Health and Prescription Plans

You have four great plans to choose from. All health plan options are provided through UnitedHealthcare and offer both in-network and out-of-network coverage.

 

Health and Prescription Plan Information

United Healthcare

 

Health Plan Information

 

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Regular Plan Information

2024-2025 Regular Plan

Description Last Revised Format
2024-2025 Regular Plan Summary of Benefits and Coverage 04/01/2024 PDF
2024-2025 Regular Plan Summary Plan Description 05/01/2024 PDF

2023-2024 Regular Plan

Description Last Revised Format
2023-2024 Regular Plan Summary of Benefits and Coverage 04/01/2023 PDF
2023-2024 Regular Plan Summary Plan Description 04/01/2023 PDF

2022-2023 Regular Plan

Description Last Revised Format
2022-2023 Regular Plan Summary of Benefits and Coverage 04/01/2022 PDF
2022-2023 Regular Plan Summary Plan Description 04/01/2022 PDF

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WellNebraska Plan Information

2024-2025 WellNebraska Plan

Description Last Revised Format
2024-2025 WellNebraska with Incentives Plan Summary of Benefits and Coverage 04/01/2024 PDF
2024-2025 WellNebraska without Incentives Plan Summary of Benefits and Coverage 04/01/2024 PDF
2024-2025 WellNebraska Plan Summary Plan Description 05/01/2024 PDF

2023-2024 WellNebraska Plan

Description Last Revised Format
2023-2024 WellNebraska with Incentives Plan Summary of Benefits and Coverage 04/01/2023 PDF
2023-2024 WellNebraska without Incentives Plan Summary of Benefits and Coverage 04/01/2023 PDF
2023-2024 WellNebraska Plan Summary Plan Description 04/01/2023 PDF

2022-2023 WellNebraska Plan

Description Last Revised Format
2022-2023 WellNebraska with Incentives Plan Summary of Benefits and Coverage 04/01/2022 PDF
2022-2023 WellNebraska without Incentives Plan Summary of Benefits and Coverage 04/01/2022 PDF
2022-2023 WellNebraska Plan Summary Plan Description 04/01/2022 PDF

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Consumer Focused Plan Information

2024-2025 Consumer Focused Plan

Description Last Revised Format
2024-2025 Consumer Focused Plan Summary of Benefits and Coverage 04/01/2024 PDF
2024-2025 Consumer Focused Plan Summary Plan Description 05/01/2024 PDF

2023-2024 Consumer Focused Plan

Description Last Revised Format
2023-2024 Consumer Focused Plan Summary of Benefits and Coverage 04/01/2022 PDF
2023-2024 Consumer Focused Plan Summary Plan Description 04/01/2022 PDF
2023 July - December Consumer Focused Preventative Drug List 07/01/2023 PDF
2024 January - June Consumer Focused Preventative Drug List 01/01/2023 PDF

2022-2023 Consumer Focused Plan

Description Last Revised Format
2022-2023 Consumer Focused Plan Summary of Benefits and Coverage 04/01/2022 PDF
2022-2023 Consumer Focused Plan Summary Plan Description 04/01/2022 PDF
2023 January - June Consumer Focused Preventative Drug List 01/01/2023 PDF

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Direct Primary Care Plan Information

2024-2025 Direct Primary Care Plan

Discontinued for 2024-2025.

2023-2024 Direct Primary Care Plan

Description Last Revised Format
2023-2024 Enrollment Quick Reference Guide for Direct Primary Care 04/01/2022 PDF
Direct Primary Care with Standard
2023-2024 Direct Primary Care with Standard Summary Plan Description 04/01/2022 PDF
2023-2024 Direct Primary Care with Standard Summary and Benefits of Coverage 04/01/2022 PDF
Direct Primary Care with Select
2023-2024 Direct Primary Care with Select Summary Plan Description 04/01/2022 PDF
2023-2024 Direct Primary Care with Select Summary and Benefits of Coverage 04/01/2022 PDF

2022-2023 Direct Primary Care Plan

Description Last Revised Format
2022-2023 Enrollment Quick Reference Guide for Direct Primary Care 04/01/2022 PDF
Direct Primary Care with Standard
2022-2023 Direct Primary Care with Standard Summary Plan Description 04/01/2022 PDF
2022-2023 Direct Primary Care with Standard Summary and Benefits of Coverage 04/01/2022 PDF
Direct Primary Care with Select
2022-2023 Direct Primary Care with Select Summary Plan Description 04/01/2022 PDF
2022-2023 Direct Primary Care with Select Summary and Benefits of Coverage 04/01/2022 PDF

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Real Appeal Information

Description Last Revised Format
Real Appeal Website External
Real Appeal Flyer 04/01/2024 PDF

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Tricare Insurance Incentive Program

Description Last Revised Format
Tricare Insurance Incentive Program – HR User Guide 07/19/2023 PDF
Tricare Insurance Incentive Program – Employee User Guide 09/07/2023 PDF
Tricare Insurance Incentive Program – FAQ 11/15/2023 PDF

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Health Plan Tools

Description Last Revised Format
myUHC.com Website External
UHC Claim Form 08/13/2019 PDF
myHealthcare Cost Estimator 01/27/2021 PDF
Health Insurance Marketplace Notice 09/16/2013 PDF
General Health
Advocate for Me 04/01/2024 PDF
Flu Shot Information 10/08/2024 PDF
One Pass Select - Rediscover your Passion for Health 04/01/2024 PDF
Understanding Preventative Care 04/01/2024 PDF
Hearing Health
Your Hearing Health Matters 04/01/2024 PDF
Five Things to Know about Over-the-Counter Hearing Aids 04/01/2024 PDF
UHC Discount Hearing Aid Program 10/29/2021 PDF
Selecting your Primary Care Provider (PCP)
Important things to know about selecting your Primary Care Provider (PCP) 04/01/2024 PDF
UHC - Find a Doctor External
Virtual Care
UHC AbleTo Self Care 04/01/2024 PDF
UHC Virtual Primary Care 04/01/2024 PDF
UHC Virtual Specialist Care 04/01/2024 PDF
UHC Virtual Therapy 04/04/2023 PDF
UHC Virtual Maven Maternity Care 09/10/2024 PDF
myUHC
myUHC Member Information 04/01/2024 PDF
myUHC mobile App 08/10/2020 PDF
Adding New Dependents - Dependent Verification Process
Adding New Dependents - FAQ 10/01/2021 PDF
Alight Security and Privacy Policy 10/01/2021 PDF
Dependent Eligiblity 10/01/2021 PDF

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Pharmacy Plan Information

Your State of Nebraska pharmacy benefit offers flexibility and choice in finding the right medication for you. UnitedHealthcare is your medical insurance provider and your pharmacy benefit manager is OptumRx™. OptumRx™ is an affiliate of UnitedHealth Group. Our State of Nebraska pharmacy benefit administered by UnitedHealthcare offers flexibility and choice in finding the right medication for you.

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Pharmacy Plan Information

2024-2025 Pharmacy Plan

Description Last Revised Format
2024-2025 July-December Prescription Drug List 07/01/2024 PDF

2023-2024 Pharmacy Plan

Description Last Revised Format
2023-2024 July-December Prescription Drug List 07/01/2023 PDF
2023-2024 January-June Prescription Drug List 01/01/2024 PDF

2022-2023 Pharmacy Plan

Description Last Revised Format
2022-2023 July-December Prescription Drug List 07/01/2022 PDF
2022-2023 January-June Prescription Drug List 01/01/2023 PDF

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Pharmacy Plan Tools

Description Last Revised Format
Medication Home Delivery Information and Signup Form 04/04/2023 PDF
New Prescription Mail-In Order Form 04/21/2020 PDF
Pharmacy at your Fingertips 04/04/2023 PDF
Find a Pharmacy External
Member Reimbursement Pharmacy Form 06/21/2013 PDF
Pharmacy 90 Day Information 04/21/2020 PDF

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  • This site contains information on coverage available to State employees who are eligible for insurance benefits.*
  • The State of Nebraska offers comprehensive insurance benefits to permanent*, full-time employees. Part-time employees who work 20 or more hours are also eligible for insurance benefits. Participation in the State's insurance program is voluntary. The State contributes 79% of the health insurance premium, 100% of the basic life insurance coverage, and 100% of the Employee Assistance Program cost (for participating agencies). All other insurance plans are offered to employees at a group rate.
  • Employees' contributions to the health and dental insurance plans are tax-sheltered under Internal Revenue Code 125. Anyone who participates in the health or dental insurance plans will pay their portion of the premium with before-tax dollars, which are automatically deducted from the employee's paycheck. The State also allows permanent employees to participate in two Flexible Spending Accounts, the Medical Reimbursement Account, and/or the Dependent Care Account. *
  • As a State of Nebraska employee, you will have the opportunity to select from insurance benefits listed for your specific employee-group type.