What is UAMS SmartCare? - UAMS Medical Center

New Medical
Insurance
Benefit
Becky Goins
UAMS Human Resources

“I wish UAMS gave a cost break to employees
for coming here for healthcare.”
Coming January 1, 2012!

What is UAMS SmartCare?
• Incentive for you to come to a UAMS facility for your
healthcare
• New benefit under our medical insurance
• Applies to UAMS employees and family covered under our
medical insurance
• Reduction in what you pay out of pocket after insurance
pays
• Starts January 1, 2012
Come home to UAMS.

facilities include:
UAMS Hospital
UAMS Outpatient Clinics
New UAMS clinic in west
Little Rock (opening 2012)
AHEC Family Medical
Centers
UAMS physicians who bill through
UAMS MCPG but are located at
Freeway Medical, UAMS CARTI or
Baptist Inpatient Rehab (which are not
SmartCare facilities)
Does not include:
Ark. Children’s Hospital
Pediatricians not practicing
at a UAMS SmartCare
facility
CARTI
Baptist Rehab Institute for
outpatient therapy
Baptist Psychiatric Facility
Freeway Dialysis Services
VA and NLR VA Hospitals
NW Ark Centers for
Children (Lowell)

How well do you understand
how our medical insurance
benefits work?
Let’s review so you see how
the cost reduction will work.

What’s the name of our medical
insurance plan?
QualChoice?
University of Arkansas Health Plan
Remember, we’re self-insured and self-funded.
QualChoice is our third party administrator.

What’s the difference between Classic
and Point of Service?
Classic...
You must go in-network, similar to an HMO.
Only exception are true emergencies (or for medical
services not available in-network and QualChoice has authorized, in advance, for you to
go out-of-network)
POS…
Same in-network benefits as Classic. But also
have coverage if you go out-of-network (although
higher cost sharing).

What does “in-network” mean?
• A doctor, hospital or other health care provider
listed in the QualChoice network for U of A
Members
• Provider search at www.qualchoice.com
• “Find a Doc” from www.uamshealth.com

Which LR hospitals are in-network?
UAMS
St. Vincent
Ark. Children’s Hospital
Baptist
Heart Hospital

What do you pay if you go in-network
for preventive care?
Annual physical
Colorectal cancer screening (age 50)
Blood pressure monitor (under QCARE)
Pap smears
Bone density screening (age 65)
Insulin (under QCARE)
Flu immunizations
Routine screening mammograms (age 40)
Hypertension meds (generic, under QCARE)
Kick the Nic (under QCARE)
Well baby/child visits &
immunizations through
age 18
Prostate antigen testing (PSAT)

Rest of your covered medical care
falls into two “what I pay” categories
Your share of the cost is a COPAY
and/or
Your share of the cost is subject to annual
DEDUCTIBLE and COINSURANCE

What is your cost for in-network
doctor office visit?
Copay
Your PCP
Specialists,
other network
doctors
$25
$40
$10
$25
Save $15
starting Jan 2012

What do you pay for outpatient
procedure (surgery, MRI) in-network?
Deductible
20% coinsurance
(up to annual max)
$750
$2,000
$2,750
$250
$1,000
$1,250
Save $1,500
starting Jan 2012

What do you pay for hospital
admission?
Inpatient copay
Deductible
20% coinsurance
(up to annual max)
$250
$750
$2,000
$3,000
$150
$250
$1,000
$1,400
Save $1,600
Starting Jan 2012

What do you pay for maternity?
1st prenatal
office visit
Inpatient copay
Deductible
$25
$250
$750
$10
$150
$250
Save up to
$1,615
starting
Jan 2012
20% coinsurance
(up to annual max)
UAMS OB discount
$2,000
$3,025
($1,000)
$2,025
$1,000
$ 0
$1,410

It’s easy!
• Nothing to sign up for… as long as you’re
enrolled in UA medical plan
• Simply choose to come to UAMS for your care;
you’ll automatically pay less out of your
pocket
• You maintain the choice of where you want to
go for your care. But now there’s an extra
incentive to come home to UAMS.

What you should consider…
• If I have other coverage, should I/can I switch to UA
health plan?
We’re having open enrollment! Sign up between Nov 16
and Dec 16, coverage takes effect Jan 1, 2012.
UAMS SmartCare is just for UAMS employees. Not
available to UALR, UAF or employees at other UA
campuses .
• If my PCP is not at UAMS, should I switch?
• How much to put in my healthcare FSA for 2012?

Learn more
• Details in open enrollment communications
• Benefits Fair
Wed, Nov 16
9-3, ground floor Ed II
• Benefit questions? Visit HR Employee Services.
• Ground floor Central Building, across from old ER
• 686-5650
• AskHR@uams.edu

But wait… there’s more to
Patre Allen
UAMS SmartCare Concierge
for Employees
(501) 686-8749
My primary role will be to assist and facilitate employee access to care at
UAMS. This includes:
• Facilitating the coordination of appointments
• Facilitating communication between participants and clinic staff/ physicians
regarding test results and special needs while maintaining complete confidentiality
• Collaborating with clinic management and staff to enhance the patient experience
and eliminate barriers to care

How can I facilitate your
UAMS SmartCare appointment?
Email your request to:
smartcare@uams.edu
(“Smart Care Appointments”
under Global)
Please include:
• Patient’s Name
• Date of Birth
• Address and phone number
• Insurance Policy Number
• Clinic Name
• Physician Name
Or call
(501) 686-8749
This is a dedicated number
just for UAMS employees.