Frequently Asked Questions for Full-Time Partners
What is considered a Full-Time status? Direct Link
- In order to be considered full-time, partners must average 30+ weekly average hours.
- Partners in a full-time status are subject to an annual audit to confirm the above requirements are being met. For more information, view the Full-Time Annual Core Audit FAQ's.
How do I enroll into benefits? Direct Link
- While on mypetcobenefits.com, select the Alight Benefits Enrollment link at the top of the site page.
- For password or login questions contact the Petco Benefits Service Center (855) 722-0241.
- Questions about the various UMR-UHC plans options? Contact your Quantum team of care coordinators at (877) 324-3536.
When do benefits become effective? Direct Link
Directors and Above: Most benefits become effective on your date of hire. You can enroll in benefits up to 30 days following your date of hire.
All Other Full-time Partners: Most benefits become effective on the first of the month following 30 days from your date of hire. You can enroll in benefits up until the day before your effective date. If your status changes from part time to full time, benefits become effective on the first of the month following 30 days from the date of your change in status.
When enrolling a new dependent, will verification be required? Direct Link
- For spouses, dependents and domestic partners you will be required to submit dependent verification documents. Documentation must be submitted and receive Alights approval within 30-days of enrollment. Exact details of the required documentation will be provided to you by Alight benefits enrollment portal when you add a new dependent.
Important: If no action is taken to provide proof of verification, and receipt of Alight approval, within the required 30-days of adding dependent(s) to coverage, then coverage for enrolled dependent(s) will drop as of the life event effective date or start of new coverage.
Carrum Health Questions Direct Link
Who is eligible to participate in Carrum?
- Partners and dependents (18+) enrolled in a Petco UMR-UHC medical plan.
What is the cost for a covered surgery? Petco covers all costs including pre-Op, post-Op, physician fee, facility fee, professional fees, prescriptions and even travel expenses to the surgical center of excellence. Members enrolled in a UMR–UHC plan are required to receive certain procedures—such as bariatric surgery, hip and knee replacements, and spine surgeries exclusively with Carrum.
- Enhanced PPO Plan - $0
- Value PPO Plan - $0
- HSA Plan - $0 (Must meet the federal minimum deductible first before plan pays 100%)
What doctors are in the Carrum Health network?
- Carrum works with top doctors, surgeons and facilities in the country.
How do I get started with Carrum Health?
- Get started today by registering at www.Carrum.me/petco or connect with a representative by calling 888-855-7806 for details.
Capital RX Pharmacy Questions for UMR-UHC members Direct Link
Who is our pharmacy benefit manager (PBM)?
- Capital RX is our pharmacy benefit manager (PBM). Additional information about the pharmacy program can be found here.
How do I know which medications are covered under the CapitalRx PBM?
- CapitalRx publishes a drug formulary listing medications that are covered/excluded by our plan. Click here to review the Petco Flex Liberty Drug Formulary.
Are GLP-1s covered on the drug formulary?
- No, GLP-1 medications are not currently a covered drug category. However, alternative medications to GLP-1s are available and covered under the plan.
- To review alternative medications available connect with a CapitalRx representative at 833-463-1593.
- If you are interested in learning how to obtain a GLP-1 direct from the drug manufacture under a self-pay option please connect with a Quantum Health Care Coordinator at 877-324-3536.
How do I find out what the cost of my prescription will be?
- To determine the cost of your medication you can either look up the cost by accessing the CapitalRx Medication Coverage & Pricing Tool or you can call CapitalRx to speak with my pharmacy representative at 833-463-1593.
How do I fill a mail order or specialty prescription?
- Costco is our mail order pharmacy partner. You can enroll in mail order home delivery by visiting pharmacy.costco.com
- Specialty medications will be filled by Costco Specialty pharmacy. For assistance call 855-213-0070.
I have additional questions about Capital Rx, who do I contact?
- Connect with CapitalRx pharmacy representative at 833-463-1593.
Does Petco offer free virtual telemedicine visits? Direct Link
- Partners and their dependents enrolled in Petco plans have access to free telemedicine visits.
- All UMR – UHC participates can schedule for the following care with Teladoc at $0 cost for:
- Primary360 – for primary virtual care
- Acute Care
- Behavioral health
- Dermatology
- Kaiser participants have free telemedicine visits but those participating in the Kaiser HSA must first meet the plan deductible.
Does Petco offer mental health benefits? Direct Link
We know that caring for your health goes beyond visits to the doctor, and we offer mental health resources, such as our robust Employee Assistance Program (EAP), free to all Petco Partners regardless of eligibility or plan participation. Through Supporlinc our EAP, partners can access a wide range of tool kits, resources, and services covering topics from mental health to stress management and relationships, offering up to five virtual or in-person counseling sessions per issue, per plan year.
- UMR-UHC - Teladoc Behavioral Health (virtual care)
- Kaiser - Virtual access to mental health professionals, Headspace app, Calm app
- Supportlinc - (800) 792-4454, www.supportlinc.com - To register, use petco for the code.
What does Petco match for the Health Savings Accounts for those participating in a UMR-UHC HSA or Kaiser HSA? Direct Link
- Petco will continue to match contributions to Health Spending Accounts. You must contribute to your health savings account through payroll deduction to receive the match – at least $100 annually if you cover just yourself, or $200 if you cover any dependents. If you contribute after the open enrollment period, your match amount will be prorated. You must complete a one-time ID verification to receive the match.
Does Petco offer fertility benefits and where can I get additional information? Direct Link
- Participants in the UMR-UHC plan will have a $5,000 annual benefit maximum available for medical and/or prescription benefits.
- Connect with a Quantum care coordinator for assistance at (877) 324-3536.
- Kaiser fertility benefits may vary by state, for details please refer to your plan's Summary of Benefits and Coverage.
Does Petco offer an Adoption Benefit? Direct Link
- Adoption benefits are available to Petco partners with a lifetime maximum of $5,000.
Does the Petco medical plan provide coverage for vasectomies? Direct Link
- The UMR-UHC and Kaiser medical plans do coverage vasectomies with a coinsurance. Additional information can be obtained at:
- UMR-UHC participants please reach out to a Quantum care coordinator at (877) 324-3536.
- Kaiser members connect with your local Kaiser office.