LSU First: the LSU Health Plan logo

 

 

Administered by WebTPA and MedImpact

o   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 and pharmacy 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)
  • $300 Penalty for outpatient surgery performed at a hospital facility (No penalty if performed at ambulatory surgery center)

2022 LSU First Benefit Snapshot

Medical Coverage 

Medical Coverage Employee Only Employee + Spouse Employee + Children Family
Employer Contribution to HRA $1,000 $1,500 $1,500 $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)** 40% 40% 40% 40%
Out-of-pocket max (in-network)* $4,500 $6,750 $6,750 $9,000
Out-of-pocket max (out-of-network)* Unlimited Unlimited Unlimited Unlimited

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

Prescription Coverage 

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


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.

Online Employee Assistance Program

LSU First Health Plan offers members the Employee Assistance Program (EAP) Resource via the www.mylifevalues.com website. View more information and how to access the site.

Username: peaceofmind
Password: solutions

 

 

 

LSU First

WebTPA Customer Service:
 1-855-346-5781

visit LSU FIRST

 

Forms & Resources

Health Insurance and Dependents can only be changed during Annual Enrollment or due to a Qualifying Life Event.

INSURANCE eligibility

List of Qualifying Events

Benefit Job Aids and Forms

2022 PREMIUMS FOR ACTIVE EMPLOYEES

2022 PREMIUMS FOR RETIREES

2022 HEALTH PLAN COMPARISON

2022 summary of benefits and coverage

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