With 2021 around the corner, the Orange Ulster School Districts Health Plan is excited to announce several Plan benefit improvements for our members for the new year.
Durable Medical Equipment (DME)
The $1,000 deductible for in-network DME items has been eliminated. Members will pay the lesser of a $25 copay, or the in-network price from the provider, per item. DME items with an in-network cost greater than $500 will require a $25 copay and prior approval by Health Care Strategies, the OU Health Plan’s pre-certification vendor, to confirm medical necessity. Please note that the $1,000 deductible will continue to apply to out-of network DME.