Open enrollment is from April 18 to May 6 for the 2022鈥�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鈥檚 new, how to enroll, find rate sheets and attend a virtual information session.听Here 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鈥�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 SM调教所 Health Plan members may receive one preventative mental health visit per plan year, per plan member. This change applies to all Anthem and Kaiser SM调教所 Health Plans听and is offered at no out-of-pocket cost to members.听
Fertility benefit administered by WINFertility听
Effective July 1, the SM调教所 Health Plan will offer a robust, cycle-based fertility benefit that includes assisted reproductive technology (IVF, IUI, etc.), associated prescription drugs听and a family-planning support program to eligible members of SM调教所 health plans administered by Anthem.
Beginning April 18, SM调教所 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鈥揊riday, 7 a.m.鈥�5:30 p.m. MDT. S铆 hablamos Espa帽ol.
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 SM调教所 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 SM调教所 health plans will increase to $8,700 (single) and $17,400 (family) for in-network providers.听
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.听
Networks vary by health plan
SM调教所 offers four plan options so you can find a plan that meets your needs, no matter where you call home.听
Boulder area
- SM调教所 Health Plan Exclusive: UCHealth network, including UCHealth Longs Peak Hospital (Longmont)
- SM调教所 Health Plan Extended:听In-network Anthem hospitals, including Boulder Community Health
- SM调教所 Health Plan High听Deductible: Including services at Boulder Community Health
- SM调教所 Health Plan Kaiser: Kaiser network, including Good Samaritan Medical Center (Lafayette)
Colorado network
- SM调教所 Health Plan Exclusive*
- SM调教所 Health Plan High Deductible
- SM调教所 Health Plan Extended
- SM调教所 Health Plan Kaiser*
*Out-of-state dependent coverage may be available.
Nationwide network
- SM调教所 Health Plan High Deductible听
- SM调教所 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.
