For the 2024 plan year, you have a choice of 3 medical plans with a range of coverage levels and costs.
UMR Plan 1 PPO Choice Plus
UMR Plan 2 PPO Choice Plus
UMR Plan 3 EPO HDHP
The chart below provides a comparison of key coverage features and costs.
Exclusions under Medical: Gene Therapy, Cellular Therapy, Replacement Therapy, Orphan Drugs
Exclusions under Pharmacy: Allergy Sera, Weight Loss Medications, Medications for Cosmetic Indication, Infertility Treatments, Nutritional Supplements, Growth Hormones. Specialty medications found on the current True Rx Specialty List, gene therapy, cellular therapy, enzyme replacement therapy, and orphan drugs. As noted above, oncology products found on the True Rx Specialty List may be covered at $0 member cost with approved clinical review. Members may seek coverage for medications outside of the plan via assistance from True Rx/True Advocate.
Newborn coverage at birth.
Dependents are covered up to age 26. Full-time students – no age limit.
*Please refer to carrier plan documents and Summary Plan Descriptions (SPDs) for a complete list of all exclusions, as these materials will govern.
You and Burlington CSD share the cost of your health care benefits — Burlington CSD pays a generous portion of the total cost and you pay the remainder. The amount you pay is deducted pretax from your paycheck. Your specific cost is determined by the plans you choose and the coverage level you select.
← 2025 Rates Per Pay Period (Pre-Tax)
Note: Teladoc Health is not available internationally.
1. Download the app: Search for “Teladoc Health” in the App Store or on Google Play.
2. Set up your account: Once you’ve downloaded the app, select “Set up your account.”
3. Enter basic contact information: Provide some information about yourself to confirm your eligibility. We’ll confirm we found your benefits and you’ll continue creating your account.
4. Create your account: Enter your address and phone number, create a username and password, pick security questions, and agree to terms and conditions.
Visit: teladoc.com
Call: 1-800-TELADOC (800-835-2362)
Get the most from your benefit plan – use participating network health care providers whenever possible.
Click on Coverage and Benefits. You will be able to see your insurance card, along with buttons that allow you to print the card or order a new card if needed.
You can also view claims, change your account settings, see drug interactions, and submit a claim through the member portal.
Your prescription home delivery service starts once you are enrolled and your benefits are active.
If you do not receive an email with a prescription identification number, visit wbrxexpress.com and click Sign Up. Complete the form and WB Rx Express will contact you within two business days to start the enrollment process.
Tax-advantaged FSAs provided by FLEX are a great way to save money. The money you contribute to these accounts comes out of your paycheck without being taxed, and you withdraw it tax-free when you pay for eligible health care and dependent care expenses.
Health Care FSA
- Pay for eligible health care expenses, such as plan deductibles, copays, and coinsurance.
- Contribute up to $3,300 in 2025.
- Plan year is July 1, 2024 to June 30, 2025, with a grace period to September 15, 2025.
Dependent Care FSA
- Pay for eligible dependent care expenses, such as daycare for a child so you and/or your spouse can work, look for work, or attend school full-time.
- Contribute up to $5,000 in 2025, or $2,500 if you are married and filing separately.
- Plan year is July 1, 2024 to June 30, 2025, with a grace period to September 15, 2025.
Health Care FSA: Plan deductibles, coinsurance, copays, and other out-of-pocket expenses. To learn more, see IRS Publication 502 at www.irs.gov
Dependent Care FSA: Child daycare, babysitters, home care for dependent elders, and related expenses. To learn more, see IRS Publication 503 at www.irs.gov
You must enroll if you want to contribute to an FSA in 2025, even if you currently participate. Keep in mind that once enrolled, you are only able to make changes due to a qualifying change in family or benefits enrollment status.
Keep in mind, FSAs are “use-it-or-lose-it” accounts. Unused funds are forfeited at the end of a 2½-month grace period following the plan year. During the grace period, you can continue to incur expenses and submit your receipts.
When you enroll in a Health Care FSA, you will receive a debit card to use when you receive services to pay for eligible expenses. Depending on the transaction, you may need to submit receipts or other documentation. Even if not required for submission, be sure to keep your receipts.
Eligibility for a Health Savings Account (HSA)
Eligible individuals are those who are:
1. Lower paycheck costs
Your per-paycheck costs are lower compared to the PPO plan, giving you the opportunity to contribute the cost savings to a Health Savings Account (HSA).
2. Tax-advantaged savings account
To help you pay your deductible and other out-of-pocket costs, the HDHP allows you to open a Health Savings Account (if you qualify based on IRS regulations) and make tax-free contributions. All withdrawals from your HSA are tax-free, as long as you use the money to pay for eligible health care expenses. In addition, all the money in the account is yours and will never be forfeited. It rolls over from year to year, and you can take it with you if you leave the school or retire. After age 65, you can withdraw funds for any reason without a tax penalty—you pay ordinary income tax only if the withdrawal isn’t for eligible health care expenses. Burlington CSD does not provide an HSA account. The employee will need to open their own HSA account with a bank or administrator of their choice.
3. Free in-network preventive care
As with all Burlington CSD health plans, in-network preventive care is fully covered under the HDHP – you pay nothing toward your deductible as long as you receive care from network providers.
4. Extensive provider network
The HDHP uses UMR’s EPO Network of providers.
10 Ways to Control Cost -UM0122 (pdf)
DownloadBCSD Part D Non-Creditable Coverage Notice_20240701 (1) (pdf)
DownloadBurlington CSD_Creditable Cov Notice_20240701 (2) (pdf)
DownloadGet all your answers at umr.com (pdf)
DownloadKnow where to go - UM16031 (pdf)
DownloadFind a Provider - Choice Plus (pdf)
DownloadTeladoc Getting Stared - QHDHP plan - 5.6.24 (pdf)
DownloadTeladoc Getting Started - PPO Plan - 5.6.24 (pdf)
DownloadCopyright © 2025 Burlington Community School District - All Rights Reserved.
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