Advantage Plan
  In-network
Out-of-network*
In-network Out-of-network*
Deductible (The amount you pay for services before the plan begins paying benefits.)

Individual $500

Family $1,000

Individual $2,600

Family $5,200

Individual $400

Family $800

Individual $2,600

Family $5,200

Primary Care Doctor's Office Visit (other than routine physical) $30 copay 50% after deductible $30 copay 40% after deductible
Specialist Office Visit $40 copay 50% after deductible $40 copay 40% after deductible
Coinsurance (Your portion after you meet the deductible. Coinsurance does not apply to services with copays.) 20% 50% 10% 40%
Out-of-Pocket Maximum (The most you pay each calendar year for covered services; includes deductibles.)

Individual $3,500

Family $6,000

Individual $8,000

Family $15,000

Individual $2,000

Family $5,000

Individual $8,000

Family $15,000

Emergency Room $75 copay $75 copay $75 copay $75 copay

* IMPORTANT: Reasonable and Customary (R&C) out-of-network charges are the maximum charges that the plan will consider for a particular service in a particular area when you use an out-of-network provider. R&C limits are generally determined by geography, as charges can vary for the same service in different parts of the country. Your total out-of-pocket cost may include provider charges that are above the plan’s R&C allowance.

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2018 Medical Plan Contributions

Category F: 2018 Medical Plan Options and Monthly Contributions

Adjuncts in Category F are eligible to choose one of two UHC options. NYU pays 75% of the cost of individual coverage, or 100% of the cost of individual coverage, provided it is to be applied toward family/dependent coverage.

Coverage Category
UHC Value
UHC Advantage
Employee $210 $226
Employee + Spouse / Domestic Partner $922 $992
Employee + Child(ren) $754 $812
Employee + Spouse / Domestic Partner + Child(ren) $1,676 $1,804

Category A: 2018 Medical Plan Options and Monthly Contributions

Adjuncts in Category A are eligible to choose one of two UHC options. NYU pays 75% of the cost of individual coverage, or 85% of the cost of individual coverage, provided it is to be applied toward family/dependent coverage.

Coverage Category
UHC Value
UHC Advantage
Employee $210 $226
Employee + Spouse / Domestic Partner $1,048 $1,127
Employee + Child(ren) $880 $947
Employee + Spouse / Domestic Partner + Child(ren) $1,802 $1,939

Category B: 2018 Medical Plan Options and Monthly Contributions

Adjuncts in Category B are eligible to choose one of two UHC options. NYU pays 50% of the cost of individual coverage, or 60% of the cost of individual coverage, provided it is to be applied toward family/dependent coverage.

Coverage Category
UHC Value
UHC Advantage
Employee $419 $451
Employee + Spouse / Domestic Partner $1,257 $1,353
Employee + Child(ren) $1,089 $1,173
Employee + Spouse / Domestic Partner + Child(ren) $2,011 $2,165

Category C: 2018 Medical Plan Options and Monthly Contributions

Adjuncts in Category C are eligible to elect coverage under the UHC Value Plan and pay 100% of the cost of coverage, regardless of the level of coverage selected.

Coverage Category
UHC Value
Employee $838
Employee + Spouse / Domestic Partner $1,760
Employee + Child(ren) $1,592
Employee + Spouse / Domestic Partner + Child(ren) $2,514

Premium Payments 

You will receive a package of 12 monthly invoices in late December from Employee Benefit Plan Administration, Inc. (EBPA), the billing administrator for NYU. To keep your coverage in effect, payments must be received by EBPA each month before the due date indicated on each invoice.

  • You can sign up for automatic debit payments from a checking or savings account.
  • You may make multiple payments.
  • Partial payments are not accepted.
  • Please do not send cash.
  • Payments should be made by check or money order and sent to:

Employee Benefit Plan Administration, Inc.
P.O. Box 1316
Williston, VT 05495
1-888-232-3203

Please note: If you are paid semi-monthly, Your Current Benefits statement on the Benefits Resource Center will reflect a semi-monthly Pay Period Cost for your benefits, half the amount on your monthly invoices from EBPA.

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Decision Support Tool

The Decision Support Tool available through the Benefits Resource Center can be used to help you identify the plan that best fits your needs. When you arrive at the medical enrollment screen, a pop-up window will open that will ask if you would like help choosing the plan that is right for you. See the step-by-step instructions (PDF) on how to best utilize the Decision Support Tool.

Health Insurance FAQs

Summaries of Benefits & Coverage (SBCs)

Summary Plan Descriptions (SPDs)

 

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