CO-OP Benefits

    These Signature Benefits are available for members with individual and employer plans.

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    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 a vision exam reimbursement to your medical plan and we have worked to keep it as simple as possible. 

    Here's how it works.

    Swipe below to view steps

    Select Your Provider
    Member must collect proof of services received
    Submit Your Proof of Services
    Reimbursement
    Helpful Hint:
    Advise members to check with their provider regarding the cost of the exam ahead of time to make the most of the annual reimbursement.

    *This is a reimbursement program, which allows you to go to any vision provider. You are not required to show an insurance ID card because the provider does not bill us directly. Instead, you submit a request for reimbursement directly to the COOP.
    The documentation should include:
    -Proof that the covered service was received;
    - Date of service;
    - Name and address of provider (if available, provider NPI);
    - Patient’s name, address, and member ID.

    Member is not required to provide proof of payment to the CO-OP; only proof of services received.

    Ideally, a printout/itemized statement from the licensed provider is best.
    Submit Documentation:
    Submit proof of services to the CO-OP. For convenience, we provide three ways to submit:

    Email-
    Scan proof of service to [email protected] (preferred)

    Fax-
    Attn: Member Reimbursement Fax to (801) 281-6121

    Mail-
    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.
    Please note: If the documentation does not provide sufficient information to process the reimbursement request, the customer service team will place an outreach call notifying our member of the issue.

    Coordination of benefits does not apply.

    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 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

    Select your Provider
    Member must collect proof of services received
    Submit Your Proof of Services
    Reimbursement
    Helpful Hint:
    Advise members to check with their provider regarding the cost of the exam ahead of time to make the most of the annual reimbursement.

    *This is a reimbursement program, which allows you to go to any dental provider. You are not required to show an insurance ID card because the provider does not bill us directly. Instead, you submit a request for reimbursement directly to the COOP.
    The documentation should include:
    -Proof that the covered service was received;
    - Date of service;
    - Name and address of provider (if available, provider NPI);
    - Patient’s name, address, and member ID.

    Member is not required to provide proof of payment to the CO-OP; only proof of services received.

    Ideally, a printout/itemized statement from the licensed provider is best.
    Submit Documentation:
    Submit proof of services to the CO-OP. For convenience, we provide three ways to submit:

    Email-
    Scan proof of service to [email protected] (preferred)

    Fax-
    Attn: Member Reimbursement Fax to (801) 281-6121

    Mail-
    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.
    Please note: If the documentation does not provide sufficient information to process the reimbursement request, the customer service team will place an outreach call notifying our member of the issue.

    Coordination of benefits does not apply.

    The CO-OP will reimburse you and your dependents listed on the policy up to $100.

    Doctor On Demand

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

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    Telehealth Perks

    • Access to board-certified physicians
    • Psychiatrists
    • Licensed psychologists and a care coordination team via video visits
    • Video, voice, and messaging options
    • No appointment needed

    availability

    • Services available via 5-star rated Mobile App or website
    • Available in all 50 states and Washington, D.C.
    • Average wait time of 5 minutes
    • Available 24 hours, 7 Days a week
    • No appointment needed

    Co-Op Members

    • Copays as low as $20 per visit for all traditional benefit plans.*
    • Medical forms, school, and work release notes available
    • All visit notes can be shared with your Primary Care Provider (PCP)
    • Information is stored on encrypted servers inside encrypted databases; this system is HIPAA compliant

    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/.

    Starting September 1st, 2021 Mountain Health CO-OP members who utilize Telehealth Services (non-covid related) will be charged a co-pay. Co-Pays vary based on your CO-OP plan. For the last year and a half the CO-OP has covered all telehealth services in full, all covid related health issues until June 1, 2022.

    Telehealth is still a great option. Questions? We love helping our members- just shoot us a note or give us a call at 855-447-2900!

    In-Home Health Assessment

    Availability begins January 1st for members in Idaho, Montana, and Wyoming.

    We’re offering FREE in-home* and telehealth assessments for members and paying $50 for members to complete them!

    We’re working with Advantmed to offer this benefit and support your health.

    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 and Access Care Idaho 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 60 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 is arranged by the member then 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.