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:
- What is AHP?
- Why AHP for UR Employees?
- How Do I Find an AHP Provider?
- What if AHP Doesn't Include Services I Use?
- What if I Need Help?
- URMC Employee Pharmacy
- Lifestyle Management Programs
- Condition Management Programs
- Behavioral Health Partners
- Employee Assistance Program
- Accountable Health Partners
- Dental Plans
- YOUR Health Plans
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?
What if AHP Doesn’t Include Services I Use?
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.
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:
1-800-659-2808 or 1-585-232-2632