“You Choose” Decision Pathways Tool

Ready to think about which UofL medical plan may be the best fit for you? This will just take a few minutes of your time. Note that this tool doesn't allow you to go back to fix a response, but you can complete it and start over. For optimal viewing, ensure you are viewing screen content at 100%.

Let's dig in. First, a few questions to help us learn about you.


The use of Decision Pathways is entirely voluntary, and it's just one tool to help you decide which medical plan might be best for you. UofL does not collect personal data. The information you provide is not stored in the system and is not personally attributed to you. The information provided does not guarantee eligibility for benefits or specific coverage.
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A qualifying adult is defined as an individual in a domestic partnership with an employee. See definition.

Question 1

Who do you plan to cover?

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Question 1.1

Are you on a J-1 Visa?

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Question 2

How much medical care and prescription drugs do you think you and any eligible dependents you cover will use?

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Question 3

How do you prefer to pay for medical and prescription drugs (out of your paycheck vs at the time of service)?

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Question 4

Will one person that you'll cover have significantly more expenses than another?

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The Health Savings Account (HSA) helps you save smarter through all stages of life. It lets you use income tax free dollars to pay for qualified medical, prescription drug, dental and vision expenses. You own the HSA, and your HSA dollars are yours to keep. Balances carry over from year-to-year, to new jobs and even into retirement.

Question 5

Would you be interested in using a Health Savings Account to help you and your dependents pay for your health care expenses now or to save for future years?

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After you've completed this exercise, you can search for ULH providers to confirm your preferred providers are in-network.

Question 6

Great. One more question. Would you be interested in a medical plan that allows you a $0 deductible and copays (flat dollar amount) for most services if you go to UofL Health providers? You could still see Anthem providers, but you would pay more. No out-of-network coverage would be available (except in an emergency).

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Out-of-pocket maximum refers to the highest amount you will pay for services that are included in your health care plan. After you reach your out-of-pocket maximum for the year, your plan will pay for 100% of your covered costs the rest of the year.

CDHP

The CDHP allows you to go in or out-of-network for medical care. It comes with an in-network deductible of $2,000 (individual coverage) and $4,000 (family coverage). You need to meet the deductible before the plan begins to pay for medical care or prescription drugs. Once the deductible is met, you will pay 20% for most care until the out-of-pocket maximum is reached and all care is covered at 100%. Learn more about the CDHP on the Medical Coverage webpage.

About the Aggregate Deductible

This plan contains an aggregate deductible. When any one family member or a combination of family members meets the family deductible, it's met for the whole family. Learn more about deductibles in this video.

About the HSA 

This plan allows you to open a Health Savings Account (HSA). Even though you said you weren't interested in an HSA, you may want to consider the advantages of it since the CDHP allows you to open one. The HSA lets you use income tax free dollars to pay for qualified medical, prescription drug, dental and vision expenses. You own the HSA, and your HSA dollars are yours to keep. Balances carry over from year-to-year, to new jobs and even into retirement.

When you enroll in the CDHP, you'll need to elect to open the HSA. Once enrolled, UofL will provide money into your HSA to help with eligible expenses. The amount is $500 (employee only), $1,000 (employee plus spouse), or $2,000 (employee plus child(ren) or employee plus family).

You cannot use or receive HSA dollars to cover expenses for individuals who are not covered on your taxes (this includes qualifying adults). The HSA contribution may be reduced and can't be utilized for a qualifying adult. (If you have coverage for only you and a qualifying adult, the UofL contribution into your HSA will be $500).

Learn more about the HSA on the Medical Accounts webpage.

About the Limited Purpose FSA

With the CDHP, you also have the ability to open a Limited Purpose Flexible Spending Account (LPFSA). This account is specifically for dental and vision expenses and is designed to pair with an HSA. Having two accounts allows you to maximize your tax savings by contributing tax funds to both accounts, up to the maximum limits.

Learn more about the HSA and LPFSA on the Medical Accounts webpage.

ULH Plan 

The ULH Plan provides coverage to you through an exclusive network of health care providers. It offers three tiers of coverage:
Tier 1 - UofL Health providers; lowest out-of-pocket costs
Tier 2 - Anthem in-network providers; higher out-of-pocket costs
Tier 3 - Out of network; coverage for emergency services only.
Learn more about the ULH Plan on the Medical Coverage webpage.

About the Embedded Deductible

This plan contains an embedded deductible. It has a lower per person deductible and out-of-pocket maximum amount for the one person. When one person meets that amount, it's met for just one person. The family deductible is met either through individual deductibles being met or through combined family spending. Learn more about deductibles in this video.

About the FSA  

This plan allows you to open a Health Care Flexible Spending Account (FSA). The FSA gives you tax-advantaged money upfront for your health care needs. It's like an HSA, but with a big difference: If you don't spend your funds by the end of your plan year, you could lose your dollars. Also only you can contribute to the FSA (not UofL).

Learn more about the FSA on the Medical Accounts webpage.

PPO Plan

The PPO Plan provides higher coverage to you if you see in-network providers, but also provides a lower level of coverage when you see out-of-network providers. This plan will begin to pay benefits once your annual deductible is met. When you need care, you pay a copay for services like doctor's office visits or coinsurance for services like inpatient hospital care. Learn more about the PPO Plan on the Medical Coverage webpage.

About the Embedded Deductible

This plan contains an embedded deductible. It has a lower per person deductible and out-of-pocket maximum amount for the one person. When one person meets that amount, it's met for just one person. The family deductible is met either through individual deductibles being met or through combined family spending. Learn more about deductibles in this video.

About the HRA  

When you join the PPO Plan, you automatically receive a Health Reimbursement Account (HRA). The HRA is an amount of money that UofL provides to help you with your medical and prescription drug expenses. The HRA amount is $250 (employee only coverage), $500 (employee plus spouse or qualifying adult), or $750 (employee plus child(ren) or employee plus family). This amount is enough to cover your in-network deductible. UofL has full ownership of the HRA, so you are unable to contribute to the account and cannot access this account if you leave UofL. 

About the FSA 

This plan allows you to open a Health Care Flexible Spending Account (FSA). The FSA gives you tax-advantaged money upfront for your health care needs. It's like an HSA, but with a big difference: If you don't spend your funds by the end of your plan year, you could lose your dollars. Also only you can contribute to the FSA (not UofL).

Learn more about the HRA and FSA on the Medical Accounts webpage.

Need additional support or more information?

For more tools to help you prepare for enrollment, be sure to take advantage of all the resources available at louisville.edu/hr/benefits. This tool is provided to assist you in making your own decision as to which benefits plans to participate in. In making this tool available to you, UofL is not providing any specific recommendations as to what will be the most appropriate benefits plans for your personal situation. Your responses are anonymous and are not shared with UofL.