UK-HMO: Serving over 18,000 UK faculty, staff and family members.

***2018-19 Information***

2018-19 Preauthorization List - Effective 7-1-18

2018-19 Benefits Book

UK-HMO Participating Provider Directory

Current UK-HMO Newsletter - Open Enrollment 2020

***2019-20 Information***

2019-20 Preauthorization List - Effective 7-1-19

2019-20 Benefits Book

UK-HMO Covered Acupuncture ICD10 List, Alphabetical (Effective 7-1-19) - Updated 11-15-19

UK-HMO Covered Acupuncture ICD10 List, Numerical (Effective 7-1-19 - Updated 11-15-19

UK-HMO Participating Urgent Care Centers Within Lexington Service Area counties


How to Find UK-HMO Providers on Anthem's Website

Cardiac or Pulmonary Rehab Co-Pay Reimbursement Form

Obtaining a Breast pump on UK HealthCare Plan



  • IN THE NEWS.... IN THE NEWS Archives

    9-9-20    UK-HMO Plan: Bariatric Surgery Services are hoping to begin after the beginning off 2021-
    Starting in the new year (2021), the UK-HMO Plan will introduce coverage of certain limited Bariatric Surgery services to our members. The start date has yet to be announced.

    UK HealthCare is establishing Bariatric Surgery Service, and once operational, select bariatric services will be available as a covered benefit for UK-HMO members. The UK-HMO plan will cover services provided only by UK HealthCare. Any other bariatric surgery services, other than those listed below, will be considered non-covered services for UK-HMO plan members.

    The CPT codes for covered bariatric surgery services are:
    CPT 43644 – Laparoscopic Roux En Y Gastric Bypass Surgery
    CPT 43774 - Removal of adjustable gastric band and port
    CPT 43775 – Laparoscopic Vertical Sleeve Gastrectomy
    CPT 43860 - Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy

    The university will share more information regarding this new and exciting service soon. The UK-HMO Health Plan looks forward to providing coverage for our bariatric services for members again.

    UK-HMO Member Vaccines: 
    UK-HMO members can obtain the following three vaccines either through your primary care provider with your UK-HMO card or through the UK Pharmacy Benefit from the UK Pharmacy or a retail pharmacy out in town by presenting your pharmacy benefit card (Express Scripts card).  It doesn’t matter whether you receive these shots in the primary care providers office or through the pharmacy benefit, these will be provided at no cost to you but you must present your Express Scripts card to obtain these services at these pharmacies.:
    *Shingrix vaccine - for prevention of shingles (must be over 50 years of age to receive this).  This does require a series of 2 shots, the initial dose and then a 6-month follow-up shot.  There is currently a shortage of this vaccine, however, you may ask to be placed on a waiting list at one of the retail pharmacies to be given the injection when it is available.
    *Hepatitis A vaccine – This vaccine is also a 2- dose series, the initial dose and the second should be given at least 6 months later.  Hepatitis A has been in the news a lot lately.  Check with your primary care provider to see if they recommend you receive a hepatitis A vaccine.
    *Flu vaccine - We are right there at Flu season, and it is always a good idea to get a flu vaccine to help prevent the flu.

    All other vaccines on the UK-HMO plan must be obtained through your primary care provider.

    If there are any questions about these immunizations, please contact the UK-HMO office at (859) 257-8251 or the UK Pharmacy Benefits Office at (859) 218-5979 or (855) 218-5979.