University of Chicago Medical Center Employees

Welcome to the University of Chicago Health Plan (UCHP) for eligible employees of the University of Chicago Medical Center.

Benefit Documents

You can download the UCHP Benefit Plan document here for University of Chicago Medical Center Employees effective 7/1/2019. 

You can download the UCHP Schedule of Benefits document here for University of Chicago Medical Center Employees effective 7/1/2019

You can download the UCHP Summary of Benefits and Coverage document here for University of Chicago Medical Center Employees coverage period 7/1/2021 - 6/30/2022.

Provider Copays

98point6 - Virtual Health Benefit

98point6 is a new kind of primary care that gives you on-demand access to a physician via text messaging on your mobile phone. UCMC has added 98point6 to your health benefits package so you can now have access to care 24/7 from wherever you are—on the bus commuting to work, at a coffee shop or even in a meeting.

98point6 physicians can:

• Diagnose and treat a range of conditions, including upper respiratory illness, sexual health/UTIs, gastrointestinal issues and behavioral health concerns (stress, anxiety)
• Answer any medical questions you have (no question is too small)
• Provide consultation and outline care options
• Order any necessary prescriptions or lab tests

Visits with 98point6 physicians are available to eligible employees and dependents aged 1 and older enrolled in UCHP at no cost to you. To learn more and to watch a quick video on how easy it is to use the service, please visit www.98point6.com/uchicagomedicine.

The physicians who will be providing recommendations, advice and/or medical services to you as part of 98point6 are not employed by or contracted with The University of Chicago Medical Center. They are separately provided by and through 98point6, the corporate offeror of the Program.

Pharmacy Formulary and Drug Management Lists

CVS Specialty Guideline Management Drug List effective 1/1/22

CVS Standard Control Formulary effective 1/1/22 (Specialty Included in Standard Formulary List)

Pharmacy Copays

Limitations, Exceptions & Other Important Information

• For all maintenance medications, members can use a CVS Caremark network retail pharmacy for the initial prescription and 1st refill - and pay the retail co-pay. All subsequet refills for mainenace medications should be filled using the CVS Caremark Mail Order service or DCAM or Ingalls outpatient pharmacy locations. For subsequent refills, the member will be charged 50% of the cost if any other retail pharmacy is used.
• Specialty medications must be filled through DCAM/Ingalls. If DCAM/Ingalls unable to fill, medication can be filled through CVS Specialty with a $100 copay/prescription fill. Drugs used for treatment of infertility, impotence and smoking deterrente have plan limitations. (i.e. drugs used for the treatment of infertility are covered at 75% of cost.)

3 ways to save on prescription drug costs

1. Use the DCAM pharmacy - It's conveniet and it can save you a lot of money.
2. Go generic - Your costs will always be lower when you choose the generic equivalent of a brand-name drug.
3. Get your maintenance medications at DCAM/Ingalls or by DCAM Mail Order to get the most savings - You can save as much as 33% via a 90-day supply of a drug at DCAM/Ingalls outpatient pharmacy or DCAM Mail Order compared to buying three 30-day supplies at the DCAM/Ingalls pharmacy. 

For more information on UCHP's prescription drug coverage, call CVS Customer Service at 800-552-8159.