Medical Coverage
2025 Changes
- New vendor: Medical and behavioral/mental benefits are provided by UMR, a UnitedHealthcare company. See New Medical Plan Vendor FAQs.
- Plan changes: Minor changes include new plan names and expanded coverage. See 2025 Medical Plan Changes.
UMR Login
- Go to www.UMR.com.
- In the Sign in to your account box, click I am a… to view the drop-down menu and click Member.
- If you are new, click Create HealthSafe ID. Use your personal email.
- If you had a previous login with UHC, click Sign in and enter your username and password.
- See UMR Login for detailed instructions.
ID Cards
ID cards were mailed to your home in December.
No activation is required for your ID card. There are no rewards associated with activation.
You may also access your ID card on the UMR website or app.
Pinellas County provides medical coverage to its employees through UMR (UnitedHealthcare). Two plans are available as detailed below. Medical coverage is available to all permanent and long-term temporary employees scheduled to work a minimum of 20 hours per week.
Contact UMR
Contact UMR to:
- Consult with a nurse
- Get claims information
- Ask questions about coverage
- Request an ID card or print your own
- Find a doctor or hospital
- Learn how to lower out-of-pocket costs
- Schedule a virtual doctor visit (Teladoc)
- View preventive care guidelines
- Website: www.UMR.com
See UMR Login for step-by-step instructions. View medical and wellness information with the same login/account.
- App: UMR Health
- Phone: (866) 783-6467, option 1, available 24/7 to speak with the GenerationYou team of nurses and social workers
- UMR onsite representatives are available in-person or by phone.
2025 Medical Plan Changes
- Medical plan names – The two plans have new names:
- Preferred Provider Organization (PPO) plan, previously called the Open Access Plus (OAP) plan
- High Deductible Health Plan (HDHP) with a Health Savings Account (HSA), previously called the Choice Fund Open Access Plus HSA plan
- Medical plan expanded coverage – There is expanded coverage for mammograms, colonoscopies, therapy, and more as shown:
2025 Medical Plan Expanded Coverage (Both Plans)
| Benefit | 2024 Coverage | 2025 Coverage |
|---|---|---|
| Mammogram | Preventive mammograms covered at 100%; diagnostic mammograms subject to deductible, coinsurance and copayments | All mammograms covered at 100%, preventive and diagnostic |
| Colonoscopy | Preventive colonoscopies covered at 100%; diagnostic colonoscopies subject to deductible, coinsurance and copayments | All colonoscopies covered at 100%, preventive and diagnostic |
| Physical Therapy, Speech Therapy, Occupational Therapy | Maximum of 20 days per year per type of therapy | Maximum of 45 days per year per type of therapy |
| Home Health Care | Maximum of 40 visits per year | Maximum of 90 visits per year (combined with outpatient private duty nursing) |
| Hospice Care | Not specified | 8 hours per week |
| Bereavement Services | Not specified | Provided within 12 months of death |
- High Deductible Health Plan with HSA changes – Per IRS guidelines, there are increases in the deductible, out-of-pocket maximum, and contribution limits as shown on the Medical Plans Comparison & Cost table. The Health Savings Accounts moved from HSA Bank to Optum Bank.
Medical Plan Options
- Preferred Provider Organization (PPO)
- High Deductible Health Plan (HDHP) with HSA
Additional medical plan information is available upon request for residents outside of Florida.
Medical Plan Biweekly Premiums
Both plans offer the same low premiums which includes medical care, prescription coverage, behavioral/mental health and vision care:
| Coverage | 2025 Biweekly Cost |
| Employee Only | $13.09 |
| Employee and Spouse or Domestic Partner | $151.16 |
| Employee and Child(ren) | $120.60 |
| Family | $247.67 |
- View machine-readable files in JSON format for researchers, regulators, and application developers. Search for “Pinellas-County-Government”.
Plan Comparison
- Both plans are administered by UMR.
- Both plans offer both in-network and out-of-network benefits.
- Both plans have the same network of hospitals and doctors.
- Both plans are open access, which means you may use any network physician, you do not have to select a primary care physician, and you do not need a referral to see a specialist.
- Both plans cover the same benefits, limitations, and exclusions.
- There are some distinct differences so please compare the plans carefully.
Comparison Chart
Additional Benefits
All employees and dependents who enroll in one of the medical plans are provided the following coverage:
Spotlight on Hinge Health
Hinge Health is a free virtual therapy program to support muscle and joint health. The personalized program provides a care team (via video) which may include a licensed physical therapist and exercise kit with wearable sensors.
ID Cards
UMR mailed ID cards to all participants in late December which include your dependents’ names. You can request additional copies if needed. If you have more than 4 dependents, you will get two cards since there is a limit of 4 dependent names per card.
You may also access your ID card on the UMR website or app.
Effective Date of Coverage
- Start Date: Coverage is effective for new employees on the first day of the month after 30 days of employment. For example, if you are hired on February 16, your benefits are effective on April 1.
- End Date: Your benefits coverage through the County ends on the last day of the pay period in which your separation occurs. For more information, see Employee Benefits: What Happens When I Leave?
Pre-Authorization
Some medical procedures, imaging, treatments, medications, and equipment need approval from UMR before you receive care. View Pre-Authorization FAQs to learn about the process and what to do if authorization is denied.
Tax Saving Plans
Reduce your healthcare costs with the following options:
- Flexible Spending Accounts – Pinellas County offers FSAs to help you reduce out-of-pocket expenses for healthcare expenses (for employee and dependents) or dependent care expenses such as daycare costs by paying for them on a pre-tax basis. You do not have to be enrolled in the Group Health Plan to participate.
- Health Savings Account – An HSA is a tax-deductible savings account available to individuals enrolled in an IRS-qualified high-deductible health plan like Pinellas County’s High Deductible Health Plan (HDHP) with HSA.
- Pre-Tax/Payroll Deductions – Payroll deductions for health and dental coverage may be deducted under the provisions of the Internal Revenue Service Tax Code, Section 125. Each year, during the County’s Annual Enrollment period, you have an opportunity to elect pre-tax health or dental premiums.
Enrollment
Important Links
3/3/25