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Medical InsuranceThree medical plans are offered to full-time employees of JC Schools. Click on the links below for plan summary information:Contact UMR Member Services for claim inquiries, request copies of ID card, explanation of benefits, etc: 800-826-9781 www.umr.comGroup #76410722From your phone you can access your benefit and claim information, as well as your medical insurance ID card, by going to UMR's mobile site: UMR On The GoLearn how to find the right provider for you by watching this video about UMR's provider search tool:Teladoc services now available include general medicine, dermatology and behavioral health:
- call 800-TELADOC (800-835-2362) or visit Teladoc.com
- Teladoc health benefits summary
- Teladoc: How to set up your Teladoc Health account
Medical Plan Comparison Summary 2025-2026Benefit Design
$1000 Base Plan
$500 Buy Up Plan
$1600 HSA Plan
Deductible (Plan Year):
$1,250
$750
$1,650
Individual
Family
$2,500
$1,500
$3,300
Coinsurance:
80%
90%
100%
Total Out of Pocket Max:
$5,000
$3,000
$4,125
Individual
Family
$10,000
$6,000
$8,250
Physician Office Visit:
$25
$25
$25 after Deductible
Specialist Office Visit:
$50
$50
$50 after Deductible
Teladoc Visit:
$15
$15
$15 after Deductible
Emergency Room:
Deductible / Coinsurance
Deductible / Coinsurance
$200 after Deductible
Urgent Care:
$50
$50
$50 after Deductible
Inpatient Hospital:
$100, then Ded / Coins
$100, then Ded / Coins
$100 after Deductible
Outpatient Surgery:
Deductible / Coinsurance
Deductible / Coinsurance
Deductible
Prescription:
$10 / 20% up to $100 / 20% up to $200
$10 / 20% up to $100 / 20% up to $200
Deductible then $10/ 20% up to $100/ 20% up to $200; Specialty: 20% up to $300
Specialty: 20% up to $300
Specialty: 20% up to $300
Employee Monthly Premiums:Monthly Medical Premiums
Base Plan
Buy Up Plan
HSA Plan
w/o Wellness w/Wellness
w/o Wellness w/Wellness
w/o Wellness w/Wellness
Employee only
$60 $30
$105 $75
$10 $0 **
Employee & spouse
$590 $560
$680 $650
$490 $460
Employee & children
$420 $390
$500 $470
$340 $310
Family
$950 $920
$1075 $1045
$820 $790
** The Board will contribute $20 per month into your HSA account.
Other helpful links:- Link to bswift - JC Schools Online Benefits System
- Healthcare Terminology
- 10 Things You Should Know About Health Savings Accounts
- UMR Provider Search and Cost Transparency Tool
- How the Family Deductible Works
- Contracted Breast Pump Suppliers
- Reviewing UMR's Explanation of Benefits (EOB)
- Adult Screenings and Immunizations
-
UnitedHealthcare, UMR and HealthSCOPE Benefits create and publish the Machine-Readable Files on behalf of Jefferson City School District. To link to the Machine-Readable Files, please click on the URL provided: transparency-in-coverage.uhc.com
Beginning July 1, 2022, an employer may locate and view their Machine-Readable File information. To do so:- Hit Ctrl-F on your keyboard to bring up a search bar.
- Type in your employer name and the associated MRFs will appear.
- Example: 2022-07-01_customer name_Choice-Plus_in-network-rates.json.