UK-HMO

06-27-11 Cardiac or Pulmonary Rehab Co-pay Reimbursement: Effective 7-1-11, the $15 co-payment for Cardiac and Pulmonary Rehabilitation has been reinstated. It also is now included in the therapy benefit limits of 45 visits per plan year combined. However, as an incentive, UK-HMO has decided that for any members who complede at least 24 visits of Cardiac Rehab or 24 visits of Pulmonary Rehab, we will reimburse the member 50% of their co-pays for these visits. Please complete the "Cardiac or Pulmonary Rehab Co-Pay Reimbursement Form" to the left on this page to obtain this reimbursement.

06-27-11 Patient Satisfaction Survey: This is your chance!: Each year, UK-HMO hires an outside agency to perform a member satisfaction survey. These letters will be going out in the near future. The Myers Group (TMG) will be performing this for us this year. If you are one of the chosen members to receive this survey, please taken the time to complete this and let your voice be heard. We do take these survey results seriously and share them with UK Leadership to determine if there are areas that need to be addressed.

04-13-11 UK Open Enrollment: UK Open Enrollment begins on Monday, April 25th and will continue through Friday, May 13th, 2011. This is the one time of the year that you can make any changes to your insurance plans for any reason. Please be sure to make any changes during this three week period of time. No changes are allowed until next year unless you have a qualifying event that allows you to change something (i.e. birth of a child, death, marriage, divorce, etc.)

10-25-10 Flu Shot Update: UK has received a shipment of flu vaccine. Please check with your PCP to see if your clinic can give your flu shots. KY Clinic South will be holding flu shot clinics in their lobby on Monday through Thursday of this week (10-25-10 through 10-28-10) from 2-4 p.m. for any adults.

10-19-10 Flu Shots: UK is currently awaiting a shipment of flu vaccine from the manufacturer which is scheduled to arrive the end of October. If your provider's office is out, please check back late October to get your flu shots. UK-HMO members cannot get reimbursed for obtaining flu shots outside UK.

9-1-10 St. Joseph Hospital Notice: Effective immediately, St. Joseph Hospital will no longer bill UK-HMO for UK-HMO member's services. If you access the St. Joseph Hospitals for services such as Emergency Room, the bill will now be sent directly to you. It will be your responsibility to obtain an itemized bill from St. Joseph and forward that bill to Humana for consideration of coverage. You would forward the claim to Humana Claims, P.O. Box 14601, Lexington, KY 40512-4601. If the service is deemed to be a true emergency, the claim will be paid. If not, the claim will remain your responsibility to pay to St. Joseph Hospital. If your claim is denied as non-emergent, your appeal rights will be provided to you on the denial notice. You can find a list of covered diagnosis codes on the UK-HMO website entitled "UK-HMO ER Covered Diagnosis Code List".

It is important to remember that when you are utilizing an Emergency Room within the Lexington Service Area counties, UK Chandler or UK Samaritan Hospitals are the two participating facilities to utilize.

07-06-10 UK-HMO LSA ER Reminder: As your UK-HMO LSA plan rules state, the UK Chandler Hospital and UK Samaritan Hospital are the hospitals of choice for emergent care. If you are seen in an out of network facility, your claims will only be covered by UK-HMO for true emergency medical conditions [see the UK-HMO Certificate of Coverage (COC) for emergency medical condition definition].

7-1-10 The UK-HMO Regional Service Area's Name Change: 7-1-10 The UK-HMO RSA plan's name changed to UK Regional Health Plan (UK RHP). This plan is no longer part of the UK-HMO and is now managed by the UK Benefits Office. For information contact (859) 257-9519, option 3; option 1 or choose www.uky.edu/HR/benefits.

7-6-10 Trover Solutions: Trover Solutions works with UK-HMO to review medical services provided and/or paid claims that may have been the result of an accident or injury. It is important to UK-HMO that if you receive one of these letters, that you call Trover back, regardless of how or where this injury or illness occurred. Trover Solutions needs to obtain detailed information to determine if another party is responsible for the medical treatment provided. Your response is an important part of your health plan’s cost management program. Making sure UK-HMO is not held responsible for claim payments that should be paid by other parties is one way we attempt to keep down your insurance premiums.10-1-09 New Urgent Treatment Locations - UTC Georgetown and UTC Hamburg locations have been added to the list of participating Urgent Treatment Centers within the LSA counties.

10-1-09 Emergency Rooms in LSA Counties - It is important to remember that when you are utilizing an Emergency Room within the Lexington Service Area counties, UK Chandler ER or the UK Samaritan ER are the two participating facilities.

10-1-09 Acupuncture Providers in Lexington - We now have two UK-HMO participating acupuncture providers in Lexington. These are Connie Jennings, M.D. at Kentucky Clinic South on Greatstone Point (859) 257-9800 and Elizabeth A. Armstrong, M.D. with Lexington Medical Acupuncture at 380 S. Mill Street (859) 281-0100.

10-8-09 MRI of Breast - These services are temporarily unavailable at UK. MRI of Breast will be covered at Central Baptist Hospital and St. Joseph Hospital but authorization must be obtained prior to receiving services. This needs to be obtained by your UK provider.

10-14-09 Seasonal Flu Shots - Due to increased demand for seasonal flu shots - there is a temporary shortage of the vaccine. UK expects their next shipment in November. Please check with your PCP in November to obtain your seasonal flu shot if you have not already obtained this.

11-20-09 New UK Podiatrist - Heather Whitesel joined the UK HealthCare team as a Podiatric Surgeon. For appointments with her regarding bone related foot problems please call (859) 323-5533. For appointments regarding any other foot related problems, call (859) 323-8082.