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)»
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 »