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  • Other Benefits under United Healthcare and Optum Rx

    Transition of Care- If you are in the middle of treatment as we transition to United Healthcare, you may be able to continue your course of treatment while you search for a provider in the UnitedHealthcare network. This process is called Transition of Care and requires you to submit a form within 30 days of your enrollment in United Healthcare. If approved, you will have up to 90 days to continue your care under the current provider while looking for a provider under the United Healthcare networks available to you. Visit hisdbenefits.org for the Transition of Care form. You can read more information and determine if you need to request this continuation benefit.

    Advanced Clinical Engagement Support (ACES)-advocacy and clinical resources working together to achieve better health choices and health outcomes.  Visit hisdbenefits.org to see the clinical programs that are available.

    Maven Maternity Program-this program covers the 12 months of care that includes 9 months of prenatal care and 3 months after delivery care. This is an excellent program for new mothers but will also benefit any pregnant moms.

    OnePass Select-if gym membership is your goal, we have a plan for you. You can pick from several different levels of membership and as you go up the ladder, all preceding gyms are available to you. You will need to create an account to access this benefit at www.OnePassSelect.com. When you set up your account and log in, you can see the plans and the gyms you would have access to. Whatever level you choose, you will have access to multiple gyms anytime you want. You have choices, so pick what is best for you!

    Medicare Estimation-this is a process that determines how your claims will be paid. If you are Medicare eligible and enrolled because of a disability, your Medicare could pay primary (first). There are specific conditions under which this can occur. Otherwise, if dependents are on the plan, the HISD medical coverage automatically pays first. You will get a letter from Medicare indicating if this occurs. You will need to share that correspondence with us by sending the letter to the benefits office at: BenefitsOffice@houstonisd.org.

    Coordination of Benefits-will apply to dependent coverage under the medical and pharmacy plans. For any claims over $400, UHC could be the secondary payer and the following will occur:

    • UHC will close the claim and send a letter to the member requesting updated COB information.
    • UHC will send correspondence to you for this dependent member via phone, email, UHC portal and mailed letters
    • Please respond to these inquiries immediately so benefits will be paid as applicable

    Teledoc (formerly known as the Livongo program)-provides a glucose meter and supplies for diabetics. This program has a member limit of 500 employees. As employees drop out, others can join. They additionally provide coaching support to employees diagnosed with diabetes to keep you on track or to get you back on track by assisting you in monitoring your diabetes and medication compliance. There are meal plans and other tools available to participants in this program.