University of Rochester Employees

For Patients

University of Rochester

The University supports your family’s health and wellness through integrated programs designed to help you manage or prevent issues that impact your life. AHP is just one piece of the University’s YOUR Health Universe:

Well U

Offers on-site fitness classes, a self-defense series, Weight Watchers, live cooking demos and many more opportunities for employees to lead happier healthier lives.

Learn More
URMC Employee Pharmacy

Dedicated exclusively to University employees, retirees and their families, offers savings on prescription drugs, prescription drug counseling and delivery service.

Learn More
Lifestyle Management Programs

Programs and services to help you manage your health, including tobacco cessation, weight loss/maintenance, blood pressure and cholesterol control, stress management, and physical activity.

Learn More
Condition Management Programs

Biometric screenings, personal health assessments, and management programs for those who live with asthma, diabetes, high blood pressure, high cholesterol, low back pain, and more.

Learn More
Behavioral Health Partners

A unique mental health resource offering medication consultation and management, as well as individual counseling for stress, anxiety and depression.

Learn More
Employee Assistance Program

Free assessment, short-term counseling and referral information for employees and family members struggling with addiction, anxiety and depression, domestic issues, bereavement, legal and financial issues, chronic and stress-related illnesses, and more.

Learn More
Accountable Health Partners

A provider panel of University of Rochester Medical Faculty Group providers and carefully selected community partners who are committed to delivering quality healthcare and an outstanding patient experience.

Learn More
Dental Plans

Two dental plan options (Traditional Dental Assistance Plan and Medallion Dental Plan) that both offer 100% coverage for preventive care from a participating provider.

Learn More
YOUR Health Plans

Your health benefits pay an important role in the health and well being of your family. They are an essential piece of the dynamic that makes up your health and wellness benefits.

Learn More
2016 YOURhealth Program CatalogView 2016 YOURhealth Program Catalog

What is AHP?

The University’s health care plans take advantage of a 3-tiered network. Based on the tier you and your family select, you will see differences in the pricing of deductibles, copays, coinsurance costs, and out-of-pocket maximums.

Accountable Health Partners is the clinical network associated with Tier 1 benefits for the University health care plan. You may realize considerable savings in copays, deductibles, and coinsurance by choosing to get health care for you and your covered dependents from providers in the AHP network.

The Freedom to Choose

AHP is not an insurance company or a health care plan. It is a clinically integrated network of physicians and hospitals—all of which are in the networks of the plan’s third-party administrators (Excellus BCBS and Aetna).

You still have the choice to see health providers within the broader Aetna and Excellus national networks—and outside them, as well. Your out of pocket payments towards deductibles and out of pocket maximums cross-apply across all three Tiers under your University health care plan. However, any time you receive care from AHP providers, you will enjoy lower copays, deductibles, and coinsurance.

Why AHP for UR Employees?

The University is working with AHP and incentivizing employees to use the network for several key reasons:

1. AHP offers a broad network of high-quality physicians and hospitals.

  • These providers agree to work together around common quality standards.
  • AHP is working closely with the University’s existing health and wellness programs to improve care coordination while helping employees to take charge of their health.

2. Participating providers have tools and resources to help them deliver better care.

  • Dashboards and reports provide a comprehensive overview of your health to help identify areas of need, like overdue vaccinations.
  • Care Managers (trained care coordinators) assess your needs and work with you toward the best possible outcomes.
  • Patient-Centered Medical Home model provides care that treats you when you’re sick but focuses on keeping you well.

How Do I Find an AHP Provider?

With more than 2,000 physicians in the network, you can find a provider for just about any health care need.

Provider Directory Primary Care Accepting New Patients Hospital Listing Laboratory Listing Radiology Locations Home Health Care

What if AHP Doesn’t Include Services I Use?

<<<<<<< HEAD

In some cases, the facility, provider or service you need may not be available in the AHP network. In those cases, covered services received from non-AHP providers within the Aetna or Excellus national networks will be covered at the Tier 1 (AHP) cost-sharing level. Click here to see a full list of those specialties.

=======

In some cases, the facility, provider or service you need may not be available in the AHP network. In those cases, covered services received from non-AHP providers within the Aetna or Excellus national networks will be covered at the Tier 1 (AHP) cost-sharing level. Click here to see a full list of those specialties.

>>>>>>> f57cbaabc9a5d4648a0a380a6fe4618691c072e0

What if I Need Help?

For questions about the AHP network, including:

  • Finding an AHP provider
  • Assistance with scheduling appointments
  • Having trouble finding an AHP provider accepting new patients
  • Helping patients transfer their medical records to an AHP provider

Email [email protected] or call the Concierge Telephone Service at (585) 784-8855 or (888) 457-7463.

For help with general benefit questions, contact the University Benefits Office at [email protected] or via phone at (585) 275-2084.

For help with specific benefits and claims questions, contact your plan’s Third Party Administrator:

Excellus BCBS
1-800-659-2808 or 1-585-232-2632
www.excellusbcbs.com/ur

Aetna
1-877-864-4583
www.aetna.com