Enrollment
Question: How do I log into the enrollment website so I can enroll?
- Visit KansasHealthSystemBenefits.com and click How to enroll in 4 steps under Choose Your Benefits.
- Enter your username.
- Your username is the same as your health system login, used to access the computer network.
- Enter your password.
- Your initial password is the last 4 digits of your social security number.
- If you created a password previously and don’t remember it, please click “forgot password” and follow the steps to reset it.
- If you need further assistance, contact the Benefits Team.
- Benefits help line: 888-494-9119
- Benefits email: BenefitsConnection@kumc.edu
Question: What if I experience a qualifying life event that affects my 2022 benefits after annual benefit enrollment for 2023 benefits ends?
Answer:To submit your life event, you will log back into the enrollment website. You must enter your qualifying life event within 30 days of the date the life event occurs. As part of the life event, you will only be able to make changes to your benefits that are consistent with the type of life event you have. For example, if your life event is due to your spouse losing medical coverage elsewhere, then you will only be able to add your spouse to your medical plan since that is the only benefit they lost eligibility to. If your life event occurs in 2022, you will not only be updating your 2022 benefits, but also your 2023 benefits.
Qualifying life events include:
- Marriage or divorce
- Birth or adoption of a child
- Gain or loss of other coverage
- Change in your dependent’s eligibility status
- Change to benefit-eligible status
You will need to provide proof of the qualifying life event (such as marriage certificate, divorce decree, birth certificate, gain or loss of coverage letter) to make the change.
If you have questions, call the benefits help line at 888-494-9119.
Question: Can I enroll for dental and vision coverage even if I do not sign up for the health system’s medical plan?
Answer: Yes, you can sign up for dental and/or vision coverage regardless of whether you sign up for medical coverage.
Medical Plan
Question: If I’m currently on the Signature Plan and I change to the HSA Advantage Plan for 2023, can I still contribute to an FSA (flexible spending account)?
Answer: No. The IRS prohibits members of the HSA Advantage Plan (and any HSA medical plan) from contributing to healthcare FSA accounts. However, HSA Advantage Plan members can open a health savings account (HSA). The HSA allows you to use pretax dollars to pay for eligible healthcare expenses. In addition, money in an HSA rolls over from year-to-year, whereas FSA contributions must be used (or forfeited) each year.
Employees who elect the HSA Advantage Plan will receive “seed money” from the health system to their HSA. The amount from the health system is $500 for employee-only coverage and $1,000 for any type of employee plus family coverage.
Any benefit-eligible employee may also open a dependent care FSA (flexible spending account) to cover eligible expenses for dependent (including children) care. This account is not connected to any medical plan and enables you to pay dependent-care expenses with pretax dollars.
Question: If I am currently on the HSA Advantage Plan and change to the Signature Plan for 2023, can I still contribute to my HSA (health savings account)?
Answer: No, under IRS guidelines, you can only contribute to the HSA if you are enrolled in the HSA Advantage medical plan. Please note that you can use any funds remaining in your HSA until the funds are depleted – there is no deadline to use the funds.
If you elect the Signature Plan, you may open a healthcare FSA to use pretax dollars to pay for eligible healthcare expenses. Any balance remaining in a healthcare FSA at the end of the year is forfeited.
Any benefit-eligible employee may also open a dependent care FSA (flexible spending account) to cover eligible expenses for dependent (including children) care. This account is not connected to any medical plan and enables you to pay dependent-care expenses with pretax dollars.
Medical Plan – Premiums
Question: Are there different medical premium rates for part-time employees versus full-time employees?
Answer: Rates are not differentiated by part-time or full-time status. Rates for medical plans do vary by coverage level. Each plan offers different tiers of coverage: employee-only, employee plus spouse and employee plus child(ren) or family.
Question: How does the spousal surcharge work?
Answer: If you enroll your spouse in the health system’s medical plan, you will be asked if your spouse has access to medical coverage through their employer. If your spouse has access to another employer’s medical plan, regardless of whether your spouse enrolls for their employer’s medical plan, you will be charged an additional $50 per paycheck. If your spouse is self employed or their other coverage is Medicare, you would respond to the spousal surcharge question with “No.”
If your spouse gains or loses coverage with their employer’s medical plan that would change your response to the spousal surcharge question, email the Benefits Team at BenefitsConnection@kumc.edu as soon as possible after the event so the change can be made. The update to your spousal surcharge will be made on a go-forward basis.
Medical Plan – In-Network Providers
Question: How do I know if my provider is in-network?
Answer: Visit MyHealthTollkitKC.com to see if your current providers are in-network for the available medical plans.
- Click “Find a Provider”
- Enter the alpha prefix “USK” to see in-network providers for the HSA Advantage and Signature plans
Pharmacy
Question: Where should I fill my prescriptions?
Answer: The health system pharmacy should be your first choice for filling prescriptions. You can get the most cost-effective options for your medications through the health system pharmacy. Read more in our guide for using the health system pharmacy.
Acute medications (to treat short-term symptoms) are also covered at in-network pharmacies, but you will pay a higher copay or coinsurance than you would at a health system pharmacy.
Question: How do I refill my prescriptions through the health system pharmacy?
Answer: Instructions for refilling your prescriptions through the health system pharmacy are included in our guide for using the health system pharmacy.
Question: How do I transfer my prescriptions to the health system pharmacy?
Answer: Instructions for transferring your prescriptions to the health system pharmacy are included in our guide for using the health system pharmacy.
Question: Why do I have to fill maintenance and specialty prescriptions at the health system pharmacy?
Answer: The health system pharmacy helps maintain lower deductibles, coinsurance and copays by filling all maintenance and specialty prescriptions for our employees. This means you can get the most cost-effective options for your medications through the health system pharmacy.
The health system pharmacy also offers the best service, including five convenient locations and complimentary delivery. Read more in our guide for using the health system pharmacy.
Question: How do I know if my prescription is a maintenance or specialty medication that must be filled at a health system pharmacy?
Answer: Maintenance medications require long-term, regular use to treat chronic health conditions. To determine if your prescriptions falls into this category, please review the preventive drug list.
Specialty medications are high-cost medications used to treat complex health conditions. To determine if your prescription falls into this category, please review the prescription drug formulary and our guide on how to read it. (Special codes – like MSP, UKMSP, or LD – are frequently used to within the formulary to indicate specialty medications.)
Question: My prescription is for an extended time period. Can I fill prescriptions for more than 30 days?
Answer: Yes, you can receive up to a 102-day supply of most medications by asking your provider to write the prescription accordingly. This includes many medications to treat short-term symptoms (acute) and chronic health conditions (maintenance). However, there are a few exceptions:
- Specialty medications to treat complex health conditions are limited to a 30-day supply.
- Split-fill and controlled-substance medications may have a limited day supply.
- Medication shortages, caused by events such as ingredient scarcity or national backorder, may limit a pharmacy’s ability to fill more than a 30-day supply.
For more information, please refer to the to the pharmacy benefit chart on our prescription medication coverage page, as well as the prescription drug formulary and our guide on how to read it.
Question: Can the health system pharmacy fill prescriptions from non-health system providers?
Answer: Yes, all health system pharmacy locations will fill prescriptions written by either health system or non-health system providers.
Question: I cannot pick up my prescriptions from a health system pharmacy and I do not want home delivery. Is there anything else I can do?
Answer: Yes, you can use FedEx Hold for prescriptions filled by the health system pharmacy. Designate a FedEx location near you to sign for your packages and hold them for your pickup within 7 days. Indicate your preferred FedEx Hold location when the pharmacist calls to confirm your prescription details or email MyRPH@kumc.edu to make FedEx Hold arrangements.
Question: My dependent child moved out of state and is having difficulty filling prescriptions. Can you help me get their medication to them?
Answer: Yes, please email benefitsconnection@kumc.edu to make special delivery arrangements.
Question: Will I get a separate pharmacy card?
Answer: Yes, Navitus will provide you with a pharmacy ID card. You can access your pharmacy ID card through the Navitus mobile app (Apple App Store / Google Play) if you do not want to carry the card with you.
Question: How do I find an in-network pharmacy for acute prescriptions?
Answer: Search for in-network pharmacies on the Navitus pharmacy network list, the Navitus member portal or the Navitus mobile app (Apple App Store / Google Play).
Question: How do I find an in-network pharmacy if I am traveling?
Answer: Search for in-network pharmacies on the Navitus pharmacy network list, the Navitus member portal or the Navitus mobile app (Apple App Store / Google Play).
Health Savings Account (HSA)
Question: Do I need to make an employee contribution to the HSA account to receive the employer seed money?
Answer: No, you do not need to contribute to the HSA to receive the seed money from the health system. The health system contributes to the HSA funds of employees who select the HSA Advantage Plan for medical coverage. The health system contributes $500 for employee-only coverage and $1,000 for employee plus any combination of family members.
You may choose to contribute $0 or any other amount up to the IRS contribution limit. In 2023, the IRS contribution limit is $3,850 for an individual and $7,750 for a family. Employees 55 and older may contribute an extra $1,000. Note that the IRS maximum contribution is for the total contribution made to your account by both you and the health system.
Question: When will I receive the employer seed into my HSA?
Answer: New employees and those newly eligible for benefits will receive the HSA employer seed money when their HSA account becomes effective.
Question: What types of expenses will my HSA funds cover?
Answer: You can use the money in your HSA to pay for qualified medical, dental and vision expenses including deductibles, coinsurance, prescriptions and other eligible expenses. Find detailed examples of qualified medical expenses here; for a complete list of qualified expenses, refer to IRS Publications 969 and 502 at irs.gov.
Flexible Spending Accounts (FSAs)
Question: Since we are changing vendors for the upcoming year, do I still continue to submit claims to WEX, even if it is after January 1?
Answer: WEX will continue to process claims for 2022 FSAs through April 30, 2023. For any claim requests or questions, you will contact WEX. If you enroll in a 2023 FSA, you will submit those requests to Fidelity.
Question: If I enroll in the Healthcare FSA or Dependent Care FSA, do I need to use up all of the funds in the account in 2023?
Answer: No, our plans have a grace period. If you enroll in one of the FSA plans for 2023, you may submit claims until April 30, 2024, as long as those expenses were incurred before the end of February 2024.
Question: What types of expenses will my FSA funds cover?
Answer: You can use the money in your healthcare FSA to pay for qualified medical, dental, and vision expenses including deductibles, coinsurance, prescriptions and other eligible expenses. For a complete list of qualified healthcare FSA expenses, refer to IRS publication 502 at irs.gov.
Dependent care FSA funds can be used to pay for day care, elder care, before- and after-school programs and summer day camps. For a complete list of dependent care FSA expenses, refer to IRS publication 503 at irs.gov.
Question: Will I receive a debit card if I enroll for the dependent care FSA benefit?
Answer: Fidelity does not issue a debit card for the dependent care FSA benefit. (You will receive a debit card if you enroll in the healthcare FSA or the health savings account (HSA) for use with those accounts specifically.)
To file a dependent care FSA claim, you will log in to the NetBenefits website and select the “Reimbursement Accounts” tile. You may also enter recurring claims here which eliminates the need to file reimbursements for each claim.
PTO and Holidays
Question: Are holiday hours built into our PTO accrual?
Answer: All health system employees in Great Bend and Kansas City receive paid hours for eight holidays per year. These hours are in addition to PTO and are not built into PTO accrual.
Miscellaneous
Question: What is transparency in coverage?
Answer: As a self-insured employer, the health system is required to disclose pricing information for covered services and items via a machine-readable file. We have posted this information in compliance with the “Transparency in Coverage Final Rule,” issued by the Centers for Medicare and Medicaid Services (CMS). The health system provides medical insurance coverage via a third-party administrator, Blue Cross and Blue Shield, who is accountable for posting and updating this information. To review, please click this link, then enter the EIN for The University of Kansas Health System: 481202402.
Please note: the information above is intended for use by third parties (researchers, regulators and application developers) to analyze healthcare costs – it is not the cost a plan member (covered health system employee or dependent) will pay for services.
Employees and their covered dependents may find pricing and their coverage amounts for specific providers and services with these steps:
- Visit MyHealthToolkitKC.com
- Log in or, if it’s your first visit, register
- Click “Find Care” at the top of the page
Question: What ID cards can I expect to receive?
Answer: All employees enrolled in the medical plan for 2023 will receive two new ID cards. Blue Cross and Blue Shield will send new medical coverage ID cards to all enrollees. You will also receive a pharmacy ID card from our pharmacy benefit manager, Navitus Health Solutions.
Delta Dental will send ID cards to employees who have enrolled for the first time.
VSP does not send ID cards. If you select vision coverage, you will provide your Social Security number at the time of service and the provider will be able to pull up your information from VSP.
Question: How much information do I need to enter to name my beneficiary for my life and/or AD&D benefits?
Answer: The benefits enrollment website only requires the name of the person or trust you want to name as your beneficiary and their relationship to you. It is helpful to provide as much additional information as you have for your beneficiary. The system can accept Social Security number, date of birth, address and phone number for individuals; for trusts, you may enter the trust account number. However, the system will allow you to save the beneficiary without this level of detail.
Help Resources
Question: I want to speak to someone about my benefits. Do I need to make an appointment?
Answer: Whether you have a few questions or want to work with someone to complete your enrollment, the Benefits Team is here to help. You can email BenefitsConnection@kumc.edu or call the Benefits Help Line at 888-494-9119 Mon.-Fri., 8 a.m.-5 p.m. CST (Spanish option available).