Pharmacy

Regular full-time and regular part-time employees working at least 20 hours per week may elect one of the UA Choice Health Care Plans or opt out of coverage if already covered by another health plan. 

Spouse

The lawful spouse of the employee, unless legally separated.

Please note: Wherever “spouse” is stated in the health care plan, a Financially Interdependent Partner would also be included provided all requirements are met as specified by the University of Alaska. 

Child(ren)

A child is considered one of the following:

  • A “child” 25 years of age or younger
  • A natural offspring of either or both the employee or spouse
  • A legally adopted child of either or both the employee or spouse
  • A child for whom the employee has been granted court-appointed legal guardianship
    • Please note: There must be a court order signed by a judge, which grants guardianship of the child to the employee or spouse of the employee as of a specific date. When the court order terminates or expires, the child is no longer an eligible child.
  • A child for whom the employee or spouse is under a domestic relations order to provide medical benefits as directed by a divorce decree, a medical child support order, or other court-ordered dependent coverage
  • A foster child living with the employee
    • Please note: There must be a court or other order signed by a judge or state agency, which grants guardianship of the child to the employee or spouse of the employee as of a specific date. When the court order terminates or expires, the child is no longer an eligible child.
  • A child “placed” with the employee for the purpose of legal adoption in accordance with state law
    • Please note: Placed for adoption means assumption and retention by the employee of a legal obligation for total or partial support of a child in anticipation of adoption of such child.

Financially Interdependent Partner

The University of Alaska requires evidence of eligibility for all enrolled dependents. Supporting documents include birth certificate, marriage license, final adoption paperwork, tax returns showing claimed dependents, qualified medical child support orders, legal guardianship papers, etc. 

 

If you are a new employee, you have 30 days from your first day of employment to complete a health care formThis means that a form must be submitted by all new employees - even if you are opting out because you have health coverage elsewhere.

If no form is submitted in the 30-day election window, you will automatically be enrolled in the High-Deductible Health Care Plan (HDHP) for employee only coverage.

How to Enroll
  1. Attend New Hire Orientation (held on the 1st and 3rd Wednesday of the month) to receive information about the UA Choice Health Care Plans. Register to attend by contacting your HR Coordinator. 
  2. Make your  elections by completing the UA Choice Benefit Enrollment Form within 30 days of your date of hire.
    •  If enrolling dependents, you must provide supporting documentation at the time of enrollment.

Outside of the annual Open Enrollment period, an employee may change an enrollment election only if there has been a qualifying life event. The most common examples of qualifying life events include birth of a child, change in marital status, acquisition of coverage, and loss of coverage.

Mid-year changes outside of Open Enrollment must be completed within 30 days of the date of the event, unless the event is birth of a child or adoption, then you have 60 days to make changes to your benefits. 

For more information about Qualifying Life Events please visit the Qualifying Life Events page.

How to Make Changes
  1. Complete the Life Event Changes form to update your benefits within the appropriate timeline.
    • If you are enrolling dependents for the first time, you must provide supporting documentation at time of enrollment.

Please visit the Extended Temporary/Temporary Employees page for more information on qualifications and enrollment information. 

Prescription Plan Copays 

In-Network 30 Day Supply

750 & HDHP

CDHP

  • 0% for generic preventive on PV1 list
  • Tier 1: $10 copay for preferred generic
  • Tier 2: $30 copay for preferred brand name
  • Tier 3: $100 copay for specialty*
  • Tier 4: 30% for non‐preferred drugs**
  • 0% for generic preventive on PV3 list
  • 20% after deductible

Home Delivery 90 Day Supply

  • 0% for generic preventive on PV1 list
  • Tier 1: $20 copay for preferred generic
  • Tier 2: $60 copay for preferred brand name
  • Tier 4: 30% for non‐preferred drugs**
  • 20% after deductible

Non-Network Pharmacy (amounts over the negotiated price are not subject to the out-of-pocket maximum)

Pay retail price at time of purchase, submit claim form to be reimbursed at a negotiated price, less appropriate copayment

Pay retail price at time of purchase, submit claim to have negotiated price applied to deductible or coinsurance, as appropriate

 All UA Choice pharmacy benefits subject to negotiated price limits.
*Specialty drugs must be obtained through Accredo Health Group. No courtesy fills at retail.
**Deductible waived

Preventive drugs are covered at no cost to you on all plans. For a list of current preventive medications, please see below:

For more information on alternatives for non-preferred or excluded drugs, please visit Premera's website

If you take a drug on a regular basis to control or treat an ongoing or chronic condition, you will be able to get your first two fills at a retail pharmacy but then will need to use the mail order pharmacy for future refills.  If you don't use the mail order pharmacy for your maintenance drugs, the regular retail copay will be doubled for the same 30 day supply. Find out which drugs make the list of Maintenance Medications and view the Maintenance Medication Exempt List to find exceptions.

All specialty drugs must be dispensed from the specialty pharmacy, Accredo Health Group. The 750 Plan and the HDHP have a $100 copay for up to a 30 days supply from Accredo Health Group.  Visit the Specialty Pharmacy Program page on Premera's website to find out how to order and to see various Specialty Drug lists. 

SaveonSP Specialty Coupon Program 

The University of Alaska is collaborating with Express-Scripts’ program, SaveonSP, to help you save money on certain specialty medications. Contact SaveonSP directly to find out if your current medication is eligible. 

  • If you participate in this program, your copay will be covered under the SaveonSP program for the specialty medications included in the program, which will result in no out-of-pocket costs to you. 
  • Your prescriptions will still be filled through Accredo, your existing specialty mail pharmacy.    
  • To participate, simply call SaveonSP at 1-800-683-1074 prior to filling your prescription. The program cannot be retroactively applied to a previously filled prescription.
  • Participation in the program is voluntary and if you choose to participate, SaveonSP will monitor your account to ensure you have no cost ($0). 
  • If you choose not to participate, SaveonSP will NOT be able to monitor your account and you will be responsible to pay the copay.
  • In both situations, the copays associated to the medication in the program will not count towards your deductible or out-of-pocket maximums.

Current SaveonSP Medication List

The prescription drugs included in the SaveonSP program are classified as Non-Essential Health Benefits under the Affordable Care Act, because the prescription drug is considered a Non-Essential Health Benefits and therefore is not required to apply toward your out-of-pocket accumulators.
The medications and associated copays included in this program are subject to plan clinical rules and subject to change. 

If you have any further questions or concerns, please contact SaveonSP at 1-800-683-1074
Monday – Thursday 8:00 a.m. – 8:00 p.m. Eastern and Friday 8:00 a.m. – 6:00 p.m. Eastern

The cost of the health care plan is shared between employees and the University, with the University currently paying 82% of the net plan cost. 

Monthly Premium Rates
Effective July 1, 2020 through June 30, 2021