UVA_HRUVA J Visa Health Plan
J Visa Health Plan Communications:
E-Visits
- Non-audiovisual, non-telephonic online communication, and telephonic coverage with medical providers are not covered by the UVA J Visa Health Plan. These include E-visits which are online visits with providers using MyChart. If billed, you are responsible for the full cost of the service, and the cost will not be applied towards deductibles or out-of-pocket maximums. For additional information regarding UVA Health MyChart E-Visits visit the FAQ page.
Consolidated Appropriations Act
Signed into law on December 27, 2020, the $900 billion COVID-19 stimulus package provides funding for COVID-19 testing and tracing, vaccine distribution, and temporarily increases unemployment benefits The package also includes Transparency in Coverage machine-readable file requirements for in-network negotiated rates and out-of-network allowed amounts and billed charges.
The package also includes Transparency in Coverage machine-readable file requirements for in-network negotiated rates and out-of-network allowed amounts and billed charges. The machine-readable file (MRF) contains in-network negotiated rate information except for providers with unique payment methodologies, as well as historical out-of-network reimbursement information. To protect member privacy, amounts that do not have at least 20 historical unique charges are not included. The MRF is written in computer code and is intended for third party technology vendors. Here is the link to the machine readable file that will be available beginning July 1, 2022:
Your medical, dental, and/or vision benefits can begin on the first date of employment (or choose to wait until the first of the month if you have coverage elsewhere).
- Date of employment: If you need coverage immediately, you have the option to start your medical, dental, and/or vision benefits as of your date of employment. This may be a good option if you are currently not covered elsewhere, or you desire coverage as soon as possible.
- First of the month following your date of employment: You can choose to start your medical, dental, and/or vision benefits on the first of the month after you are hired. This may be a good option if you have coverage from a previous employer or are under a family member’s coverage that is still active through the end of the month.
- No medical, dental, and/or vision coverage: You can officially waive your medical, dental, and/or vision benefit options as well as enroll or waive in other benefits during your new hire change benefit event.
Please review the Coordination of Benefits document regarding your coverage and how it works with your prior employer.
Aetna Health App
Stay on top of your health care, when and where it works for you. Sign up for the Aetna Health App.
Tax Information
UVA J Visa Health Plan members should download their 1095-B tax forms from the Aetna international secure portal. This form reports the type of health insurance coverage you have, any dependents covered by your health insurance policy, and the period of coverage for 2022. It is used to verify on your tax return that you and your dependents had at least minimum qualifying health insurance coverage. Instructions on how to download this form.
Overview
The J Visa Health Plan (previously called the J1 Visa Health Plan) is a self-insured plan designed just for J1 visa holders that meets the minimum requirements set by the U.S. Department of State, including medical evacuation and repatriation. These requirements can change with minimal notice, and offering a plan specifically for J Visa holders allows UVA to alter the plan benefits quickly, if necessary.
Key Takeaways
- For the 2024 plan year, premiums will increase for the UVA J Visa Health Plan for UVA employees on J visas. As a self-insured health plan, the Plan is paid for by employee and employer contributions, and rising prices have an impact on the cost of the health plan. UVA has absorbed these costs for the last three years and held premiums flat for employees. While employee premium rates will increase in 2024, the employer contribution will cover the greatest part of the increases.
- There are no changes to UVA J Visa Health Plan deductibles or coverage levels for 2024.
Who is Eligible?
Only UVA employees on J visas will be eligible for enrollment on this health plan. If your visa status changes to a J visa during the plan year, you will need to change your health coverage accordingly.
If your visa status changes from a J visa to an H1B visa during the plan year, you will remain on the J Visa Health Plan for the plan year. You will be able to change your health coverage during Open Enrollment for the next plan year.
J visa holders are still eligible for UVA's standard dental and vision coverage.
What is the Coverage?
- For specific information about coverage and costs for each tier, please view the UVA J Visa Health Schedule of Benefits
- Note that specialty drugs must be filled at the UVA Specialty Pharmacy
- Pharmacy benefits are administered through Aetna; present the Aetna medical/Rx ID card to your pharmacy when you order your first prescription
- View the Pharmacy Coverage document for additional details
| ($ is per calendar year) | Inside U.S., In-Network | Inside U.S., Out-of-Network | Outside U.S. |
|---|---|---|---|
| Individual Deductible | $500 | Not covered | $500 |
| Family Deductible | $1,000 | Not covered | $1,000 |
| Individual Out-of-Pocket Max | $5,500 | Not covered | $5,500 |
| Family Out-of-Pocket Max | $11,000 | Not covered | $11,000 |
What Are the Costs?
Your premiums are the amount you spend on the UVA J1 Visa Health Plan each paycheck. Premiums are not included as contributions toward your deductible or out-of-pocket maximum. They are money you spend on health coverage, regardless of whether you use it or not.
2024 Monthly Employee Premiums
| Individuals Covered | Employee Premium | Employer Contribution | Total |
|---|---|---|---|
| Employee only | $96.50 | $660.25 | $756.75 |
| Employee + Child(ren) | $154.50 | $1,169.75 | $1,324.25 |
| Employee + Spouse | $194.25 | $1,508.50 | $1,702.75 |
| Employee + Family | $311.00 | $2,148.25 | $2,459.25 |
2024 Monthly Housestaff Premiums
| Individuals Covered | Employee Premium | Employer Contribution | Total |
|---|---|---|---|
| Employee only | $94.50 | $662.25 | $756.75 |
| Employee + Child(ren) | $108.00 | $1,216.25 | $1,324.25 |
| Employee + Spouse | $122.00 | $1,580.75 | $1,702.75 |
| Employee + Family | $123.00 | $2,336.25 | $2,459.25 |
Ready to Enroll?
If you are currently enrolled on the Choice Health Plan, you will be automatically rolled over to the UVA J Visa Health Plan. However, do review your tier levels in Workday to confirm they still apply to your family situation.
Please confirm social security numbers for your dependents and make changes in Workday:
- Sign in to WORKDAY; click on the BENEFITS tile
- To view your benefits elections, click on BENEFIT ELECTIONS in the VIEW box
- To change your benefits elections, click BENEFIT ELECTIONS in the CHANGE box
- To update your benefits beneficiaries, click BENEFICIARIES in the CHANGE box
- To update your benefits dependents, click DEPENDENTS in the CHANGE box
Resources
J Visa Health Plan Welcome Brochure
J Visa Schedule of Benefits Details 2024
J Visa Health Plan Summary of Benefits and Coverage
J Visa Health Plan Summary of Benefits and Coverage Glossary
J Visa Pharmacy Benefits and Shipping
J Visa Health Plan Summary Plan Document
J Visa Health Plan - Reduce Stress
J Visa Health Plan - Pharmacy Benefits
J Visa Health Plan - Tobacco Cessation
J Visa Health Plan Direct Settlement Provider Brochure
J Visa Health Plan Annual Notices
Preparing for vaccination when traveling abroad
Notices
Balance Billing Protection Form 405