{United Methodist Church of NJ Conference}

© 2015 Shari DeAngelo

Active employees, retired employees under age 65, Retired clergy under full time appointment.

HealthFlex - The Health Insurance Program of the United Methodist Church

HealthFlex is a private health plan, not an insurance company. It contracts with Blue Cross Blue Shield of Illinois to provide the PPO network and to pay claims only; with OptumRx for prescription benefits; and with United Behavioral Health for mental health benefits.

For questions about your benefits:

You may also contact the Health Team at the Wespath Benefits and Investments at 800-851-2201.

  • press 2 at the 1st prompt
  • 0 at the 2nd prompt

Contact the vendors (Blue Cross Blue Shield (BCBS), OptumRx, UBH) for claims or pharmacy issues. If you cannot resolve a vendor issue, contact the Health Team at 800-851-2201.

  • at the 1st prompt press 2
  • at the 2nd prompt press 0

Enrollment

  • Within 31 days of hire/initial appointment/newly eligible
  • during annual benefits election period
  • or within 31 days of a qualifying life event

Type of Plan

PPO using Blue Cross/Blue Shield national PPO network.

Eligibility

All clergy* under full-time appointment, including full-time local pastors serving a conference church are required to enroll in the plan. Dependents may be included to age 26.

  • Part-time clergy/laity are not eligible.
  • Laity employed by the conference, church or agency of the conference, working full-time at least 1,560 hours per year (30 hours/week) may enroll. Dependents may be included to age 26. Laity enrollment must meet the 75% requirement. See 2017 Guidelines.
  • Full time clergy appointed to local church: Premiums are the responsibility of the local church.
  • Clergy not under appointment to a local church: Call Veronika Varga, Benefits Assistantt 732-359-1036 for information.
  • Laity: Premiums are the responsibility of the insured, payable through the employer.

Premium

Premium is a blended premium for all plan types: In 2019: $15,000 annual/$1,250.00.

Vision

Annual comprehensive vision exam using Vision Service Plan participating physician. Vision Hardware Discount Program is also available through VSP.

MDLIVE – new!

MDLIVE is a telemedicine service available for HealthFlex participants designed to handle common non-emergency conditions such as cold/flu, sore throat, rash and more – after normal office hours, when traveling, or any time you cannot get in to see your regular provider.

  • State-licensed, board-certified doctors (including pediatricians) via phone, secure video or an easy-to-use MDLIVE mobile app can diagnose your symptoms, prescribe non-narcotic medication, and send prescriptions to your pharmacy of choice.
  • 24/7 access $20 copay applies.
  • Click here for FAQ’s.

Wellness

Wellness programs such as:

  • Virgin Pulse, a comprehensive walking program
  • Health Coaching
  • Health Quotient Risk Assessment
  • Blueprint for Wellness Biometric Screening
  • Employee Assistance Program
  • Live and Work Well

Are included at no additional cost to the participant in the Plan. Many are associated with cash incentives.

Downloads

For more information contact: