Health system benefits for employees
Medical plan coverage
The health system offers two plans for medical coverage to its employees: the HSA Advantage Plan and Signature Plan. Learn more about our benefits here.
When employees enroll in benefits, they may enroll for employee-only, employee-plus spouse, employee-plus children or family coverage. The charts below will help you understand the coverage provided by the health system plans for you and, if enrolled, your dependents. Learn more about our benefits here. If you have additional questions about your coverage of mental health, behavioral health or substance abuse services, email BenefitsConnection@kumc.edu or call 888-494-9119.
(Note: health system physicians are offered different medical plan coverage and should consult their benefits guide for details.)
HSA Advantage Plan Signature Plan Single $1,500 $3,000 $6,000 $400 $1,500 $2,000 Family $3,000 $6,000 $12,000 $800 $3,000 $4,000 Single $4,000 $4,000 $19,800 $4,000 $4,000 $10,500 Family $8,000 $8,000 $39,600 $8,000 $8,000 $21,000 Member coinsurance 10% 30% 40% 10% 30% 40% Office Visit Primary care (in-office or virtual visit) Ded+10% coins Ded+30% coins Ded+40% coins $20 copay $30 copay Ded+40% coins Specialist (in-office or virtual visit) Ded+10% coins Ded+30% coins $40 copay $60 copay Routine preventive care Covered at 100% Covered at 100% Covered at 100% Covered at 100% Outpatient therapy (speech, hearing, physical, occupational) Ded+10% coins Ded+30% coins $40 copay Ded+30% coins Urgent care Ded+10% coins Ded+30% coins $40 copay $60 copay Inpatient/Outpatient Services Emergency Department Ded+10% coins Ded+30% coins Ded+30% coins* Ded+10% coins Ded+30% coins* Ded+30% coins* Inpatient hospital services Ded+40% coins Ded+40% coins Inpatient services for mental/ behavioral health and substance abuse disorder** Outpatient hospital services Outpatient services for mental/ behavioral health and substance abuse disorder^ Covered at 100% ^^ Ded+30% coins* ^^ High-tech radiology services (MRI, CT, PET scan) Ded+10% coins Ded+30% coins* * To ensure access to emergency care, coinsurance will be applied after the member meets the deductible for in-network care.
** Pre-authorization required; coverage of room and board may be denied.
^ Pre-authorization required for ABA/Autism therapy; ABA/Autism therapies covered to age 19 with no hours/visit limits.
^^ Include an office visit copay.
FMLA Leave of Absence
The Family and Medical Leave Act (FMLA) provides eligible employees up to 12 weeks of unpaid leave a year. To qualify you must have been employed for 12 months and worked at least 1,250 hours in those 12 months. Mental health conditions may qualify you for FMLA leave if they are considered serious and require inpatient care or continuing treatment by a healthcare provider. This includes an overnight stay in a hospital or other medical care facility, such as a treatment center for addiction or eating disorders. You may be required to submit a certification from a healthcare provider to support your need for FMLA leave, but a diagnosis is not required.
Learn more about FMLA and submitting an FMLA leave of absence request here. If you have questions or to see if you may qualify for FMLA, contact the HR Support Center at 913-945-6500 or AskHR@kumc.edu.