[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-301938-105":53,"doc-detail-301938-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","plan-summary-retiree-health-welfare-summary-of-plan-2026","Plan Summary - Retiree Health & Welfare Summary of Plan 2026","","Retiree Health & Welfare Summary of Plan for University of Idaho Health Benefits Trust sponsored coverage outlines medical, prescription drug, and related welfare benefits for eligible retirees and dependents. Coverage is effective January 1, 2026 through December 31, 2026 and includes medical/prescription drug plans for pre-Medicare and Medicare-eligible retirees, an associated Health Savings Account, and an Employee Assistance Plan. The summary explains enrollment and changes, eligibility around Medicare, premiums and payments, benefit start/end dates, ID cards, provider access, prescription formulary and pharmacy networks, cost-sharing, claims, and key federal 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December 31, 2026  \nThis book contains information for the:  \n• Medical and Prescription Drug Plans for Pre-Medicare and Medicare-eligible Retirees and Eligible Dependents (Self-Funded)  \n• Health Savings Account  \n• Employee Assistance Plan  \nThis is not insurance and not covered under the guaranty fund  \nABOUT THIS SUMMARY OF PLAN DOCUMENT.............................................................................5  \nINTRODUCTION ...................................................................................................................................6  \nEligibility .................................................................................................................................................. 6  \nHow to Enroll for Coverage .................................................................................................................. 12  \nMaking changes.................................................................................................................................... 12  \nWhen You Are Eligible for Medicare..................................................................................................... 14  \nPaying for Coverage ............................................................................................................................. 15  \nWhen Coverage Begins ........................................................................................................................ 15  \nWhen Coverage Ends .......................................................................................................................... 15  \nIn the Event of Your Death ................................................................................................................... 16  \nID Cards ................................................................................................................................................ 16  \nIf You Move........................................................................................................................................... 17  \nYOUR MEDICAL AND PRESCRIPTION DRUG COVERAGE.........................................................17  \nHow do I locate in-network providers? ................................................................................................. 18  \nPRE-MEDICARE MEDICAL PLAN COVERAGE AT-A-GLANCE CHART.....................................19  \nMEDICARE ELIGIBLE MEDICAL PLAN COVERAGE AT-A-GLANCE CHART............................28  \nPRE-MEDICARE AND MEDICARE ELIGIBLE ................................................................................34  \nPRESCRIPTION DRUG BENEFITS ..................................................................................................34  \nThe Prescription Drug Formulary ......................................................................................................... 34  \nFinding a CVS Caremark/Silverscript Network Pharmacy ................................................................... 36  \nUsing the Mail Order Pharmacy ........................................................................................................... 36  \nPrescription Drug Benefits .................................................................................................................... 36  \nWhat the Prescription Drug Plan Covers .............................................................................................. 38  \nGENERAL BENEFIT INFORMATION ...............................................................................................39  \nAnnual Deductible................................................................................................................................. 39  \nCare Away from Home (Blue Card Access Program) ............................................","cbCainEeVxr8TEcl","https://ap.wps.com/l/cbCainEeVxr8TEcl","pdf",1079813,119,"English","# About This Summary of Plan Document\n# Introduction\n## Eligibility\n## How to Enroll for Coverage\n## Making changes\n## When You Are Eligible for Medicare\n## Paying for Coverage\n## When Coverage Begins\n## When Coverage Ends\n## In the Event of Your Death\n## ID Cards\n## If You Move\n# Your Medical and Prescription Drug Coverage\n## How do I locate in-network providers?\n# Prescription Drug Benefits\n## The Prescription Drug Formulary\n## Finding a CVS Caremark/Silverscript Network Pharmacy\n## Using the Mail Order Pharmacy\n## What the Prescription Drug Plan Covers\n# General Benefit Information\n## Annual Deductible\n## Care Away from Home (Blue Card Access Program)\n## Cost-Sharing\n## Cost-Share Maximum\n## Lifetime Maximum\n## Maximum Allowance\n## In-Network Providers\n## Out-of-Network Providers\n## Claims for Benefits\n## Women’s Health and Cancer Rights Act\n## Newborns and Mothers’ Health Protection Act\n# Medical Management Program\n## Care Management\n## Preauthorization\n## Non-Emergency Preadmission Notification Requirement\n## Emergency Notification Requirement","[{\"question\":\"What benefits are included in the retiree plan summary for 2026?\",\"answer\":\"The summary covers medical and prescription drug plans for pre-Medicare and Medicare-eligible retirees and eligible dependents, a Health Savings Account, and an Employee Assistance Plan.\"},{\"question\":\"How does the document address Medicare eligibility and enrollment timing?\",\"answer\":\"It provides guidance on when you are eligible for Medicare, along with information on how coverage eligibility affects enrollment, when coverage begins, and when coverage ends.\"},{\"question\":\"How are prescription drug benefits and pharmacy access described?\",\"answer\":\"It explains the prescription drug formulary, how to find a CVS Caremark/Silverscript network pharmacy, mail order pharmacy usage, and what the prescription drug plan covers.\"},{\"question\":\"What general cost and claim topics are covered?\",\"answer\":\"The summary includes annual deductible, cost-sharing and maximums, lifetime maximum, maximum allowance, in-network versus out-of-network providers, how to submit claims for benefits, and relevant federal protections.\"}]","Plan Summary - Retiree Health & Welfare Summary of Plan 2026 | PDF",1789786988,42]