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University of California Postdoctoral Scholar Benefits Program New Postdoc Orientation. Presented by Garnett-Powers & Associates. Title Code 3252 - Postdocs paid through the UC payroll system have been appointed in the title “Postdoctoral Scholar-Employee”.
Garnett-Powers & Associates
Title Code 3252- Postdocs paid through the UC payroll system have been appointed in the title “Postdoctoral Scholar-Employee”.
Note: The title of a Postdoctoral Scholar appointment is determined by the requirements of the funding agencies.
One of the main components of an HMO that distinguishes the model from other types of plans is the Primary Care Physician who acts as your gatekeeper for all of your care.
Medical BenefitsHealth Net HMOPostdoctoral Scholar PaysPhysician Office Visit:$10 CopayHospitalization:Inpatient No Charge Outpatient No Charge Pregnancy No ChargePrescription Drugs:Generic $10 Copay Brand Name $20 Copay Non-Formulary $35 CopayEmergency Room Visits:$35 Copay (waived if admitted)Health Evaluation:$10 CopayMental Health :Inpatient No Charge Outpatient $10 CopayAnnual Maximum Out of Pocket:Individual $1,500 Family $4,500Annual Deductible:Individual None Family NoneLifetime Maximum:Unlimited
When covered under a PPO plan, there is no need to be assigned a Primary Care Physician.
Medical Benefits Health Net PPO (In-Network) Health Net PPO (Out of Network)*Postdoctoral Scholar PaysPostdoctoral Scholar PaysPhysician Office Visit:$20 Copay 40%Hospitalization: Inpatient $250 Copay then 20% $250 Copay then 40% Outpatient $0 Copay 40% Pregnancy $250 Copay then 20% $250 Copay then 40%Prescription Drugs: Generic $10 Copay 50% + $10 Copay Brand Name $25 Copay 50% + $25 Copay Non-Formulary $35 Copay 50% + $35 CopayEmergency Room Visits:20% 40%Routine Physical Exam:$20 Copay 40%Mental Health (Severe): Inpatient $250 Copay then 20% $250 Copay then 40% Outpatient $0 Copay 40%Annual Maximum Out of Pocket:$1,500 Individual $1,500 Individual(Does not include deductible) $4,500 Family $4,500 FamilyAnnual Deductible:Individual None $200 Family None $600Lifetime Maximum:Unlimited*Out of Network reimbursement based on limited fee schedule.
Health Net offers Text4Baby, a free service that provides free text messages up to 3 times a week with information to assist you through your pregnancy and your baby’s first year. In order to register, text BABY to 511411.
Decision Power is a program through Health Net that offers a variety of methods to track possible health risks and identify potential problems. The goal of this program is to assist through online coaching with a guide to pregnancy, tobacco use, weight management, nutrition and stress reduction.
Dental Benefits Health Net DHMOPostdoctoral Scholar PaysDeductible:NoneDiagnostic and Preventative Care:Routine Oral Exams No chargeRoutine Teeth Cleanings No chargeRoutine X-Rays No chargeBasic Procedures:Fillings Varies up to $80 copayOral Surgery Varies up to $130 copayEndodontics Varies up to $150 copayPeriodontics Varies up to $300 copayMajor Procedures: Crowns Varies up to $200 copayOrthodontics:Comprehensive Treatment- Child $1,950 copay plus start-up fees and retentionComprehensive Treatment- Adult $2,250 copay plus start-up fees and retentionAnnual Maximum:Unlimited
When you enroll in the Point-of-Service (POS) plan, you will not be assigned to a Primary Care Dentist at the time of enrollment.
Principal EPO/PPO (In-Network) Principal PPO (Out-of-Network)Postdoctoral Scholar PaysPostdoctoral Scholar PaysCalendar Year Deductible:None $50 per person, waived for diagnostic and preventative CareDiagnostic and Preventative Care:Routine Exams No charge No charge, except for the amount
Teeth Cleanings No charge of the dentist’s fee that exceeds
Routine X-Rays No charge Principal’s scheduled allowance Basic Procedures:Fillings 10% 20% of the scheduled allowance,Endodontics 10% after the deductible is met, plus Non-Surgical Periodontics 10% the amount of the dentist’s fee that Simple Oral Surgery 10% exceeds Principal’s scheduled allowanceMajor Procedures:Crowns 50% 50% of the scheduled allowance,Bridgework 50% after the deductible is met, plus the Dentures 50% amount of the dentist’s fee that Complex Oral Surgery 50% exceeds Principal’s scheduled allowanceOrthodontia (Adult and Child):$1,000 Lifetime Maximum 50% 50% of the scheduled allowance, after the deductible is met, plus the amount of the dentist’s fee that exceeds Principal’s scheduled allowance
Vision Benefits Health Net PPO (In-Network) Health Net PPO (Out of Network)
Postdoctoral Scholar PaysPostdoctoral Scholar Allowance
Exam with Dilation (if necessary):$0 Copay Up to $40
Standard Plastic Lenses:
Single Vision $10 Copay Up to $40
Bifocal $10 Copay Up to $60
Trifocal $10 Copay Up to $80
Lenticular $10 Copay Up to $80
Frames:$0 Copay, $120 retail allowance Up to $45
for any frame, plus 20% off
balance over allowance
UV Coating $15 N/A
Tint (solid and gradient) $15 N/A
Standard Scratch Resistant $15 N/A
Standard Progressive $45 N/A
Conventional Contact Lenses:$105 allowance toward contacts, Up to $105
plus 15% discount off balance over
Examination Once Every 12 Months
Lenses or Contact Lenses Once Every 12 Months
Frame Once Every 24 Months
The plan will pay 70% of the first $1,429 weekly pre-disability earnings.
All Postdoctoral Scholars in job codes 3252, 3253 and 3254 and their dependents are automatically covered for medical evacuation and repatriation benefits necessary to satisfy the J Visa Program.
This benefit is voluntary and is paid 100% by the Postdoctoral Scholar.
This program offers you access to babysitters, mother’s helpers, pet sitters, dog walkers, senior companions, tutors and several other types of helpful services.
Before you begin the enrollment process, it’s important to review the detailed plan information on the GPA PSBP website so you are aware of what benefits you wish to choose before visiting the enrollment form.
Once you have completed your enrollment form, please print, sign and date it and turn it into your department administrator for processing. Your enrollment is not complete and you may not access service until the form is turned in to the appropriate party that will enter your information into the payroll system.
Effective 1-1-2014, all PDS will make the following monthly contribution if enrolled in the Medical HMO Plan:
Coverage Type Monthly Contribution
Effective 1-1-2014 the PDS will make the following monthly contribution if enrolled in the Medical PPO Plan:
Coverage Type Monthly Contribution
Postdoctoral Scholars with sufficient funds, have their contributions deducted from their checks via the payroll system.
Family member eligibility requirements are the same as the family member eligibility requirements for the UC Faculty and Staff plans. The major family member categories are the following:
Natural or adopted child or children to age 26 for medical plans (unless eligible to continue coverage because of disability). Adult age children are not eligible to enroll if they are eligible for their own employer-sponsored plan.
Same-sex domestic partner
Opposite-sex domestic partner (per AB205)
Note: When two family members are employed through the UC, duplicate coverage is not allowed.