Medical care for you and your family is important.
This brief benefit summary includes in-network benefits only. The medical plan is administered by UMR, and the prescription drug (Rx) coverage is now provided through Truescripts.
Your primary PPO network for all plans is the United Healthcare Choice Plus PPO network. When you use in-network physicians, your cost will be lower.
Preventive Care
Understanding the full value of covered benefits allows you to take responsibility for maintaining good health and incorporating healthy habits into your lifestyle. Some examples include getting regular physical examinations, mammograms, and immunizations.
Preventive care which is your annual exam and lab tests to monitor health and detect potential issues, is covered at 100% in-network!
- Not all exams and tests are considered preventive
- Covers routine wellness or preventive exams including gynecological, mammogram for 40 years and over, bone density for 50 years and over, prostate, PSA for 40 years and over, rectal exams and colonoscopies for 50 years and over
- Typical screenings for adults are:
- Blood pressure
- Cholesterol
- Diabetes
- Colorectal Cancer Screening
- Depression
- Mammogram
- OB/GYN screening
- Prostate cancer screening
- Testicular exam
Prescription Drug (Rx) Coverage
Welch provides prescription drug coverage for all active employees and eligible dependents who enroll in the Medical plan.
- Covered drugs are listed on the formulary, which is a list of brand-name and generic drugs that have undergone careful review by a committee of practicing providers and pharmacists.
- Certain drugs require prior authorization to ensure that the prescription is clinically appropriate. Your provider can initiate a prior authorization review for these drugs.
- Quantity limits may apply based on clinically approved guidelines. Your physician may contact TrueScripts to authorize medications on your behalf.
You will receive a new ID card from UMR with updated prescription information included for TrueScripts, be sure to present this to your pharmacy on or after 1/1/26.
TrueScripts will work with members through any prior authorizations to prevent disruption. Please reach out to a member care staff prior to 1/1/26 for assistance.
