LSU First Medicare Retiree Plan

LSU First Logo: The LSU Health Plan

Administered by WebTPA and MedImpact

Contact Information

WebTPA Customer Service: 1-855-346-5781

LSU First Website


LSU First offers members access to 100% coverage with First Choice providers and generic prescriptions. This means that members will not incur any out-of-pocket expenses for covered services from First Choice Providers* and/or generic prescriptions. LSU First also includes an employer-paid health reimbursement account (HRA) that can be used to offset deductible and other out-of-pocket medical expenses throughout the year. Any unused HRA funds roll over, up to a maximum, allowing members to build up balances to cover eligible medical expenses.

* The fees below apply to all networks, including the First Choice network.

$150 Emergency Room co-pay, waived if admitted
$150 Penalty for MRIs and CT scans performed at a hospital facility (No penalty if performed at free-standing imaging center)

 

2023 LSU FIRST BENEFITS SNAPSHOT

 

Medical Coverage

Medical Coverage Employee Only Employee + Spouse Employee + Children Family
Employer Contribution to HRA $500 $750 $750 $2,000
Deductible $500 $750 $750 $1,000
Coinsurance (First Choice) 0% 0% 0% 0%
Coinsurance (in-network) 20% 20% 20% 20%
Coinsurance (out-of-network)1 40% 40% 40% 40%
Out-of-pocket max medical (in-network)2 $4,500 $6,750 $6,750 $9,000
Out-of-pocket max medical (out-of-network)1 Unlimited Unlimited Unlimited Unlimited

1Out-of-Pocket Maximums include HRA, Deductible, and Coinsurance.
2Based on the Maximum Allowable Charge


Prescription Coverage

Prescription Coverage Member Responsibility for 30-day supply
Tier 1 - Generic $0; covered at 100%
Tier 2 – Preferred Brand 20% up to $150
Tier 3 – Non-preferred Brand 20% up to $150
Tier 4 - Specialty 20% up to $150

 

Prescription Coverage Employee Only Employee + Spouse Employee Children
Drug Maximum Out-of-Pocket $4,500 $6,750 $6,750

 

MedImpact administers the pharmacy portion of the plan. Home delivery and specialty medications are provided through MedImpact Direct.

  • Generic medications are covered at 100% after the HRA is exhausted.
  • Brand name and specialty medications are covered at 80% after the HRA is exhausted and the Deductible is met. Members are responsible for 20% of the drug cost, up to a maximum of $150 for a 30-day supply.

LSU First members have the option of receiving a 90-day supply of maintenance medications by mail order through MedImpact Direct or through multiple retail pharmacies nationwide, including CVS, Walgreens, and Wal-Mart, through MedImpact’s Choice90 program

 

Online Employee Assistance Program

LSU First Health Plan offers members the Employee Assistance Program (EAP) Resource via the My Life Values website.

View more information and how to access the site.

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