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Mailing Address: U.Va. Human Resources 914 Emmet Street P.O. Box 400127 Charlottesville, VA 22904 Phone: (434) 924-4598 Email: hrdept@virginia.edu

Benefits Summary for Housestaff Medical Insurance Dental Insurance Prescription Information Disability Insurance and Emergency Travel Assistance Life Insurance Tax-Deferred Savings Program Flexible Reimbursement Accounts Miscellaneous Benefits COBRA View All/Print     Effective January 1, 2008 Prescription Information For both the Optimum Choice and MAMSI PPO there is a 3-tier plan drug plan with prescription copayments of $10 generic, $30 formulary brand, and $50 non-formulary brand. In addition, for PPO members who access Non-Preferred Pharmacies, there is a 20% copayment. Beginning July 1, 2007, Optimum Choice and MAMSI participants were required to obtain specialty medications from select specialty pharmacies to receive in network benefits. Contact the Specialty Pharmacy Referral Line at 866-429-8177 for more information

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