Health and Prescription Plans
Health Plan Information
- Regular Plan
- WellNebraska Plan
- Consumer Focused Plan
- Direct Primary Care
- Real Appeal
- Tricare
- Health Plan Tools
Regular Plan Information
2024-2025 Regular Plan
| Description | Last Revised | Format |
|---|---|---|
| 2024-2025 Regular Plan Summary of Benefits and Coverage | 04/01/2024 | |
| 2024-2025 Regular Plan Summary Plan Description | 05/01/2024 |
2023-2024 Regular Plan
| Description | Last Revised | Format |
|---|---|---|
| 2023-2024 Regular Plan Summary of Benefits and Coverage | 04/01/2023 | |
| 2023-2024 Regular Plan Summary Plan Description | 04/01/2023 |
2022-2023 Regular Plan
| Description | Last Revised | Format |
|---|---|---|
| 2022-2023 Regular Plan Summary of Benefits and Coverage | 04/01/2022 | |
| 2022-2023 Regular Plan Summary Plan Description | 04/01/2022 |
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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 | |
| 2024-2025 WellNebraska without Incentives Plan Summary of Benefits and Coverage | 04/01/2024 | |
| 2024-2025 WellNebraska Plan Summary Plan Description | 05/01/2024 |
2023-2024 WellNebraska Plan
| Description | Last Revised | Format |
|---|---|---|
| 2023-2024 WellNebraska with Incentives Plan Summary of Benefits and Coverage | 04/01/2023 | |
| 2023-2024 WellNebraska without Incentives Plan Summary of Benefits and Coverage | 04/01/2023 | |
| 2023-2024 WellNebraska Plan Summary Plan Description | 04/01/2023 |
2022-2023 WellNebraska Plan
| Description | Last Revised | Format |
|---|---|---|
| 2022-2023 WellNebraska with Incentives Plan Summary of Benefits and Coverage | 04/01/2022 | |
| 2022-2023 WellNebraska without Incentives Plan Summary of Benefits and Coverage | 04/01/2022 | |
| 2022-2023 WellNebraska Plan Summary Plan Description | 04/01/2022 |
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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 | |
| 2024-2025 Consumer Focused Plan Summary Plan Description | 05/01/2024 |
2023-2024 Consumer Focused Plan
| Description | Last Revised | Format |
|---|---|---|
| 2023-2024 Consumer Focused Plan Summary of Benefits and Coverage | 04/01/2022 | |
| 2023-2024 Consumer Focused Plan Summary Plan Description | 04/01/2022 | |
| 2023 July - December Consumer Focused Preventative Drug List | 07/01/2023 | |
| 2024 January - June Consumer Focused Preventative Drug List | 01/01/2023 |
2022-2023 Consumer Focused Plan
| Description | Last Revised | Format |
|---|---|---|
| 2022-2023 Consumer Focused Plan Summary of Benefits and Coverage | 04/01/2022 | |
| 2022-2023 Consumer Focused Plan Summary Plan Description | 04/01/2022 | |
| 2023 January - June Consumer Focused Preventative Drug List | 01/01/2023 |
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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 | |
| Direct Primary Care with Standard | ||
| 2023-2024 Direct Primary Care with Standard Summary Plan Description | 04/01/2022 | |
| 2023-2024 Direct Primary Care with Standard Summary and Benefits of Coverage | 04/01/2022 | |
| Direct Primary Care with Select | ||
| 2023-2024 Direct Primary Care with Select Summary Plan Description | 04/01/2022 | |
| 2023-2024 Direct Primary Care with Select Summary and Benefits of Coverage | 04/01/2022 | |
2022-2023 Direct Primary Care Plan
| Description | Last Revised | Format |
|---|---|---|
| 2022-2023 Enrollment Quick Reference Guide for Direct Primary Care | 04/01/2022 | |
| Direct Primary Care with Standard | ||
| 2022-2023 Direct Primary Care with Standard Summary Plan Description | 04/01/2022 | |
| 2022-2023 Direct Primary Care with Standard Summary and Benefits of Coverage | 04/01/2022 | |
| Direct Primary Care with Select | ||
| 2022-2023 Direct Primary Care with Select Summary Plan Description | 04/01/2022 | |
| 2022-2023 Direct Primary Care with Select Summary and Benefits of Coverage | 04/01/2022 | |
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Real Appeal Information
| Description | Last Revised | Format |
|---|---|---|
| Real Appeal Website | External | |
| Real Appeal Flyer | 04/01/2024 |
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Tricare Insurance Incentive Program
| Description | Last Revised | Format |
|---|---|---|
| Tricare Insurance Incentive Program – HR User Guide | 10/29/2024 | |
| Tricare Insurance Incentive Program – Employee User Guide | 10/29/2024 | |
| Tricare Insurance Incentive Program – FAQ | 12/10/2024 |
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Health Plan Tools
| Description | Last Revised | Format |
|---|---|---|
| myUHC.com Website | External | |
| UHC Claim Form | 08/13/2019 | |
| myHealthcare Cost Estimator | 01/27/2021 | |
| Health Insurance Marketplace Notice | 09/16/2013 | |
| General Health | ||
| Advocate for Me | 04/01/2024 | |
| Flu Shot Information | 10/08/2024 | |
| One Pass Select - Rediscover your Passion for Health | 04/01/2024 | |
| Understanding Preventative Care | 04/01/2024 | |
| Hearing Health | ||
| Your Hearing Health Matters | 04/01/2024 | |
| Five Things to Know about Over-the-Counter Hearing Aids | 04/01/2024 | |
| UHC Discount Hearing Aid Program | 10/29/2021 | |
| Selecting your Primary Care Provider (PCP) | ||
| Important things to know about selecting your Primary Care Provider (PCP) | 04/01/2024 | |
| UHC - Find a Doctor | External | |
| Virtual Care | ||
| UHC AbleTo Self Care | 04/01/2024 | |
| UHC Virtual Primary Care | 04/01/2024 | |
| UHC Virtual Specialist Care | 04/01/2024 | |
| UHC Virtual Therapy | 04/04/2023 | |
| UHC Virtual Maven Maternity Care | 09/10/2024 | |
| myUHC | ||
| myUHC Member Information | 04/01/2024 | |
| myUHC mobile App | 08/10/2020 | |
| Adding New Dependents - Dependent Verification Process | ||
| Adding New Dependents - FAQ | 10/01/2021 | |
| Alight Security and Privacy Policy | 10/01/2021 | |
| Dependent Eligiblity | 10/01/2021 | |
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.
Pharmacy Plan Information
2024-2025 Pharmacy Plan
| Description | Last Revised | Format |
|---|---|---|
| 2024-2025 July-December Prescription Drug List | 07/01/2024 |
2023-2024 Pharmacy Plan
| Description | Last Revised | Format |
|---|---|---|
| 2023-2024 July-December Prescription Drug List | 07/01/2023 | |
| 2023-2024 January-June Prescription Drug List | 01/01/2024 |
2022-2023 Pharmacy Plan
| Description | Last Revised | Format |
|---|---|---|
| 2022-2023 July-December Prescription Drug List | 07/01/2022 | |
| 2022-2023 January-June Prescription Drug List | 01/01/2023 |
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Pharmacy Plan Tools
| Description | Last Revised | Format |
|---|---|---|
| Medication Home Delivery Information and Signup Form | 04/04/2023 | |
| New Prescription Mail-In Order Form | 04/21/2020 | |
| Pharmacy at your Fingertips | 04/04/2023 | |
| Find a Pharmacy | External | |
| Member Reimbursement Pharmacy Form | 06/21/2013 | |
| Pharmacy 90 Day Information | 04/21/2020 |
- 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.