Open enrollment is from April 18 to May 6 for the 2022–23 plan year. Benefits-eligible faculty and staff should educate themselves on open enrollment to ensure they are making the best choices for their needs.
Visit the to learn what’s new, how to enroll, find rate sheets and attend a virtual information session.ÌýHere are three highlights to know about open enrollment.
Passive enrollment
If you would like to keep the same benefit choices, no action is required and you will be automatically re-enrolled. Of course, there is one exception. You must actively enroll in Health Care and Dependent Care Flexible Spending Account (FSA) for plan year 2022–23.
The provides many ways to learn about and compare plans.
5 changes this year
There are five changes to take note of this year:
Preventative mental health visit
Effective July 1, Anthem and Kaiser ÃÛÌÇÖ±²¥ Health Plan members may receive one preventative mental health visit per plan year, per plan member. This change applies to all Anthem and Kaiser ÃÛÌÇÖ±²¥ Health PlansÌýand is offered at no out-of-pocket cost to members.Ìý
Fertility benefit administered by WINFertilityÌý
Effective July 1, the ÃÛÌÇÖ±²¥ Health Plan will offer a robust, cycle-based fertility benefit that includes assisted reproductive technology (IVF, IUI, etc.), associated prescription drugsÌýand a family-planning support program to eligible members of ÃÛÌÇÖ±²¥ health plans administered by Anthem.
Beginning April 18, ÃÛÌÇÖ±²¥ Health Plan members may call the toll-free WINFertility number 866-430-6068 to speak with a WINFertility customer service agent about benefit coverage for the new plan year. WINFertility customer service will be available Monday–Friday, 7 a.m.–5:30 p.m. MDT. Sà hablamos Español.
Services require medical authorization prior to being administered to eligible plan members.
Temporomandibular joint (TMJ) services
Medically necessary surgical or non-surgical treatment of TMJ dysfunction is covered. This change applies to members of the medical ÃÛÌÇÖ±²¥ Health Plan administered by Anthem. Services require medical authorization prior to being administered to eligible plan members.
Out-of-pocket maximum increase
The out-of-pocket maximum on the Exclusive, Extended and Keiser ÃÛÌÇÖ±²¥ health plans will increase to $8,700 (single) and $17,400 (family) for in-network providers.Ìý
Health care coverage for live organ donation
Kaiser and Anthem enrollees will qualify for health care services related to live organ donation. Plan enrollees who donate an organ will no longer be subject to paying coinsurance and copays, hitting the benefit maximum threshold or observing wait times for coverage.Ìý
Networks vary by health plan
ÃÛÌÇÖ±²¥ offers four plan options so you can find a plan that meets your needs, no matter where you call home.Ìý
Boulder area
- ÃÛÌÇÖ±²¥ Health Plan Exclusive: UCHealth network, including UCHealth Longs Peak Hospital (Longmont)
- ÃÛÌÇÖ±²¥ Health Plan Extended:ÌýIn-network Anthem hospitals, including Boulder Community Health
- ÃÛÌÇÖ±²¥ Health Plan HighÌýDeductible: Including services at Boulder Community Health
- ÃÛÌÇÖ±²¥ Health Plan Kaiser: Kaiser network, including Good Samaritan Medical Center (Lafayette)
ÃÛÌÇÖ±²¥ network
- ÃÛÌÇÖ±²¥ Health Plan Exclusive*
- ÃÛÌÇÖ±²¥ Health Plan High Deductible
- ÃÛÌÇÖ±²¥ Health Plan Extended
- ÃÛÌÇÖ±²¥ Health Plan Kaiser*
*Out-of-state dependent coverage may be available.
Nationwide network
- ÃÛÌÇÖ±²¥ Health Plan High DeductibleÌý
- ÃÛÌÇÖ±²¥ Health Plan Extended
Outside of the U.S.
Emergencies are never planned. That's why all urgent and emergency care is covered (copays may apply), both in and outside the U.S.
