UISelect is designed for employees who value high-quality coverage but want more of a say over their spending to meet financial needs. Members will pay lower monthly premiums than UIChoice, and as they use their coverage, they would pay a higher out-of-pocket cost for medical services.
The coverage manual is a comprehensive document that sets forth the rights of the plan's participants and beneficiaries and guides the university in making decisions and executing our responsibilities.
To review UISelect plan documents such as the Summary of Benefits and Coverages (SBC) or the coverage manual, please visit the Benefits Resource page under the Plan Documents & Manuals section.
- High-quality coverage with lower premiums than UIChoice, and higher out-of-pocket costs.
- Level 1 and Level 2 providers are covered, meaning it only covers medical providers in Iowa.
- Coverage outside of Iowa is not covered except in emergencies or with Doctor on Demand.
Dependent children attending college, long-term travelers, and families living apart may be covered through guest membership.
The university covers the full cost of employee-only and double spouse family coverage for the UISelect health plan premiums and 80% of the coverage cost for the other family status options: employee and spouse, employee and child(ren), and employee and family.
To review the UISelect plan provisions, use this side-by-side comparison of UISelect and UIChoice.
Health care under the UISelect plan is available through Level 1 and Level 2 providers. Level 1 and Level 2 providers include only hospitals and clinics in the state of Iowa. Please note that you do not need to pick a plan level before receiving care at a provider; however, the lower the provider level, the lower the cost for UISelect members.
See which hospitals and clinics in Iowa are Level 1 and Level 2 providers.
UISelect does not offer Level 3 providers, except in emergencies or with a guest membership. Level 3 providers cover hospitals and clinics outside the state of Iowa.
Level 3 exceptions Include:
- Dependent child(ren) attending college (guest membership)
- Long-term travelers (guest membership)
- Families living apart as well as individuals in similar situations (guest membership)
- If service is not available in Iowa. Exceptions will be covered at Level 2.
Virtual health care is available for free to UISelect members from any location via Doctor on Demand.
All of the health plans offered through the University of Iowa, which are administered by Wellmark Blue Cross and Blue Shield of Iowa, provides coverage of medically necessary covered services associated with gender transition-related treatment.
Wellmark Blue Cross and Blue Shield of Iowa follow the national standards set forth by the World Professional Association for Transgender Health (WPATH) when deeming if a covered service is medically necessary.
Covered services, when ordered by a health professional and deemed medically necessary associated with gender transition-related treatment, may include the following:
- Hormone therapy;
- Mental health services; and
- Chest/breast and genital surgeries when ordered by a health professional.
Please contact Wellmark Blue Cross and Blue Shield of Iowa at 800-643-9724 for more information and to discuss the gender transition medical policy within the Interqual Prior Approval program to assure you have met all qualifications.
For prescription drugs, UISelect has a tiered prescription benefit formulary called Blue Rx Value Plus. The lower the tier of your prescription drug, the lower the cost to you.
To review the pharmacy benefits for UISelect, use this side-by-side comparison of UISelect and UIChoice.
ABOUT OUR SITE:
Our website's information describes only the highlights of the plans and does not constitute official plan documents. Additional terms and conditions may apply. If there are any discrepancies between the information contained herein and the official plan documents, the plan documents will govern. For more detailed information, you may contact Wellmark Blue Cross/Blue Shield at toll-free number 800-524-9242 (TTY: 888-781-4262), Monday through Friday from 7:30 a.m. to 5:00 p.m. (Central Time). For more efficient service, please have your member ID number handy - it can be found on the front of your card.