Medical/Vision Insurance

PEHP - Public Employees Health Program

Medical

Dixie State University offers two medical plans through PEHP

ADVANTAGE CARE

The PEHP Advantage Care network of contracted providers consists of predominantly Intermountain Healthcare (IHC) providers and facilities. It includes 37 participating hospitals and more than 8,000+ participating providers. Refer to the PEHP Open Enrollment Guide 2020 for full list.

SUMMIT CARE

The PEHP Summit Care network of contracted providers consists of predominantly IASIS, MountainStar, and University of Utah hospitals & clinics providers and facilities. It includes 42 participating hospitals and more than 8,000+ participating providers. Refer to the PEHP Open Enrollment Guide 2020 for full list.

Medical Insurance Resources

Summary of Benefits and Coverage (SBC) 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.

TRADITIONAL Summit & Advantage (PDF)

STAR Summit & Advantage (PDF)

Glossary of Health Coverage and Medical Terms (PDF)
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. Some of these terms also might not have exactly the same meaning when used in your policy or plan, and in any such case, the policy or plan governs.

PEHP Benefit Notice
To learn more, see your benefits summary and master policy. Find them at your Benefits Information Library at PEHP for Members at www.pehp.org . If you haven’t created an online personal account, you’ll need your PEHP ID and Social Security number. Find your PEHP ID number on your benefits card or your claims. Or call PEHP at 801-366-7555.

PEHP (MEDICAL) BENEFITS SUMMARY BOOKLET

General overview of the benefits available and is for informational purposes only.

2021-22 PEHP Medical Benefits Grid

 

 

To add, remove, or make any changes mid-fiscal year, contact HR

Vision

Dixie State University offers two Vision plans through PEHP

EyeMed Vision Care
Overview of the EyeMed Vision Care Information
EyeMed-Eyewear (PDF)
EyeMed-Full (PDF)
EyeMed-Locations (PDF)
OptiCare
Overview of the OptiCare vision coverage
OptiCare-Providers (PDF)
Opticare-Rates (PDF)

Things to Know:

It’s Your Choice provides 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. Visit https://www.pehp.org/save for more information.

Need your benefit card?
Now you can view it anytime. Simply log in to PEHP for Members and click on “Coverage & ID Card” under the “My Benefits”  menu.

PEHPplus Offers Savings on Healthy Lifestyle Products. Just Show Your PEHP Card.

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, but 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.

Contact

Michelle Cabana

Human Resources Coordinator

Email: cabana@dixie.edu

Phone: 435-652-7523

Fax: 435-656-4001

Office: Burns North 143
225 S. University Avenue
St. George, Utah 84770

PEHP

Southern Utah Branch Office

Phone: 435-673-6300 or 800-950-4877

Office: 20 North Main Street, Suite 206
Saint George, Utah 84770