LSU First

2019 Plan Changes

The following plan changes are effective January 1, 2019:

  • Option 2 will no longer be available for the 2019 Plan Year. Employees who are currently enrolled in Option 2 and do not make an election during Annual Enrollment will be defaulted into Option 1 for 2019.
  • $150 Emergency Room Copay,  regardless of network tier, waived if admitted.
Benefits Snapshot
LSU First Medicare Retiree Plan
 
Summary Plan Description
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News

short-acting opioid plan change effective august 1, 2o18

Woman's Hospital is now in the LSU First Choice Network

webtpa now offering paperless eobs

Our Lady of the Lake Hospital is now in the LSU First Choice Network

2019 Plan

The 2019 plan year runs for a full twelve months, from January 1 – December 31, 2019. All Health Reimbursement Accounts (HRAs), remaining deductibles, and out-of-pocket maximums were reset to the full amount on January 1, 2019. Any remaining HRA dollars, up to and the maximum from 2018 have been rolled over to the 2019 plan.

WebTPA claims administrator
Citizens RX Pharmacy Benefit Manager

 

first choice providers + generic drugs = Covered 100% (after HRA is exhausted)

no referrals for specialist, preventative care covered at 100%, optional home delivery for perscriptions

The LSU First Team

Aetna ASa, Web TPA, Verity HealthNet and Citizens Rx make up LSU First

LSU First

Claim Support:
1-855-346-LSU1 (5781)

Escalated claim or pharmacy issues?
Contact a Member Advocate:
225-906-1280 or
866-607-5325

Member Support:
225-578-8200

lsufirst@lsu.edu

lsufirst.webtpa.com

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2019 LSU First Plan Highlights

Praxis Rx (home delivery pharmacy provider) phone ordering service can be reached at 813-374-6550. For questions about orders, please call 888-903-7453. 

FORMS AND RESOURCES

2019 Summary of benefits and coverage (SBc)

LSU FIrst Medicare Retiree Plan

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2019 LSU FIRST BENEFIT SNAPSHOT

2019 MEDICAL PREMIUMS FOR ACTIVE EMPLOYEES

2019 MEDICAL PREMIUMS FOR RETIREES

2019 PREFERRED FORMULARY

2019 CITIZENS RX EXCLUSIONS LIST

2019 citizens rx prior authorization list

2019 specialty drug list

2018 summary plan document

lsu first enrollment form: gb-01

Delivery with Praxis Rx

proRation guide