The UK-RHP plan offers high-quality care for those who live outside Central Kentucky. The coverage matches the UK-HMO plan but makes services available to non-UK HealthCare facilities and physicians to those who live in outlying counties. 

More information on the UK-RHP plan:

  • Plan members may visit any Anthem provider in the 110-county UK-RHP network for primary care and specialist office visits and procedures performed in the office. View the UK-RHP physician/providers state-wide (PDF).
  • Please note: Surgeries and other certain specialty procedures must be performed in the plan member's designated facility network. The UK-RHP network includes hospitals and facilities in one of three regional areas throughout the state of Kentucky (see map below), including UK HealthCare providers in Lexington. As a UK-RHP member, you will automatically be enrolled as of July 1 in a regional facility network based on your home county (county of residence).
  • View the UK-RHP provider directory for Region A (PDF)
  • View the UK-RHP provider directory for Region B (PDF)

 

Coverage Level Monthly Rate* UK Credit Monthly Cost to Employee
Employee only $523 $495 $28
Employee + child(ren) $783 $649 $134
Employee + spouse $1,044 $783 $261
Employee + family $1,307 $922 $385

* Regular part-time and temporary employees (less than 0.75 FTE or work less than an average of 30 hours per week in a 12 month measurement period), who are not eligible for the UK credit toward the costs of coverage, pay this rate.

Find a doctor

Anthem provides a Find a Doctor tool to show which providers in your area accept your insurance plan.

Full coverage information

Complete information about the UK-RHP plan is available in this Summary of Benefits Coverage or this medical benefits booklet.
 

2017-2018 UK-HMO Major Plan Benefits Benefits for Covered Services Provided at Participating Providers
Lifetime Maximum Benefit Unlimited Unlimited
Out-of-Pocket Amount Medical out-of-pocket maximum $3,000/member; $6,000/family
Prescription out-of-pocket maximum $3,850/member; $7,700/family
Preventive Care
*Coverage under preventive care category depends on age, symptoms, and diagnosis
Routine Pap smears, mammograms, PSA, screening colonoscopy, and sigmoidoscopy*
Routine child care and immunizations (through age 18)
Routine adult physical exam (19 years and above, one per plan year)
100%
Physician Services Office visits (excludes certain diagnostic lab and X-ray) 100% after $10 co-payment for primary care physician
100% after $30 co-payment for specialist 
Lab tests, X-rays and diagnostic tests 100%
Allergy injections 100% after $10 co-payment 
Inpatient services
Outpatient surgery and diagnostics 
Physician visits to emergency room
100%
Hospital Services Inpatient care (semi-private room and board, nursing care, ICU) 100% after $200 co-payment per admission
Hospital observation stay 100% after $100 co-payment 
Organ transplants  100%
Outpatient nonsurgical care
Outpatient tests, lab, X-ray and other diagnostic tests
Ancillary services
100%
Outpatient surgery 100% after $75 co-payment
Outpatient diagnostic testing (high costs - MRI, MRA, CT and PET scans) 100% after $75 co-payment
Emergent/Urgent Services Emergency room 100% after $100 co-payment (waived if admitted)
Urgent treatment center 100% after $25 co-payment
UK Children's Twilight Clinic 100% after $15 co-payment 
Ambulance 100% after $75 co-payment 
Other Medical Services Skilled nursing facility (up to 30 days per plan year) and hospice services 100%
Home health care (up to 60 visits per plan year)  80%
Durable medical equipment, orthotics, and prosthetics 80% maximum member responsibility of $500/plan year
Hearing aids 80% for children under 18
Speech, music, physical, occupational, manipulative, hydrotherapy, acupuncture, pulmonary rehab, and cardiac rehab therapy (limited to 45 visits per plan year, combined) 100% after $15 co-payment per visit for all therapies 
Mental Health and Substance Abuse Inpatient mental health or substance abuse  100% after 200 co-pay per admission

Employee health plans

UK-HMO
UK-RHP
UK-PPO
UK-EPO

Employee health plans

UK-HMO
UK-RHP
UK-PPO
UK-EPO

Dental Plans

UK Dental
Delta Dental