Health Plan Documents
2020 UIChoice and UISelect Medicare Careveout Brochure (pdf)
UIChoice
- 2021 UIChoice Retiree Summary of Benefits and Coverage (pdf)
- 2020 UIChoice Retiree Summary of Benefits and Coverages (pdf)
- 2020 Retiree UIChoice Coverage Manual (pdf)
UISelect
- 2021 UISelect Retiree Summary of Benefits and Coverage (pdf)
- 2020 UISelect Retiree Summary of Benefits and Coverages (pdf)
- 2020 Retiree UISelect Coverage Manaul (pdf)
Comparison of Both Plans
Health Alliance
2021 Plan Documents
- 2021 Medicare Guide (pdf)
- 2021 Health Alliance HMO Plus Rx Highlights (pdf)
- 2021 Health Alliance PPO Rx Highlights (pdf)
- 2021 Health Alliance Formulary list (pdf)
- 2021 Health Alliance Enrollment form (pdf)
- 2021 Health Alliance ACH form (pdf)
2020 Plan Documents
- 2020 Health Alliance HMO Plus Rx Highlights (pdf)
- 2020 Health Alliance PPO Rx Highlights (pdf)
- 2020 Health Alliance Formulary list (pdf)
- 2020 Health Alliance Application form (pdf)
A side-by-side of all four plans: Plan Comparison of University of Iowa Retiree Plans (pdf)
ABOUT OUR SITE:
The information presented on our website 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.