Kalamazoo College is proud to offer two healthcare plans powered by ASR.
Does ASR cover over-the-counter (OTC) COVID-19 rapid tests?
ASR members seeking care outside of Michigan will change to the Aetna Signature Network January 1, 2022.
Minimal disruption to members is expected with this change, as the vast majority of the providers who participate with Cigna and MultiPlan also participate with Aetna. Check that your providers are part of the Aetna PPO network to ensure that you won’t have any disruption of coverage expectations as of January 1, 2022, when this change takes effect. You may search for provider(s) by visiting asrhealthbenefits.com and clicking on the Aetna National PPO Network link under Search for Providers.
Where do I find information about health coverage for my auto insurance carrier?
Infusion/Injection Therapy Requiring Certification – 2/1/23 Updates to List
ASR Health Benefits regularly reviews our medical-management program to ensure it provides maximum health benefits and value to our members. To this end, we have carefully reviewed the list of infusion and injection therapy currently requiring certification under your health benefit plan, and we are notifying you of updates to this list effective February 1, 2023.
What has changed? Effective February 1, 2023, new drugs have been added to the list of outpatient infusion or injection therapy requiring certification for medical necessity. These new drugs are identified by an asterisk (*) next to their codes on the list. Note that only Table 1 applies to your health benefit plan; please disregard Table 2 and the reference to the EPLS Progressive Sourcing Program.
How will this change affect me? If you begin outpatient infusion/injection therapy with one of the drugs newly added to the list on or after February 1, 2023, and it is determined that the therapy is not medically necessary, your health plan will not cover any charges associated with that therapy.
What if I am already receiving therapy with a listed drug on February 1, 2023? If you are receiving infusion/injection therapy with one of the drugs newly added to the list, within 60 days of the effective date, and it is determined that the drug is not medically necessary, ASR will send you a letter with a request to contact us. If we do not receive a response from you, we will contact the prescribing provider’s office to arrange for a different drug. You will have until April 1, 2023 to transition to the different drug. If after April 1, 2023 you continue to receive the same infusions/injections, your health plan will not cover any charges associated with that therapy.
What action is required of me? If you have been or will be treated with a drug newly added to the list, you should work with your prescribing provider to determine next steps, particularly contacting ASR for certification assistance. We look forward to being of continued service to you. If you have any questions or concerns, please contact ASR directly. For a list of infusion/injection therapy requiring certification, please email your Human Resources Department.
2023-24 Black (90%) Plan
This plan includes an automatic Medical Reimbursement Arrangement (MRA) that reduces the actual Plan Benefit (in-network) deductible by 75%.
ASR Surgeries Requiring Certification
Beginning January 1, 2022 your surgery may require prior certification. Please check the link above.
2023-24 Orange (100%) Plan
This plan features no deductible and no additional expense for many services.
Access your ASR information anywhere, anytime on your mobile device. Download from the Apple App Store or Google Play Store for free.
Learn about expenses eligible for flexible spending, register for flex direct deposit, and find out how to access your flex account in real-time.
AmWell Virtual Health Visits
Be connected anytime virtually with a certified provider.
$0 Co-payment Service Key = asrcopaywaived
Learn more about this plan’s design, rates, and other details.
Prescription Drug Program
Learn about our prescription drug program including domestic mail order and international mail order.
Vision care is available through vision insurance and a separate discount program. Learn more on the Vision page.
Learn more about domestic partnership policy and spousal/domestic partner coverage information.
The Transparency in Coverage (TiC) Rule – released in October 2020 by the Departments
of Labor, Health and Human Services, and Treasury (the “Departments”) – requires non-grandfathered group health plans to create a member-facing price-comparison tool and post three separate machine-readable files on a public Website.
ASR Health Enrollment can only be completed within the first 30 days of hire or during Open Enrollment unless you have a qualifying “life changing” event including marriage, birth/adoption of a child, divorce, death, lost eligibility or loss of coverage. An employee has 30 days from the date of a “life changing” event to make changes to health insurance. Please email HR.Benefits@kzoo.edu with further questions.
Not all documents may be accessible to people with disabilities. Please contact HR@kzoo.edu for ADA compliant documents if needed.