UCHP is a self-insured employee benefit plan designed around all covered treatment being provided by UChicago Medicine (UCM) facilities and providers including the University of Chicago Medical Center and Ingalls.

Each member must choose a Primary Care Physician (PCP) from the UCHP PCP network and all patient care is coordinated and managed through this physician in conjunction with the Utilization Management Professionals at Aetna, on behalf of UCHP. If deemed necessary, for optimal patient care, referrals to specialists will be arranged by the UCHP PCP.

UCHP members are given priority when scheduling appointments.

You must use UCM providers through University of Chicago Medical Center or Ingalls in order to receive benefits. If you go to a doctor or hospital outside of University of Chicago Medical Center or Ingalls without prior approval from the plan, you will not be covered unless it's an emergency. All of your care is coordinated through your UCHP PCP.

You can access any CVS Minute Clinic, Ingalls Quick Care (Crestwood location only), and additional urgent care clinic locations for walk-in clinic/urgent care visits providing easier access to urgent care when you don't have access to your UCHP PCP. 

UCHP does not provide coverage for out-of-area or out-of-network (non-UChicago Medicine facilities and other non-UCHP providers) expenses except under life threatening or severe emergency conditions. If you or your dependent(s) will be out of the Chicagoland area for any significant period of time, UCHP may not provide the best health insurance coverage and you should consider one of the other benefit options.

The University of Chicago Health Plan (UCHP) has contracted with Aetna to administer UCHP plan benefits. UCHP continues to provide comprehensive health care benefits through UChicago Medicine facilities including the University of Chicago Medical Center and Ingalls. As the UCHP administrator, Aetna simply helps UCHP provide customer service and medical management services. Aetna also enables UCHP membership to better access health tools, resources and programs, such as a 24-hour Informed Nurse Healthline and online access to Plan information. 

Aetna's Member Service Representatives are ready to help you. You can contact a Member Service Representative by calling 855-824-3632. They are here to answer any questions you have about UCHP coverage Monday through Friday from 8:00 am to 5:00 pm.

You can go to the Aetna DocFind site for UCHP to find a listing of the UCHP providers that are available to you and your family, or log in to your member website at Aetna.com.

On your member website at Aetna.com you can:

• Pull up your member ID card
• Search for providers
• Find nearby walk-in clinics
• Pay claims
• View benefits
• Access no-cost health and wellness information

Click here for machine readable file to publicly disclose for all covered items at in network rates and out of network allowed amounts (effective 7/1/22).

As part of your coverage with the University of Chicago Health Plan, a Primary Care Physician (PCP) must be selected for each of your family members. Your PCP is responsible for coordinating all of your health care benefits covered under plan.

When making an appointment, please have your UCHP/Aetna member ID number available, which can be found on your member ID card. Please present your UCHP/Aetna ID card when seeking medical services. 

At the Aetna DocFind site for UCHP, you will find a listing of the UCHP PCPs and specialists that are available to you and your family. Click here for instructions on how to select your PCP.

Pregnancy Care

Get help from the time you start planning a family, through your pregnancy and well after your baby is born through Aetna's Maternity Program and Pregnancy Resources.

Breastfeeding Guidance

As part of your coverage with the University of Chicago Health Plan, you have access to breastfeeding and lactation support. Certified lactation consultants at UCMC are readily available to offer expert support during your hospital stay.

UCHP also provides breastfeeding interventions to support and promote breastfeeding after delivery, including up to six visits with a lactation consultant within 12 months of delivery. Aetna's Member Service Representatives are ready to help you schedule at home lactation services. You can contact an Aetna Member Service Representative by calling 855-824-3632 to locate an outpatient lactation consultant. They can answer any questions you have about your UCHP coverage Monday through Friday from 8:00 am to 5:00 pm. Requesting a Network Deficiency for a Lactation Consultant.

Moms can also go to the Northern Illinois Lactation Consultant Association (NILCA) Lactation Consultant Directory for additional resources.

Breast Pumps

Moms may obtain a retail Medela Maxflow breast pump during your postpartum stay if you have not already received a retail pump from a DME prior to delivery.  If needed, moms may obtain a hospital-grade breast pump after delivery by Requesting a Network Deficiency for a Hospital Grade Breast Pump.

Moms who prefer to upgrade to a wireless pump versus the standard electric breast pump can request pricing directly from the DME provider to obtain your out-of-pocket cost to upgrade.

You can now access urgent care at UChicago Medicine Dearborn Station and Homewood Urgent Care locations (River East coming soon), Ingalls Quick Care (Crestwood location only), any CVS Minute Clinic, and the additional urgent care clinic locations listed below for walk-in clinic/urgent care visits providing easier access to urgent care when needed and if you don’t live near the University of Chicago Medical Center.  

Click below for more information on when to use walk-in clinics vs. urgent care clinics.

• When to use walk-in clinics
• When to go to urgent care

Preventative care services such as immunizations or wellness exams are not covered at walk-in clinic/urgent care visits.

Duchossois Center for Advanced Medicine (DCAM) Outpatient Pharmacy

DCAM Outpatient Pharmacy provides information enabling you to receive the full advantage of your prescription pharmacy benefit.

Outpatient Pharmacy Number: (773) 834-7002 
Outpatient Pharmacy Fax: (773) 834-7005 
DCAM Map Information
 

Caremark Pharmarcy

Caremark Pharmacy provides University of Chicago Health Plan pharmaceutical health care services. 

Customer Service Number: (800) 552-8159 
Caremark Website

The UCHP Behavioral Health Intake Center can be reached at (773) 702-3858. To make or change an appointment with your UCMC behavioral health provider, please call (773) 702-6199.