Bundles of Benefits
Vanderbilt Health Benefits
VUMC employees are eligible to participate in an exciting Vanderbilt Health program designed to save you a bundle of bills. The MyHealth Bundles program provides you and your dependents a concierge-level health care experience with low to no out-of-pocket costs. A patient navigator guides you through your entire care experience to ease many of the worries commonly associated with health care, allowing you to concentrate on what’s most important—your health and well-being.
VUMC is offering the following MyHealth Bundles benefits in calendar year 2024. Current bundles are MyMaternityHealth, MyHearingHealth, MySpineHealth, MyOrthoHealth, MyWeightLossHealth, MyUrologyHealth and MyRecoveryHealth. Starting on Jan. 1, 2024, new programs are MyOncologyHealth and MyHeartHealth. Learn more about each bundle and how to enroll by clicking on the tiles below.
How Does Vanderbilt’s MyHealth Bundles Program Work?
The program “bundles” everything you need to receive the best outcomes and an enhanced care experience with low to no out-of-pocket costs.
VUMC Employees Love MyHealth Bundles
Hear how the MySpineHealth bundle transformed the life of VUMC Advanced EMT April Cotten and helped her get back to the job she loves.
Vanderbilt MyHealth Bundles FAQs
What are MyHealth Bundles?
Vanderbilt Health provides employers, employees and patients with an enhanced care experience through MyHealth Bundles.
How could the bundles program benefit me?
- Simplified scheduling for appointments and medical procedures
- Telehealth services to supplement in-person appointments
- More ways to conveniently connect to Vanderbilt Health’s world-class providers
- Lower out-of-pocket costs, and in many cases, no fees at all
What type of insurance do I need to have to be eligible?
- Aetna Select
- Aetna Plus
- Aetna Health Savers
What will it cost to participate in a bundle?
What criteria do I need to meet to be eligible to enroll?
- Currently pregnant
- Prior to starting prenatal care
- Enrolled VUMC employee and covered spouse
- 18 or older
- Hearing has been checked by an audiologist in the last year
- Not related to a mechanical/equipment failure in an existing implant
- Confirmed clinically appropriate for cochlear implant
- Must be 18 or older
- Condition is not related to:
- A work-related injury
- Tumor of the spine, kyphosis or scoliosis
- A surgery you've had within the last 90 days
- A covered surgery has been determined as an effective option to clinically manage ongoing pain
- Must be older than 40
- Pain unrelated to work injury
- Diagnosis of osteoarthritis
- No history of trauma to joint
- No previous joint replacement
- Must be older than 40
- Pain unrelated to work injury
- Confirmed clinically appropriate for total joint replacement by an orthopaedic surgeon
- No history of trauma to joint
- Must be 18 or older
- Specific shoulder pain diagnoses determined by a VUMC provider but not related to:
- A previous injury or fracture/dislocation within the last 12 months
- A previous surgery
- Arthritis
- Work-related injury or motor vehicle accident
MyWeightLossHealth – Surgical Weight Loss
- 18 or older
- BMI over 35
- Not currently:
- Pregnant
- Diagnosed with schizophrenia or bipolar disorder
- Actively being treated for cancer or receiving any type of radiation therapy
- No history of organ transplants
- No weight loss surgery within the last 90 days
- No gastric band removals
- 18 or older
- No completed weight loss surgery within the last year
- BMI over 35
- Not currently:
- Pregnant
- Diagnosed with schizophrenia
- Actively being treated for cancer or receiving any type of radiation therapy
- No psychiatric hospitalizations within the last 6 months
- 18 or older
- Previously diagnosed with a kidney and/or ureter stone
- Told by a provider in the last 6 months that you’ll need to have a procedure or surgery to remove the kidney and/or ureter stone
- 18 or older
- Concerned about your use of mind-altering substances, including alcohol, opioids, and other drugs and substances
- 18 or older
- Have a confirmed malignancy, a highly suspected malignancy or a history of a known malignancy that has returned or changed
- Not a diagnosis that:
- Requires “surveillance-only”
- Is managed only through a specialty group
- Not currently enrolled in another MyHealth Bundle program
- Please note that patients on the VUMC health plan will be responsible for paying all out-of-pocket costs
- 18 or older
- Not previously enrolled in MyHeartHealth bundle and had procedure done
- Not had a previous Afib ablation at Vanderbilt in the last 5 years
- Have been diagnosed with Afib or Aflutter/Supraventricular Tachycardia
- If experiencing Afib, have not had it all the time for greater than two years
- Have not had:
- Stroke or TIA within past 3 months
- Heart Transplant
- Active dialysis
How do I enroll?
How will this work with my insurance plan?
When you are ready to enroll, your dedicated patient navigator will help you understand how the program works with your specific health plan and explain what, if any, out-of-pocket expenses you should expect to pay.
Here is a brief explanation of how the program works with various plans: If you’re on a PPO plan and enroll in a MyHealth bundle, you and your dependents will have low to no out-of-pocket costs. This applies to two of VUMC’s medical plan options:
- Aetna Select
- Aetna Plus
If you do change plans to an Aetna Health Savers high deductible health plan (HDHP) at any point in the year, the below information will become applicable to you.
If at any point in the calendar year you're on the Aetna Health Savers plan and enroll in a MyHealth bundle, you will be responsible for meeting your minimum federal deductible for the calendar year in which you are participating in your bundle.
- If you have not hit the required spend within the calendar year, this will apply toward your bundle.
- Billing for the difference occurs in the spring of the following calendar year to allow for all the previous year's claims to have time to process. You will receive a notice toward the end of the calendar year to remind you of the federal threshold for your HDHP responsibility. This notice will allow you to work toward meeting the balance with other needed health care services to help you avoid out-of-pocket costs.
Phone a Vanderbilt Nurse 24/7
VUMC health plan members can call the Appointments Direct line to find the quickest available appointment with VUMC providers. The Appointments Direct line can also connect you to a Nurse Navigator. If you are unsure of which care provider you should visit, a nurse can assess your symptoms and help you determine the best place to get care. They can also help you schedule in-person and telehealth visits, based on your needs and preferences. Call the Appointments Direct line at (855) 724-2454 and choose Option 2 to speak to a Vanderbilt nurse.
Find a Vanderbilt Health Physician
Having a primary care physician (PCP) is essential to maintaining good health. Patients who establish a long-term relationship with a PCP usually have lower medical costs and a better quality of life. If you do not have a PCP or are new to the area, Vanderbilt Health can help you find a doctor accepting new patients.
Well Moment
Better Conversations. Better Health.
Looking for guidance on new and emerging health and wellness issues that affect you and your family? The Vanderbilt Health Affiliated Network (VHAN) offers an informational series called Well Moment that invites patients and families to learn from and talk directly to health experts. Well Moment webinars bring audiences trusted, current resources on a variety of health topics.
