Click the logo above to directly access the LSU First website. The LSU First Customer Service number is 1-866-929-5781.
The LSU First Health Plan is a fully-funded self-insured plan. Utilizing CIGNA as the Claims Administrator and the Medical Manager, Express Scripts as the Pharmacy Benefits Manager, and Verity HealthNet for local and First Choice Provider network administration.
*Nationwide Coverage
• Plan members control which doctors they see. • If you are a Member and would like to speak with an experienced MEMBER ADVOCATE regarding your Plan, call 1-866-607-5325. |
There are two options of Plans through the LSU First Health Plan: Option 1 and Option 2. The difference between Option 1 and Option 2 is the Member Responsibility is higher under option 2. The monthly premium is lower as a result of the higher out-of-pocket responsibility of the Member under Option 2. Option 2 may be a good choice if you have rollover HRA dollars from a previous Plan Year or if you know you will have minimal healthcare costs during the Plan Year.
Click here for a summary of the 2013 benefits & coverage for Option 1
Click here for a summary of the 2013 benefits & coverage for Option 2
Prescription Drug Coverage for Brand Name and Specialty Drugs
The Plan has been revised for Members who utilize Brand Name and Specialty drugs once their deductible has been met. As opposed to these drugs being covered at 90% of the contract cost by the Plan and the Member being responsible for 10% of the contract cost, Members will be responsible for paying a $40 co-pay for a 30-day supply of Brand Name drugs and a $120 co-pay a 30 day supply of Specialty drugs. Furthermore, these co-pay amounts will not count towards the out of pocket maximum.
*Please note that generic drugs will continue to be covered at 100% throughout the plan.
Selective Home Delivery ****UPDATE****
Beginning January 1, 2013, Members who utilize maintenance drugs will have the option of whether or not they want to participate in then Express Scripts Home Delivery program. All employees will be required to contact Express Scripts at 1-866-929-5781 to select whether or not they wish to participate. Employees will be allowed two refills before they are required to select. In the event that the employee does not select, you will be required to pay the full price of the prescription until a decision has been made and Express Scripts has been notified. Please click here to see the memo from the LSU Systems Office regarding this change.
Click here for a list of maintenance medications
Click here for an overview of LSU First changes
Click here for a copy of the LSU First Summary Plan Description
Click here for Preventive Care Guideline for LSU First
Click here for information regarding Temporary ID cards for prescriptions
For newly eligible employees with an effective date after January 1st, the Deductible and HRA Contributions will be pro-rated, based on the remaining number of months in the Plan Year. Click here for the New Hire Proration Guide.
At times you may have to pay out of pocket for medical services or for prescriptions, particularly if you have received services from a non-network provider. In the event that you do pay out of pocket for services, you can be reimbursed for these services. You will need to complete and submit a claim form and a copy of the invoice to the appropriate carrier. You may submit a claim form (see below) along with a copy of the invoice to your health insurance carrier. LSU First/CIGNA will then reimburse you according to the plan's guidelines.
Click here for the Health Claim form
Click here for the Prescription Claim form
Click here for the Critical Illness Direct Cash Benefit Form
Complimentary Term Life insurance and Accidental Death & Dismemberment Policy
LSU First provides all participating employees and retirees with a term life insurance policy in the amount of $25,000 as well as an accidental death and dismemberment policy in the amount of $25,000 at no additional cost to the employee. Employees are required to complete and submit a beneficiary designation form to the LSU Benefits Service Center.
Click here for the policy for HCC Life and AD&D benefit and here for the reduction schedule for the LSU First Life insurance plan.
Click here for the LSU First Life Insurance Death Claim form