There are thousands of ways into the complex health care system. We're here to help make it simpler. This guide is designed to give you access to the resources and tools to connect you with the care that is right for you.

 

 

Summary of Benefits ( IN-NETWORK ONLY)
For out-of-network benefits refer to benefits summary below

 

Co-payments:

 

• Primary Care - $30

• Specialist - $60

• Urgent Care - $50

• Emergency Room - (Subject to deductible and co-insurance)

 

 

Co-Insurance:

 

Member pays 0% for Preventive Care Services

80% for Inpatient services, ER, procedures, etc.

 

 

Deductibles:

 

• Individual Deductible - $2,500

• Family Deductible Limit - $5,000

 

 

Out of Pocket Maximums:

 

• Individual - $5,000

• Family - $10,000

 

 

 

Prescription Drug Benefits:

 

• Co-payments       $10/$35/$70

• Specialty Drug Co-payments       $10/$100/$200

 

For a detailed summary of prescription benefits, please click here.

 

 

Lifetime Maximum benefit – Unlimited

 

 

For a full summary of health plan benefits, please click here.

 

 

Enrollment / Change Form Here

 

Click on an image below to find out more about your United Healthcare benefits!