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How HMOs Work

Your Options

Choosing an HMO

The University offers three HMO options:

University of Chicago Health Plan (UCHP) is not formally organized as an HMO, but it works like one. UCHP doctors and facilities are affiliated with the University of Chicago Hospitals. UCHP facilities are located in Hyde Park and in several other locations. Contact UCHP for current information.

Humana Premier HMO Plan is an HMO. As an Independent Practice Association (IPA), Humana contracts with doctors, clinics and hospitals throughout the Chicago area.

HMO Illinois is an HMO operated by Blue Cross/Blue Shield of Illinois. As an Independent Practice Association (IPA), HMO Illinois contracts with doctors, clinics and hospitals throughout the Chicago area.

Each HMO offers slightly different benefits and covers different geographic areas. Before you choose an HMO, review the HMO’s materials and visit the University’s web site at http://hr.uchicago.edu for additional details. The HMO’s certificate of coverage (or terms of coverage) along with this document constitutes your summary plan description for the HMO.

Choosing a Coverage Level

Once you choose your HMO, you choose whom you will cover. You can choose from three coverage levels:

Employee covers you only.

Double covers you plus one Dependent. For example, you could cover yourself and one child or yourself and your spouse (or Domestic Partner).

Family covers you, your children, and your spouse or Domestic Partner.

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While this Summary Plan Description summarizes the major provisions of this plan, it does not provide you with every plan detail. The plan documents, which govern this plan, provide full details. If there are any discrepancies between this Summary Plan Description and the legal plan documents, the legal plan documents control.

 

 



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