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Archdiocese of Denver – Welfare Benefits Trust

Benefits for Plan Year 2020-2021

Welcome to our benefits reference site!

We aim to provide all the information you need to access our covered benefits vendors, navigate the status of your claims, and access the necessary information to enroll or make changes upon hire or at any time during your employment.

 

Our benefits plan year runs from {7.1.2020 – 6.30.2021}. Employees sign up during our annual enrollment window or when you experience a qualifying event, life status change, or special enrollment change, such as marriage or birth of a child. Qualifying life event changes must be submitted within 31 days of the effective date of the event. If they are not submitted within 31 days, you will have to wait until the next open enrollment period to make those changes.

INFORMATION ABOUT OUR PLAN PROVIDERS

Medical – UMR

  • UMR is our administrator for:
    • Medical coverage
    • Flexible Spending & Dependent Care
  • Access your plan information anytime at www.umr.com below:
    • Search network providers and facilities
    • View your benefits and claims
    • Estimate costs for services with myHealthcare Cost Estimator
    • Wellness information
  • UMR Plan Advisors  Your first stop to all your benefit needs:
    • Claims
    • Locate a provider or facility
    • Make a doctor’s appointment
    • Recommended routine care or preventive screenings
    • Plan Advisor can also transfer you to our dental and vision providers
    • Connect with UMR Plan Advisors by calling 800-207-3172

RX – Optum

  • Prescription drug coverage is included in each medical plan option and provided through UMR/OptumRx.
  • The formulary is a list of drugs that have been selected from their drug class as being the most clinically effective and cost-efficient drugs for a specified condition. This formulary list changes frequently. To learn more about the formulary call 877-559-2955 or visit www.optumrx.com.
  • Retail network pharmacies are a great way to pick up your prescription drugs when you need them right away. For a listing of network pharmacies, call OptumRx at 877-559-2955 or visit www.optumrx.com.

Dental – Guardian Dental

Vision – VSP

I have covered expenses. How do I submit my claims for reimbursement?

To request an expense reimbursement, please follow these steps:

  • Covered Expenses:
    • When a bill is paid in full at the point of service for covered expenses, {EX: ID card was forgotten and not available at Doctor’s office} request a “super bill/invoice” that shows the service(s) paid for out of pocket >>> Print and fill or PDF and fill the below AoD Member Claim Reimbursement Form >>> Select “other” and provide a brief description of the service rendered and submit the receipt/bill for services for reimbursement per the instructions on the form >>> UMR will process the reimbursement per the plan (minus the copay due) and sends you a check directly.
  • Co-Pay Expenses:
    • Reimbursement requests can be submitted through the UMR Flex Portal if you enrolled in a Flexible Spending Account (FSA) to reimburse for out-of-pocket expenses.
    • If enrolled in Flex Spending, you can utilize the same information used for a covered expense and submit through UMR Flex for reimbursement on your copayment