In addition to the newly issued prescription cards you recently received from Navitus, Medicare members will also be receiving an updated OUH card that reflects the change to Navitus for the prescription (Rx) benefit. This is the only change on the OUH card.
THERE ARE NO CHANGES TO THE MEDICAL PLAN.
Please discard your old OUH medical ID card that Read More
COVID-19 VACCINE FOR CHILDREN 5 TO 11 – Frequently asked questions Q: Why should I have my child vaccinated against COVID-19?
A: While COVID-19 tends to be milder in children compared with adults, it can make children very sick and cause children to be hospitalized. In some situations, the complications from infection can lead to death.
Although children are at Read More
The OU Health Plan will be switching Rx benefits to Navitus from SilverScript for all Medicare plan members effective January 1, 2022. New prescription cards will be mailed to Medicare members in December 2021. Why is OU Health changing to Navitus?
The Plan is automatically enrolling you with Navitus because SilverScript declined to submit a new contract proposal contract with Read More
OU Health announces EmpiRx Health as the new Pharmacy Benefits Manager effective July 1, 2021
View the presentation
With 2021 around the corner, the Orange Ulster School Districts Health Plan is excited to announce several Plan benefit improvements for our members for the new year.
Durable Medical Equipment (DME) The $1,000 deductible for in-network DME items has been eliminated. Members will pay the lesser of a $25 copay, or the in-network price from the provider, per item. DME Read More
It has come to our attention there have been random attempts made by scammers to steal money or personal information via phone calls, automated robocalls, or text messages. The callers often make false statements indicating they represent all of the major insurance companies such as Aetna, Blue Cross, GHI, CVS, etc., with opportunities to save you money by convincing you Read More
The Orange-Ulster School Districts Health Plan will provide 100% coverage ($0 copay) for in-network diagnosing and laboratory testing for the potential Coronavirus (COVID-19) office visit or LiveHealth ONLINE (telemed) visit. Download pdf
CORONA VIRUS TESTING
The Orange Ulster School Districts Health Plan will provide 100% coverage for in-network diagnosing and laboratory testing for the potential Corona Virus office visit or Live Health Online (Telemed) visit. Download PDF
OU Health is pleased to report that BlueCross BlueShield has officially reached an agreement with Westchester Medical Center/ Bon Secours through March 31, 2022. The facilities and physicians are in network retro to June 1, 2019.
We thank you for your support and patience during this process.
The Orange Ulster School Districts Health Plan has updated its Ambulance Benefits, effective July 1, 2019.
As of July 1st, the Plan Benefits will only require a $70 co-payment for In- Network Ambulance services with a $70 co-payment for Out-of-Network Ambulance services up to the Plan’s Reasonable & Customary Allowance. Download PDF – Ambulance benefit change Read More
OU Health participates in the Quest Lab Card Select program. By using Quest Diagnostics Lab Card Select program for your lab tests ordered by your doctor, you reduce your copay cost from $25 to $5. A $20 savings to you! The labcard.com website does not list OU Health benefits. To review the Plan’s Coverage Summary, go to www.ouhealth.org “Quick Links” Read More
Costly CAT Scans, MRIs or PET Scans require you to pay a co-pay of $50 if performed at a hospital, or $25 from a freestanding radiology facility. You can reduce your co-pay to zero! Here’s how:
Have the prescribing physician call HealthCare Strategies (HCS) at 1 (800) 764-3433 (on your ID card) and advise which test is being requested (CAT, MRI Read More
The Empire Blue Cross & Blue Shield offers their “Live Health On-Line” program to embers enrolled in the OU Health Plan!
What is it Easy, fast doctor visits from the comfort of your home, using your computer or mobile device, 24 hours a day, 7 days a week!
How do i use it ? Sign up for LiveHealth Online, at Read More
The OU Health Plan has arranged with CVS Caremark to offer a Zero Co-Pay Seasonal Flu Vaccine to members of the Plan.
As long as the OU Health Plan is primary for you and your dependents then you are eligible to receive the Flu Vaccine at zero cost.
Download PDF OU Health Flu Vaccine 2019
Model Simplified Member Benefit Booklet Disclosure Language HMO/PPO/POS/EPO/Traditional
Out-of-Area Services Overview We have a variety of relationships with other Blue Cross and/or Blue Shield Licensees. Generally, these relationships are called “Inter-Plan Arrangements.” These Inter-Plan Arrangements work based on rules and procedures issued by the Blue Cross Blue Shield Association (“Association”). Whenever you Read More
July 1, 2016 Plan changes announced by OUSDHP Directors
The Orange Ulster School Districts Health Plan’s Board of Directors is announcing benefit changes to the OU Health Plan, for 2016. Unfortunately, due to the additional costs of the Affordable Care Act (ACA), such as ACA taxes, fees and mandated benefits that the Plan must provide without any copays, OU Health Read More
I am writing to provide an update on the incident involving a number of OU Health Plan members.
As you may know, Envision Rx discovered the issue on October 5, 2015 upon receiving notice from our office that some Plan members reported receiving letters containing other member’s prescription drug information.
Upon our notifying Envision Rx, they began immediately investigating the Read More
This is the latest from Anthem Health regarding the data breach of their system:
Last week, we made you aware that Anthem was the target of a very sophisticated external, cyber attack. Since that time, we have been working around the clock continuing their assistance in the FBI investigation; analyzing the data to understand the impact; responding to questions from our clients, members Read More
As you may be aware of by now, Anthem Health, the parent company of Empire BC/BS was the target of cyber attack that exposed a variety of information regarding Private Health Information (PHI) to hackers. Due to the working relationship that the Plan has with Empire, we feel that our member’s PHI exposure is very limited at this time.
The Read More