UnitedHealthcare

Options for you and your family's health and financial well-being

It is important to establish a relationship with an in-network primary care provider who meets the needs of you and your family. This provider generally knows your health and family history and builds an in-depth knowledge of your health over time. They may direct you on the best path of care and can advise you on if you need to see a specialist. You can find an in-network provider, clinic, hospital, or lab by visiting the Find Care and Costs tab on myuhc.com.

If you are experiencing a life-threatening condition, call 911 or head to an emergency room (ER). Otherwise, set up an appointment with your primary care provider (PCP) or family doctor first. If you cannot see your PCP first, it is important to know your quick care options outside of an ER.

Virtual care providers can treat a wide range of health conditions — including many of the same conditions as an ER or urgent care —and may even prescribe medications if needed. Your cost for a 24/7 virtual visit can be as low as $49. Virtual visits are great to address allergies, bronchitis, eye infections, the flu, headaches and migraines, rashes, sore throats, stomachaches, and so much more!

Reaching out may be hard — especially if you might not want anyone to know you’re hurting. From the privacy of home and the convenience of your mobile device or computer, you can receive caring support from a licensed therapist. Private video sessions: 1-on-1 support that is in your home and at a time that’s convenient for you.

  • Help with coping – for children, teens, and adults: a licensed theapist may provide a diagnosis, treatment, and medication if needed.
  • Similar standard of care as in-perosn visits: you can see the same therapist at each appointment and establish an ongoing relationship.
  • Virtual therapy can help conditions like ADD/ADHD, addiction, anxiety, depression, and other mental health disorders.

Get connected 24/7 with professionals who will listen with care by callling the member phone number on your ID card. They can help with:

  • Depression, stress, and anxiety
  • Eating disorders
  • Relationship difficulties
  • Substance use and recovery
  • Financial and legal difficulties
  • Coping with grief and loss
  • Medication management

 

If appropriate, UnitedHealthcare will connect you with nearby behavioral health providers that offer in-person or online visits. Sign in on myuhc.com. Then, got to Find Care > Virtual Visits Directory > Virtual Behaviorial Care > Get Started and call the provider to set up an appointment.

UnitedHealthcare’s Cancer Support Program provides specialized cancer case management and connects you and your family to dedicated cancer nurses who offer education, resources, and emotional support. Visit myuhc.phs.com/cancerprograms to learn more about:

  • Highly-rated physicians and nurses
  • Support from a personal care nurse, including clinical and psycho-social support
  • Information to help make more informed healthcare decisions and adhere to treatment plans
  • Resources to help monitor compliance with medication and treatment
  • Social workers to help navigate finances, transportation, childcare, and more
  • Support at end-of-life and impact of using hospice services
  • Survivorship services

Rally® can offer small steps to help improve your health. Get recommendations, create healthy habits, and earn rewards along the way. Download the Rally app and register using the code BeWell to:

  • Take the health survey and use your results to set health goals.
  • Get personalized recommendations and build healthy habits with well-being programs, activities, and more.
  • Earn rewards by taking healthy actions and achieving goals.

When deciding which medical plan is the best fit for you and your family, it’s important to consider the total cost of coverage. This includes what you pay in premiums out of your paycheck and what you pay for services. 

We offers three (2) plans for your convenience. Both plans are through UnitedHealthcare (UHC), but each plan will work a little different.

Medical Rates
Core Plan
Monthly Rates
Choice Plus
Monthly Rates
Employee (to calculate your medical rate, enter your hourly rate)

Medical Premium Calculator
The Dependent Rates are in addition to the Employee Rate.
Spouse $927.06 $964.00
Child(ren) $479.30 $498.40
Spouse and Child(ren) $1,507.28 $1,567.33
CORE
In-Network
Choice Plus
In-Network
General Services
Annual Deductible/Individual $5,000 $5,000
Annual Deductible/Family $10,000 $10,000
Annual Out-of-Pocket Limit/Individual $6,250 $8,050
Annual Out-of-Pocket Limit/Family $12,500 $16,100
Office Services
Office Visit/Exam 20% After Deductible 40% After Deductible
Specialist Visit 20% After Deductible 40% After Deductible
Urgent Care 20% After Deductible 40% After Deductible
Preventative Services 100% Covered 100% Covered
Hospital Services
Inpatient Hospital 20% After Deductible 40% After Deductible
Outpatient Surgery 20% After Deductible 40% After Deductible
Emergency Room 20% After Deductible 40% After Deductible
Prescription Drugs
Retail (30-Days) Tier 1 $10 After Deductible $10 After Deductible
Retail (30-Days) Tier 2 $35 After Deductible $35 After Deductible
Retail (30-Days) Tier 3 $60 After Deductible $60 After Deductible
Mail Order (90-Day) 2.5x Retail Copay 2.5x Retail Copay

Definitions

A fixed dollar amount you pay the provider at the time of service; for example, a $25 copay for an office visit or a $15 copay for a generic prescription.

The percentage paid for a covered service, shared by you and the plan. Coinsurance can vary by plan and provider network. Review the plans carefully to understand your responsibility. You are responsible for coinsurance until you reach your plan’s out-of-pocket maximum.

The amount you pay each calendar year before the plan begins paying benefits. Not all covered services are subject to the deductible; for example, the deductible does not apply to preventive care services.

Care received at a hospital emergency room for life-threatening conditions.

Care provided by contracted doctors within the plan’s network of providers. This enables participants to receive care at a reduced rate compared to care received by out-of-network providers.

Care provided by a doctor or at a facility outside of the plan’s network. Your
out-of-pocket costs may increase, and services may be subject to balance billing.

The maximum amount you pay per year before the plan begins paying for covered expenses at 100%. This limit helps protect you from unexpected catastrophic expenses.

Routine health care including annual physicals and screenings to prevent disease, illness, and other health complications. In-network preventive care is covered at 100%.

Urgent care is not the same as emergency care. Visit urgent care for sudden illnesses or injuries that are not life-threatening. Urgent care centers are helpful when care is needed quickly to avoid developing more serious pain or problems.

Our two medical plan options are offered through UnitedHealth Care. Need to connect?

Create a myuhc.com account

You can use myuhc.com to

  • Find and estimate the cost of care
  • See what is covered
  • View claim details
  • Check your plan balances
  • Find doctors and pharmacies that are in your network
  • Order your prescriptions

 

To set up your account, go to myuhc.com and click on Register Now. Please have your ID card handy and follow the step-by-step instructions.

Similar features are available on the UnitedHealthcare app – available for download through the App Store and Google Play. 

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