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Eligibility, Rates & Plan Comparisons

Information regarding eligibility, rates and benefit options available to employees is included in the applicable guide above. In some cases, employees who would not otherwise be eligible for benefits may become eligible for the University’s health plan under the Affordable Care Act (ACA).

Enrollment Period
Eligible employees may enroll within 31 days after their date of hire, during the annual open enrollment (in November) and/or within 31 days (62 days for birth of baby) after a qualified family status change or life event.

Effective Date
Benefits eligible rehires and new hires become eligible for coverage on their date of rehire/hire. Also, changes to benefit coverage due to a life event or job change into a benefits-eligible role will also be effective as of the date of the event for all employees. Changes made during the annual Open Enrollment period in November are effective January 1 of the subsequent year.


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myUHC and United Healthcare Online

Myuhc.comTake advantage of the account access and online tools through our medical carrier, UnitedHealthcare.

  1. Register at myuhc.com
  2. Submit your UHC member number (or SSN)
  3. Submit WashU’s group number: #702111

Through myUHC.com, you can:

  • Locate network providers anywhere in the United States.
  • Order additional ID cards and/or print a temporary ID card.
  • Review and manage your claims.
  • Use the treatment cost estimator to estimate or compare provider fees for medical services in your area.
  • Access virtual health professionals and virtual behavioral health professionals.

In addition to this site, other UnitedHealthcare resources include Health4Me Mobile App and the Healthy Mind Healthy Body newsletter. Learn more at myuhc.com.


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WUDirect

WUDirect is designed to provide you and your covered dependents priority access for initial appointments (new) with Washington University Physicians, as well as lower out-of-pocket costs. Visit WUDirect.wustl.edu for more information.

Highlighted programs through WUDirect & WashU Physicians:

WUCare – Primary care access for university employees
Washington University employees and their families (age 18+) who are enrolled in the university sponsored health plan (United Healthcare) have access to a primary care physician at WUCare located on the medical center campus.

WUCare is an adult primary care medical office conveniently located in Suite 5A in the Center for Advanced Medicine and is exclusively for WashU employees covered by our health plan. As part of your WUDirect benefit, you receive priority access for initial appointments and reduced copays.
Learn more about WUCare

Affordable mental health care for employees and their family
Washington University Psychiatry now offers dedicated access for WashU health plan participants. As part of your WUDirect benefit, these physicians are available to see new patients within two weeks. Treatment specialties include: Anxiety disorders, Depression and mood disorders, Schizophrenia and psychotic disorders, ADHD and impulse control disorders, Psychopharmacology, Child and adolescent psychiatry. For appointments call 314-286-1700 or visit https://psychiatry.wustl.edu/patient-care-3.


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On-site Nurse Advocate

Update: Program in Transition

Our dedicated United Healthcare Nurse Advocate, Teresa Fisher, RN, BSN, CCP, transitioned to a new role as of July 30, 2021. At this time, a replacement has not been identified.

In the interim, please utilize the following resources:


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Medical Necessity Program

United Healthcare provides a Medical Necessity Program to Washington University. The program is provided at no cost to you, and is designed to ensure that treatment you have is truly needed. Such programs help you and the university avoid unnecessary treatment that can add complications and expense.

As long as you seek treatment from an in-network provider, the Medical Necessity Program is managed behind the scenes for you to ensure the treatment is needed. In some cases you may need to see another provider to get a second opinion. You will be notified if this step is necessary.

However, if you seek treatment from a non-network provider, you will need to initiate the process for authorization of treatment through the UHC program. To secure prior authorization from a non-network provider, please call the Customer Care number on your health plan ID card.


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Prescription Drug Coverage

Express Scripts LogoPrescription drug benefits are included as part of your health care package when you are enrolled in a university health plan. Learn More


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Medical Coverage for International Business Travel through GeoBlue

  • GeoBlue LogoRegister at geo-blue.com
  • Enter the Washington University Group Access Code: QHG99999WUBT

For questions about registration or medical coverage, you may call 1-888-412-6403 inside the U.S. or 1-610-254-5830 outside the U.S. More Information.


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Health Care Benefit Notices

The University is required to provide you with important information regarding eligibility and enrollment, benefit coverage, COBRA rights, HIPAA privacy rules, and whether the university’s prescription drug coverage qualifies as creditable coverage for Medicare.


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COBRA Insurance

You may be eligible for personalized continuation of coverage packet after your employment is terminated at the university. Learn More
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Health Benefits Resources

ALEXBenefit Education Tool
ALEX, an interactive benefits education tool is available to assist you with deciding which benefit plans are best for you. Walk through plans with this benefit education tool.


Wellness Connection
Wellness Connection helps you track and manage your personal wellness goals. Find resources, activities and tools to be proactive about your well-being.


Health Care Tips
Read these tips to get the most out of your healthcare benefit.