Medical Plans and Provider

Medical Base Plan with MRA Option
Medical Base Plan with HSA Option
Medical Accelerated Plan
Medical Provider Website - UnitedHealthCare

Prescription Drug Plans & Services

Medical Base Plan with MRA Option Rx
Medical Base Plan with HSA Option Rx
Medical Accelerated Plan Rx
Prescription Copayment Tiers, Forms, & Additional Information
Prescription Provider Website - Optum Rx

Preventative Care, Vaccinations, and Flu Shots

Adult Vaccinations – UnitedHealthcare
Flu Shot Coverage – UnitedHealthcare
Preventive Care Benefits – UnitedHealthcare

Medical Premiums

Medical Insurance (Base Plan with HSA)

Pay 12 Pay 10 Pay
Employee $0.00 * $0.00*
Spouse $372.88 $447.46
Children $232.36 $278.83
Family $534.97 $641.96

Medical Insurance (Base Plan with MRA)

Pay 12 Pay 10 Pay
Employee $0.00 * $0.00*
Spouse $355.48 $426.58
Children $219.94 $263.93
Family $497.64 $597.17

Medical Insurance (Accelerated Plan)

Pay 12 Pay 10 Pay
Employee $50-$113.95 $60-$136.74
Spouse $623.24** $747.89**
Children $509.91** $611.89**
Family $1,076.48** $1,291.78**

*Full-time employee premium 100% funded by the University
**An additional employee monthly contribution will apply ($50-$113.95 for 12 Pay) and ($60-$136.74 for 10 Pay)

Contact

573.651.2206
Fax: 573.651.2108
humanresources@semo.edu
Academic Hall Room 012
Office of Human Resources
One University Plaza, MS 3150
Cape Girardeau, Missouri 63701