Getting Started

Where can I quickly access my UHC ID number?

Your UHC ID number is prominently displayed in your Benefits center directly in your Justworks account.

Where can I find my insurance ID card?

You can find your ID card in a few different ways!

Physical ID cards are mailed out to your address on file with Justworks before the effective date of your plan.
You can also access a digital version of your ID card via the UHC portal.
Download the Health4Me app for free for iPhone and Android devices.

How can I find out if my doctor accepts my insurance?

UHC has a directory of participating physicians, hospitals, and health care facilities readily available on their website via the Find a Doctor page and the Health4Me app.

If you do not currently have a doctor, but need to find one, you will find the Find a Doctor tool to be helpful as well.

How can I learn about the details and coverage limits of my plan?

To learn more about your plan and how services are covered, navigate to Benefits on the left navigation bar in Justworks. From there, you’ll be able to see your various plans (medical, dental, vision, etc) and you can click View plan to find more details on each plan.

Are travel and lodging benefits included in my plan?

Yes! As of November 1, 2022, our UnitedHealthcare policy covers both travel and lodging expenses (subject to IRS guidelines) for members who live in states where access to care has been limited or outlawed and where they must travel more than 50 miles to seek care in another state. Examples of eligible expenses can include gas, hotels, and airfare.

If you have specific coverage questions, please reach out to Health Advocate or contact UnitedHealthcare Member Services at (866) 414-1959.

How are abortion services covered on my plan?

When it comes to what’s covered, in qualifying circumstances, for Justworks members under our master insurance policy with UnitedHealthcare, our certificate currently makes reference to the following: Coverage is included for surgical, non-surgical, or drug-induced termination of pregnancy.

In general, what is covered by the policy doesn't dictate what services providers can or are willing to perform or provide. Any members with related questions are encouraged to contact the insurance carrier directly via UnitedHealthcare Member Services: 866-414-1959

Health Advocate is another resource that you can take advantage of for more specific coverage information. Covered employees can call 866-799-2728 or email answers@healthadvocate.com.

How can I best reach UHC?

You can reach out to UHC Member Services via the following channels if you are currently a member:

Call the number on your ID Card for the most direct service help
Log in to myuhc.com
Download UnitedHealthcare Health4Me app
Call 1-866-414-1959 for general information

Common Terms

What is a deductible?

A deductible is an amount you must spend before your insurance begins to pay claims. Member cost-sharing for certain services, as indicated in the plan, are excluded from charges to meet the deductible. Pharmacy expenses do not apply to your deductible.

What is an out of pocket maximum?

An out of pocket maximum is the most you have to pay out of your own pocket for covered services in a plan year.

What is co-insurance?

Co-insurance is the percentage of health insurance expenses you pay after you’ve met your deductible.

What is a co-pay?

A co-pay is the flat amount you are responsible to pay for a covered service after you’ve met your deductible.

Enrollment

What is open enrollment and how does it affect me?

Open enrollment is the designated time each year when you can enroll in health insurance benefits. Employees have two open enrollment opportunities each year:

1) when they join the company and can select their initial plan, also known as new hire enrollment

2) when the company’s UHC policy renews in November.

Unless a qualifying life event occurs, open enrollment is the only time an employee can enroll in benefits.

What is a qualifying life event?

A qualifying life event is a change which enables employees to enroll in benefits outside of open enrollment. A qualifying life event can include one of the following situations:

1) marriage / domestic partnership

2) divorce or separation

3) birth or adoption of a child

4) loss of previous coverage

5) moving (this is not a guaranteed event, please contact support@justworks.com for more information on what qualifies).

When you have a qualifying life event, you can make updates to your benefits coverage by submitting proof of the QLE within 30 days of the event within your Justworks account.

I want to add a dependent to my coverage. How can I do that?

Dependents must be added to your plan during open enrollment unless they experience a qualifying life event. If a qualifying event does occur, simply navigate to your Benefits in Justworks and select the Change coverage button to signal that you need to add a dependent to your plan.

I want to change my plan selection. How can I do that?

You can change your plan if you’re still in open enrollment or if you have a qualifying life event. In either of these cases, please reach out to support@justworks.com.

I want to cancel my coverage. How can I do that?

In order to cancel your benefits outside of the open enrollment period, you will need a qualifying life event, such as a spouse obtaining new group health insurance. In this case, we would need a letter from the new insurance company, showing the new coverage effective date. We need to ensure there isn’t a lapse in coverage.

What are the eligibility requirements for health insurance?

An employee must be classified as “full-time” or “part-time” working 30+ hours per week in order to be eligible for health insurance in Justworks. Contractors are not eligible for health insurance.

Disclaimer

This material has been prepared for informational purposes only, and is not intended to provide, and should not be relied on for, legal or tax advice. If you have any legal or tax questions regarding this content or related issues, then you should consult with your professional legal or tax advisor.