Health Insurance
Marquette University believes it is important to offer a choice of quality plans. The Benefits Brochure will provide you with a quick summary of our four plan offerings. For detailed information about our health plans, read our side-by-side comparison below.
Benefit-eligible employees have the option of choosing between four insurance plans. Our plans cover exactly the same medical services. The differences between our plans are the premiums, network area/physician network, and deductible/coinsurance (PPO participants only).
PPO Plan Participants
2008 PPO MONTHLY CONTRIBUTIONS
(Effective January 1, 2008 to December 31, 2008)
Employee |
Marquette University |
Parttime Regular Employee |
|
PPO Basic Single |
$87 | $428 | $515 |
PPO Basic Family |
$229 | $1,120 | $1,349 |
PPO Select Single |
$103 | $428 | $531 |
PPO Select Family |
$274 | $1,120 | $1,394 |
2009 PPO MONTHLY CONTRIBUTIONS
(Effective January 1, 2009 to December 31, 2009)
Employee HRA |
Employee Non-HRA |
Parttime Regular Employee HRA |
Parttime Regular Employee Non-HRA |
|
PPO Basic Single |
$89 | $93 | $524 | $528 |
PPO Basic Family |
$234 | $246 | $1,370 | $1,382 |
PPO Select Single |
$105 | $110 | $540 | $545 |
PPO Select Family |
$279 | $293 | $1,415 | $1,429 |
Preferred Provider Organization (PPO)
- In-network area including primary care providers in Wisconsin, Minnesota, Michigan and Illinois. Contact HealthEOS for more information.
- Deductible and coinsurance
- Out-of-network coverage (paid out in accordance to the out-of-network deductible and coinsurance)
- PPO Summary Plan Description (PDF)
PPO participants are responsible for copays, deductibles and coinsurance. Copays do not count toward the deductible and coinsurance.
To find an in-network provider
PPO participants need to contact Health EOS.
- Website Instructions
- Website: www.healtheos.com
User ID: 13872, Password: haxqfh - Phone number: (800) 279-9776
Ordering new cards, claims questions, learning about covered medical procedures
Call UMR (Formerly Fiserv Health) at (800) 826-9781. Do not call UMR to find in-network providers as they do not have access to this information.
You can track your claims by creating an account through UMR at www.umr.com. (It's free!)
Vision Benefit
Each covered individual under an an employee's medical plan will get $120 per calendar year. Members can choose services from a provider that is not within your plan network, and the $120 benefit per participant will still apply.
However, members should try to stay within their
network for two important reasons. First, an in-network
provider can forward a claim directly to UMR.
When services are provided by a non-network facility,
payment is necessary upfront and then the receipt of
the payment must be sent to UMR for reimbursement. Second, an in-network facility can provide services at a discounted rate, which will add value to your $120 annual vision benefit.
If you go out-of-network, submit your receipt and claim to:
UMR
P.O. Box 450Pueblo, CO 81002-0450
EPO Plan Participants
2008 EPO MONTHLY CONTRIBUTIONS
(Effective January 1, 2008 to December 31, 2008)
Employee |
Marquette University |
Parttime Regular Employee |
|
EPO Basic Single |
$95 | $428 | $523 |
EPO Basic Family |
$254 | $1,120 | $1,374 |
EPO Select Single |
$135 | $428 | $563 |
EPO Select Family |
$358 | $1,120 | $1,478 |
2009 EPO MONTHLY CONTRIBUTIONS
(Effective January 1, 2009 to December 31, 2009)
Employee HRA |
Employee Non-HRA |
Parttime Regular Employee HRA |
Parttime Regular Employee Non-HRA |
|
EPO Basic Single |
$97 | $102 | $532 | $537 |
EPO Basic Family |
$259 | $272 | $1,395 | $1,408 |
EPO Select Single |
$138 | $145 | $573 | $580 |
EPO Select Family |
$365 | $383 | $1,501 | $1,519 |
Exclusive Provider Organization (EPO)
- "First-dollar" coverage to Aurora, Advanced Health, and some Columbia-St. Mary's facilities.
- No deductible and coinsurance
- No out-of-network coverage unless it is life or limb threatening. Call the Benefits Department if you anticipate going out-of-network for travel.
- EPO Summary Plan Description (PDF)
To find an in-network provider
EPO participants need to contact IBS Navigator.
- Website Instructions
- Website: www.ibsinc.ws
User ID 'Marquette University' - Phone number: (262) 241-2510
Ordering new cards, claims questions, learning about covered medical procedures
Call UMR (Formerly Fiserv Health) at (800) 826-9781. Do not call Fiserv to find in-network providers as they do not have access to this information.
You can track your claims by creating an account through UMR at www.umr.com. (It's free!)
Vision Benefit
Each covered individual under an an employee's medical plan will get $120 per calendar year. Members can choose services from a provider that is not within your plan network, and the $120 benefit per participant will still apply.
However, members should try to stay within their
network for two important reasons. First, an in-network
provider can forward a claim directly to UMR.
When services are provided by a non-network facility,
payment is necessary upfront and then the receipt of
the payment must be sent to UMR for reimbursement. Second, an in-network facility can provide services at a discounted rate, which will add value to your $120 annual vision benefit.
If you go out-of-network, submit your receipt and claim to:
UMR
P.O. Box 450
Pueblo, CO 81002-0450
