UK-EPO Factors to Consider



  • Large selection of network providers, including UK HealthCare facilities, (such as Chandler Hospital, Good Samaritan Hospital, Kentucky Clinics), UK HealthCare physicians and the Anthem BlueCross and BlueShield network

  • No referrals required for specialty care services.

  • No coverage for out-of-network services, unless it is a life- or limb-threatening emergency.

  • No deductibles to meet. 

  • No out-of-network coverage. 


Summary of Health Plan Benefits: UK-EPO




The UK-EPO Option is very similar to an HMO in the way benefits are applied. If you choose the UK-EPO, you must receive treatment from an in-network provider. Only emergency services, or urgent services received while out of the service area, are covered when provided by out-of-network providers or facilities. When you use in-network providers, you will have a $20 copayment for primary care visits and a $30 copayment for specialist visits.


Prior authorization is required for the following services: inpatient hospital services; inpatient mental health, alcohol and/or chemical dependency services; outpatient mental health, alcohol and/or chemical dependency services; and skilled nursing facility services. Failure to obtain prior authorization will result in a 50% benefit penalty. 


Click to view table summary of UK-EPO benefits »


Click to view full plan details of UK-EPO (PDF)»


Rates




Over 65 - Medicare Eligible - Rates


Under 65 - Non-Medicare Eligible - Retired Prior to 7/1/2007 - Rates »


Under 65 - Non-Medicare Eligible - Retired After 7/1/2007 - Rates »


Any Age - Actively Working at UK - Rates »

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