Medical Benefits

Medical Plan: Choice Plus Balanced

 In-NetworkOut-of-Network
Deductible
Individual$2,000$7,500
Family$4,000$15,000
Coinsurance20% after Deductible50% after Deductible
Out-of-Pocket Maximum
Individual$4,250$15,000
Family$8,500$30,000
Preventive Services100% Covered50% after Deductible
Office Visits — Primary Care$2550% after Deductible
Office Visits — Specialist5050% after Deductible
Convenience Care Clinic$2550% after Deductible
Virtual Visits100% CoveredN/A
Urgent Care$7550% after Deductible
Emergency Room$400See In-Network
Lab Testing and X-ray050% after Deductible
Major Diagnostic and Imaging Services20% after Deductible50% after Deductible
OP Mental Health/Substance Abuse$2550% after Deductible
Inpatient Hospital20% after Deductible50% after Deductible
Outpatient Surgery20% after Deductible50% after Deductible
Pediatric Dental and VisionNoNo

Medical Plan: Choice Plus Traditional w/Deductible

 In-NetworkOut-of-Network
Deductible
Individual$0$5,000
Family$0$10,000
Coinsurance10% after Deductible50% after Deductible
Out-of-Pocket Maximum
Individual$4,250$10,000
Family$8,500$20,000
Preventive Services100% Covered50% after Deductible
Office Visits — Primary Care$2550% after Deductible
Office Visits — Specialist5050% after Deductible
Convenience Care Clinic$2550% after Deductible
Virtual Visits100% CoveredN/A
Urgent Care$7550% after Deductible
Emergency Room$250See In-Network
Lab Testing and X-ray$2550% after Deductible
Major Diagnostic and Imaging Services10% after Deductible50% after Deductible
OP Mental Health/Substance Abuse$2550% after Deductible
Inpatient Hospital$50050% after Deductible
Outpatient Surgery$25050% after Deductible
Pediatric Dental and VisionNoNo

Contact Us

United Healthcare is your first point of contact for all your health needs and insurance-related questions.
Call: (866) 633-2446