As of March 1, 2010, University Health Plans, Inc. (UHP) will no longer participate in the NJ FamilyCare/Medicaid program. This means a new health plan, also called a Health Maintenance Organization (HMO), will take care of your healthcare coverage beginning on March 1, 2010. UHP is working towards making this a smooth change for you. There will be no gap in your healthcare coverage.

In February, you will receive a new HMO Identification (ID) card from your new HMO. Please start using your new ID card on March 1, 2010. You should continue to use your UHP ID Card and see your UHP providers through February 28, 2010. Your new HMO will send you a Member Handbook that includes your benefits and their procedures for obtaining services, along with your ID card and Welcome Packet prior to your effective date. We ask that you review the handbook and call your new HMO if you have any additional questions or concerns.

Voluntary Members

Eligible members may select Medicaid Fee-for-Service if you do not want to be a member of another health plan. If you choose to make this move, please contact the State’s Health Benefits Coordinator at 1-866-472-5338 (TTY 1-800-701-0720).

Continuation of Care:

If you are receiving services from a UHP in-network provider who is also in your new HMO’s network and your services do not require prior authorization from your new HMO, you can continue to receive those services without contacting your new HMO. If your provider is not in your new HMO’s network, your new HMO will help move your services to an in-network provider. However, there are certain circumstances where you can continue treatment with this provider. If you are currently being treated by this provider for the following conditions, you may continue treatment as follows:

• For Post Operative Care, you may continue to see this provider for up to six (6) months;
• For Oncological (cancer) Care, you may continue to see this provider for up to one (1) year;
• For Psychiatric Care, you may continue to see this provider for up to one (1) year;
• If you are pregnant, you may continue to see this provider for up to six (6) weeks after delivery.

If you are enrolled in a UHP case/care/disease management program, we will be happy to discuss your case with your new HMO.

If you are in the hospital on the date UHP leaves the NJ FamilyCare/Medicaid program, UHP will remain responsible for services until you are discharged from the hospital.

If you have any questions regarding this information or have any comments or concerns about your health care needs, please call UHP at 1-800-564-6847 (TTY/TDD 1-800-852-7897.

UHP has been happy to serve you. We wish you continued good health and happiness.