DRIVEN BASE

Medical & Rx

UnitedHealthcare

DENSO's medical benefit vendor is UnitedHealthcare (UHC). Now that your coverage is active as of 1/1/2025, go to myuhc.com to register a HealthSafe ID. You will use this login to access both UHC and Optum Rx resources. To register, you will need either your UHC or Surest member ID card or your Social Security Number. Once you are registered you can view a digital member ID card, search for providers participating in your plan, view plan balances and claim details, and learn about covered preventive care. DENSO associates can call a dedicated UHC member support line at 844-749-7834.

UHC Member Resources

Login to myuhc.com or go to uhc.com/memberresources to explore the library of information and tools available to you, including:

  • ~ Support programs for chronic conditions, house calls, maternity support through Maven, LGBTQ+ member support, and other topics
  • ~ Resources to find in-network providers, urgent care centers, hospitals, and pharmacies
  • ~ Wellness and reward programs to help you meet your health goals

  Flyer: Personalized Resource

Advocate4Me

Additionally, UHC offers Advocate4Me, a service at no cost that connects you with a medical advocate by phone, chat, or video. Specially trained Advocates can help you understand your benefits and coverage, bills, claims, medications, help manage complex conditions, make more informed health-related decisions, help you find ways to reduce cost, and connect you with the care that meets your needs. Advocates are able to see your coverage and history to help know you better and offer faster, more personalized support. They can access all the benefits DENSO offers to make sure you are connected with the right resources. 

  Flyer: Advocate4Me

To talk to an Advocate, call the number on the back of your member ID card.

Plan Summaries

DENSO has 4 medical plans: ExpressWay, OpenRoad, Surest, and MainStreet. The MainStreet plan is no longer an option for new hires or enrollees, but some associates may still carry this plan. 

  • Expressway

1. ExpressWay

Someone who values things that are quick and easy. It offers flat dollar copays for most office visits, so you are in and out with fewer billing headaches.

2025 ExpressWay Plan Summary (En)


2025 ExpressWay Plan Summary (Sp)


2025 ExpressWay Plan Summary (Bur)

  • MainStreet

2. MainStreet

This plan is for someone who likes familiarity. It offers a traditional deductible and coinsurance for most services. 
The MainStreet plan is no longer an option for new hires or enrollees, but some associates may still carry this plan. 

2025 MainStreet Plan Summary (En)


2025 MainStreet Plan Summary (Sp)


2025 MainStreet Plan Summary (Bur)

  • OR

3. OpenRoad

This plan is for someone who likes freedom and doesn’t mind a little risk so long as they are driving. It offers a high deductible, which is required for a Health Savings Account (HSA). The OpenRoad prescription plan also includes many preventive medications at no cost (view list here)

2025 OpenRoad Plan Summary (En)


2025 OpenRoad Plan Summary (Sp)


2025 OpenRoad Plan Summary (Bur)

  • S

4. Surest

The Surest plan is for those who want simplicity and transparency in healthcare costs. Using the app or website you search for the provider you want and see their cost upfront before your visit. Surest has a low or $0 deductible and simple copays for each service with one-cost bundles for procedures or surgeries.

2025 Surest Plan Summary (En)


2025 Surest Plan Summary (Sp)


2025 Surest Plan Summary (Bur)

Prescription Information

DENSO's pharmacy benefit manager is Optum Rx. There are over 65,000 pharmacies in the Optum Rx network. Check the Optum Rx formulary list to see if your medication is covered. If drugs are on the Optum Rx formulary, they are preferred over drugs not listed. Drugs not listed in the formulary may be excluded from coverage.

  Flyer: Learn more about your Optum Rx Prescription Coverage

Covered drugs fall into one of four tiers: Generic, Preferred, Non-preferred, or Specialty.

There are typically changes to the formulary drug list twice a year, in January and in July. Optum Rx sends a letter to impacted members before a drug changes tiers or is removed from the list. Drugs may be added to the formulary throughout the year.

Step Therapy - you may need to try one or more alternative drugs before being allowed to fill certain brand prescriptions.
Prior Authorization - Certain drugs require your doctor to provide additional information before the pharmacist can fill the prescription; you or your doctor should contact Optum Rx if the pharmacist says this applies to you.
Penalties - If you choose to take a higher cost brand name instead of the equivalent generic drug, you will have to pay the generic copay plus a penalty equal to the difference in the cost of the drugs. Penalties do not accumulate toward out-of-pocket maximums.
90-day Supply - Available for maintenance medications through mail order, a Walgreens Pharmacy, or a DENSO Family Health Center (DFHC) pharmacy.
Specialty Drugs - Specialty drugs are high-cost medications used to treat complex, chronic conditions. All specialty medications must be filled through Optum Rx. Contact the specialty pharmacy at 855-427-4682 (available 24/7) to arrange filling your specialty prescription. You can also arrange for a live chat or virtual visit through Optum Connections to speak with a clinician who is an expert in your condition.
Preventive Drugs - many preventive medications are available to OpenRoad participants at no cost. View the HDHP formulary here.

Below are the links to the current formularies and prescription drug lists. For more information, go to welcome.optumrx.com/denso or call the Optum Rx member service line at 844-898-8636.

2025 Select Formulary: ORx_HT Select Formulary 2025
2025 Preventive Medications: ORx_HT Select_Preventive List Jan 2025
Preventive Care Medications (OpenRoad): ORx_HT January 2025 HCR Drug List
Prior Authorization Select Formulary: ORx_HT January 2025 UM PA Drug Lists_Select
Quantity Limits Select Formulary: ORx_HT January 2025 UM QL Drug Lists__Select
Step Therapy Select Formulary: ORx_HT January 2025 UM ST Drug Lists__Select

 

2024 Prescription Information

Coordination of Benefits (COB)

If you or a family member are covered by two or more medical plans, Coordination of Benefits (COB) determines which plan pays first (primary) and which plan pays second (secondary). If DENSO’s plan pays secondary, it will only pay if the primary plan paid less than DENSO’s plan would have if it were primary. DENSO’s plan will always be secondary to any medical or personal injury payments under an auto policy. The maximum combined payment you can expect from all plans cannot exceed 100% of the total allowable charge. Therefore, having dual coverage is not always the best choice financially.

Contact the UHC member services number to discuss Coordination of Benefits at 844-749-7834.

Telemedicine

With virtual visits, members can visit with a board-certified doctor or provider online from anywhere in the U.S. Go to myuhc.com to access virtual visits and select the telemedicine app you prefer (includes Teladoc Health, Amwell, and Doctor on Demand).

MEDICAL PLAN VIRTUAL VISIT COST
ExpressWay $15
MainStreet $15
OpenRoad $15
Surest $0 - $125 (select provider through Virtual Health Network in the Surest app)

Virtual visits are offered in Spanish and English; translation services are available for other languages upon request.

Flyer: Virtual visits made simple

2nd.MD

Medical Second Opinions at No Cost to You

After you receive a medical diagnosis, it can be overwhelming and often difficult to understand your options and next steps. That’s where 2nd.MD comes in. 

The health experts with 2nd.MD can help you navigate your situation from delivering a second opinion and understanding the diagnosis to helping you develop a treatment plan and making a referral. Avoid unnecessary tests, eliminate the uncertainty of your treatment plan, and get support anytime. The 2nd.MD service is provided at no cost to anyone enrolled in a DENSO medical plan. Visit 2nd.md/denso to activate your account. If you prefer a phone consultation, call 866-887-0719.

Visit 2nd.md/webinars to view the 2nd.MD House Calls webinar series, covering topics like women’s health, heart health, understanding cancer diagnoses, men’s health, and LGBTQ+ health advocacy.

 

Carrum Health

Surgical Concierge for Certain Procedures

Carrum Health is a special surgery and medical concierge benefit for certain types of surgeries for medically enrolled members aged 18 and older. Carrum partners with high-quality surgeons and world-class hospitals to make getting surgery easier, more comfortable, and less expensive.  

~ Members have the option to use Carrum Health or UHC (plan cost share will apply) for Musculoskeletal (MSK) hip or knee replacements, spinal fusion, bariatric, orthopedic procedures (e.g. hand, wrist, elbow, shoulder, ankle, foot, etc.), hysterectomy, oncology, and cardiac surgeries.
~ Personal support from a dedicated care team to assist with arranging travel, scheduling appointments, managing billing, and more. Travel costs are subject to taxes; a 1095 form is provided to you at the end of the tax year.
~ Those enrolled in ExpressWay, MainStreet, or Surest plans will have no out of pocket cost share for the surgical event. Those enrolled in OpenRoad will be responsible for deductible, then the remainder will be covered with zero cost share. Visit carrumhealth.com or call 888-855-7806 for more information.

 

Benefits While Traveling

UHC documentation coming soon!

Other Resources