Vision Exam Reimbursement

Did you know that your eyes can be a key indicator of your overall health? 
 
This is why Mountain Health CO-OP has added an adult vision exam reimbursement to your 2020/2021 medical plan and we have worked to keep it as simple as possible. 

Vision coverage is included without additional charge for all enrolled children under 18.

Adult vision coverage is available as a stand-alone plan administered by VSP.

VSP is a national leader in vision and eye-care benefits offering vision insurance plans designed to save you money on doctor visits and eyewear.

VSP Coverage Information
Brochure on Vision Plans
VSP Website

Here's how it works.

Swipe below to view steps

Pick Your Provider
Pay Your Provider Directly
Submit Your Receipt & Reimbursement Form
Reimbursement
Helpful Hint:
Please check with your provider regarding the cost of the exam ahead of time to make the most of the $60 reimbursement.
Helpful Hint:
After you pay your provider directly, make sure you get a copy of your receipt.

The receipt should include one of the following standard vision exam codes:

92002, 92004, 92012, 92014, 92015, Z13.5, Z00.00, Z00.01
Submit Receipt
Send your receipt, along with the reimbursement form, to Mountain Health CO-OP.

Email:
memberservice@mhc.coop

Fax:
801-281-6121 Attn: Member Reimbursement

Mail to University of Utah Health Plans
PO Box 45180
Salt Lake City, UT 84145-0180
Reimbursement will be mailed to you within 15 business days of receipt.
The CO-OP will reimburse you and your dependents listed on the policy up to $60 each for the eye exam.

Dental Exam & Cleaning Reimbursement

Did you know that your oral health can be a key indicator of your overall health? 

This is why Mountain Health CO-OP has added an adult dental exam reimbursement to your 2021 medical plan and we have worked to keep it as simple as possible. 

We will reimburse up to $100 for dental exams or cleanings.

Here's how it works.

Swipe below to view steps

Pick your Provider
Pay Your Provider Directly
Submit Your Receipt & Reimbursement Form
Reimbursement
Helpful Hint:
Please check with your provider regarding the cost of the exam ahead of time to make the most of the $100 reimbursement.
Helpful Hint:
After you pay your provider directly, make sure you get a copy of your receipt.

The receipt should include one of the following Dental Exam/Cleaning codes:

D0120, D0140, D0145, D0150, D1110,D1120, D1203, D1204, D1206, D1208, D4910
Submit Receipt
Send your receipt along with the claim form, to Mountain Health CO-OP.

Email:
memberservice@mhc.coop

Fax:
801-281-6121 Attn: Member Reimbursement

Mail to University of Utah Health Plans
PO Box 45180
Salt Lake City, UT 84145-0180
Reimbursement will be mailed to you within 15 business days of receipt.
The CO-OP will reimburse you and your dependents listed on the policy up to $100.

Doctor On Demand is the nation’s leading virtual care provider reimagining what healthcare looks like for today’s world.

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Co-Op Members

Get started using Doctor On Demand

Swipe below to view steps

Download the App
Register Your Account
Enter Your Medical Information
Find and download the app on iTunes or Google Play or visit Visit Doctor on Demand
Helpful Hint:
Open the app and follow on screen instructions to register.

Once registered, select “See a Medical Doctor Now” (you will need to enable the app to access your location)
Follow on-screen instructions to enter your symptoms, allergies and medications in to the app.

Helpful Fine Print:
If you do not have a mobile device and would like to use your laptop or PC, then you can do so by using our web app:

To register, please visit us at: https://patient.doctorondemand.com/. All you’ll need is a webcam and the Google Chrome browser.

If you don’t have the Google Chrome browser installed, you can download & install it from this link:
https://www.google.com/intl/en-US/chrome/browser/.

Centers of Excellence Program

As a member-governed health insurance CO-OP, we value your overall health.  We also understand that costs associated with services and procedures can cause hardships – both financially and logistically.

We created the Centers of Excellence* (COE), giving you access to care at high-quality facilities with provisions to reduce your out-of-pocket costs.

*Link plans do not have access to the Centers of Excellence Program.

Here's how it works

Waived Deductible

Member deductible may be waived* for services provided at a COE.

*To qualify, you must receive prior authorization, which can be obtained by calling 801-587-2851.

Travel Expenses

Travel expenses related to the member will only be reimbursed for care done at Mountain Health CO-OP’s approved Centers of Excellence (COE) and must be out of state or more than 120 miles from the patient’s residence.

Reimbursement
All travel-related reimbursement requires prior authorization, which can be obtained by calling 801-587-2851.

Travel Expense Reimbursement
Limited to $10,000 per calendar year per member.
 

Air Transportation
Arranged by and billed to Mountain Health CO-OP.

Transportation
Transportation provisions cover the member and one caregiver. Travel by personal vehicle will be reimbursed at the IRS standard mileage rate, round trip, from your home zip code to the zip code of the provider location.

Lodging

Lodging will be arranged by and billed to Mountain Health CO-OP.

Daily Per Diem
Member and caregiver will be given a daily per diem equal to the current federal meals and incidental daily rate for the location in which the member will receive treatment.