UCHP for University of Chicago Employees
Welcome to the University of Chicago Health Plan (UCHP) for eligible employees of the University of Chicago.
For additional available health care plans for University employees, see the University of Chicago’s Human Resources Medical Plans page.
Benefit Documents
You can download the UCHP Benefit Plan document here for University of Chicago Employees effective 1/1/2024.
You can download the UCHP Schedule of Benefits document here for University of Chicago Employees effective 1/1/2024.
You can download the UCHP Summary of Benefits and Coverage document here for University of Chicago Employees coverage period 1/1/2023-12/31/2023.
Expanded UCHP Provider Network includes NorthShore Health System
Effective January 1, 2022, NorthShore Health System hospitals and providers will be in-network for UCHP. To find a list of NorthShore locations and providers visit https://www.northshore.org/locations/.
Provider Copays
Provider |
Copay |
Notes |
PCP |
$25 | PCP election is required. PCP elections or changes can be made at any time by calling Aetna or online through our secure member portal. |
CVS Minute Clinic |
$45 | |
Specialist |
$45 | |
Urgent Care |
$45 | You can access any CVS Minute Clinic, Ingalls Quick Care, and additional urgent care clinic locations for walk-in clinic/urgent care visits providing easier access to urgent care when needed and if you don’t live near the University of Chicago Medical Center. |
Emergency Room |
$125 | *Waived if admitted |
Pharmacy Formulary and Drug Management Lists
CVS Specialty Guideline Management Drug List effective 1/1/23
CVS Advanced Control Formulary effective 1/1/23
CVS Advanced Control Specialty Formulary effective 1/1/23
Pharmacy Copays
Pharmacy |
Delivery Method |
Day Supply |
Generic Co-Pay |
Brand Formulary Co-Pay |
Brand Non-Formulary Co-Pay |
Specialty Co-Pay |
UCMC DCAM Pharmacy |
DCAM or DCAM Mail | 30 | $5 | $15 | $30 | $75 copay/prescription for 30 day order |
| DCAM or DCAM Mail | 90 | $10 | $30 | $60 | ||
CVS Caremark Network |
Retail Pharmacy | 30 | $10 | $30 | $50 | $75 copay/prescription for 30 day order |
| CVS Caremark Mail Order | 90 | $20 | $60 | $100 |
Limitations, Exceptions & Other Important Information:
- Members filling orders at a retail pharmacy (i.e. CVS) will receive two prescription fills at the copayment amount. For third and subsequent fills, the member’s cost will be 50% of the medication cost.
- Drugs used for treatment of infertility, impotence and smoking deterrence have plan limitations. (i.e. drugs used for the treatment of infertility are covered at 75% of cost.)
3 ways to save on prescription drug costs
- Use the DCAM pharmacy – It’s convenient and it can save you a lot of money.
- Go generic – Your costs will always be lower when you choose the generic equivalent of a brand-name drug.
- Get your maintenance medications at DCAM or by DCAM Mail Order to get the most savings – You can save as much as 33% via a 90-day supply of a drug at DCAM outpatient pharmacy or DCAM Mail Order compared to buying three 30-day supplies at the DCAM pharmacy.
For more information on UCHP’s prescription drug coverage, call CVS Customer Service at 800-552-8159.
Summary of Benefits
For a full summary of benefits, click here. This document provides information on the coverage of the University of Chicago Health Plan, including deductible costs, copayment/coinsurance details, medical event information, and more.
Aetna Service Programs
Back and Joint Care Program
