Medical/Vision Insurance – PEHP
Dixie State University offers three medical plans through Public Employees Health Plan (PEHP). Advantage Care or Summit Care are the two PEHP plans available.
|PEHP (MEDICAL) NOTICES FOR 2018 – 2019|
|Traditional SBC Summary of benefits and coverage examples This document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services.||Dixie State Traditional Summit & Advantage (PDF)|
|STAR SBC Summary of Benefits and Coverage Examples This document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services.||Dixie State STAR Summit & Advantage (PDF)|
|Glossary of Health Coverage and Medical Terms This glossary defines many commonly used terms, but isn’t a full list. These glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan or health insurance policy.||Glossary of Health Coverage and Medical Terms (PDF)|
|Benefit Notice Several important notices about your PEHP benefits are included with this letter.||PEHP Benefit Notice (PDF)|
|PEHP (MEDICAL) BENEFITS SUMMARY BOOKLET|
|Effective from July 1, 2018 to June 30, 2019 Plan Year General overview of the benefits available and is for informational purposes only.||2018 – 2019 Plan Year Booklet (PDF)|
|ADVANTAGE CARE||SUMMIT CARE|
|The PEHP Advantage Care network of contracted providers consists of predominantly Intermountain Healthcare (IHC) providers and facilities. It includes 34 participating hospitals and more than 7,500 participating providers.||The PEHP Summit Care network of contracted providers consists of predominantly IASIS, MountainStar, and University of Utah hospitals & clinics providers and facilities. It includes 38 participating hospitals and more than 7,500 participating providers.|
Add, remove, or make changes mid-fiscal year, contact the Human Resources Department.
|EyeMed Vision Care Overview of the EyeMed Vision Care Information|| EyeMed-Eyewear (PDF)
|OptiCare Overview of the OptiCare vision coverage|| OptiCare-Providers (PDF)
Things to Know:
It’s Your Choice provides an examples of the type of Best Care and costs differences offered with PEHP.
Coverage Out of State
If you or your dependents are living out-of-state, there are two important steps. PEHP will need to be given the name and address of the member living out-of-state so they can make sure those claims are paid correctly. Send a secure email with this information to PEHP Enrollment by logging into your account at www.pehp.org and clicking on the message icon at the top right hand side of the home page. Second, be sure to use the out-of-state network (this is where the link should be) so you can get the best discounts and pay the lowest costs. Check the back of your PEHP benefit card for more information or call 801-366-7755.
Back to School » Need immunizations for your covered family members? PEHP pays for immunization vaccines for children at 100% when you see an in-network provider – even before you meet your deductible. This applies to both The STAR Plan and Traditional Plan. See a list of all PEHP Preventive Benefits.
Know Before You Go:
A phrase we use to encourage members to take a few simple steps to find the best care and value. This video shows the many PEHP tools and resources available to help.
Need your benefit card?
Now you can view it anytime. Simply log in to PEHP for Members and click “ID Card” on the top menu.
PEHPplus Offers Savings on Healthy Lifestyle Products. Just Show Your PEHP Card.
PEHP is excited to offer myWellness Tracker to employers, an all-new wellness tracking program to help members create or maintain healthy habits – and get rewarded for it. Based on the WellRight digital platform, PEHP members can create fun and engaging health and wellness challenges. This program is offered in addition to Healthy Utah, giving members an opportunity to earn more. Learn more.
Customer Service Department Changes Name to Health Benefits Department
PEHP customer service representatives are now called Health Benefits Advisors. This change in title better reflects the duties of our customer service staff who receive nearly 300,000 calls a year. Health Benefits Advisors not only answer questions about PEHP plans, they also help members navigate the healthcare system and make recommendations to help them maximize their benefits. Call us at 801-366-7555 or 800-753-7490. We’re available Monday through Friday from 8:00 a.m. to 5:30 p.m.
For fastest service and to avoid our peak call times, contact PEHP in the morning before 11:00 a.m., the afternoon between 3:00 and 5:00 p.m., or on a Thursday or Friday. Mondays and Tuesdays experience the highest volume of calls.