
Medical Benefits
Medical Plan: Choice Plus Balanced
In-Network | Out-of-Network | |
---|---|---|
Deductible | ||
Individual | $2,000 | $7,500 |
Family | $4,000 | $15,000 |
Coinsurance | 20% after Deductible | 50% after Deductible |
Out-of-Pocket Maximum | ||
Individual | $4,250 | $15,000 |
Family | $8,500 | $30,000 |
Preventive Services | 100% Covered | 50% after Deductible |
Office Visits — Primary Care | $25 | 50% after Deductible |
Office Visits — Specialist | 50 | 50% after Deductible |
Convenience Care Clinic | $25 | 50% after Deductible |
Virtual Visits | 100% Covered | N/A |
Urgent Care | $75 | 50% after Deductible |
Emergency Room | $400 | See In-Network |
Lab Testing and X-ray | 0 | 50% after Deductible |
Major Diagnostic and Imaging Services | 20% after Deductible | 50% after Deductible |
OP Mental Health/Substance Abuse | $25 | 50% after Deductible |
Inpatient Hospital | 20% after Deductible | 50% after Deductible |
Outpatient Surgery | 20% after Deductible | 50% after Deductible |
Pediatric Dental and Vision | No | No |
Medical Plan: Choice Plus Traditional w/Deductible
In-Network | Out-of-Network | |
---|---|---|
Deductible | ||
Individual | $0 | $5,000 |
Family | $0 | $10,000 |
Coinsurance | 10% after Deductible | 50% after Deductible |
Out-of-Pocket Maximum | ||
Individual | $4,250 | $10,000 |
Family | $8,500 | $20,000 |
Preventive Services | 100% Covered | 50% after Deductible |
Office Visits — Primary Care | $25 | 50% after Deductible |
Office Visits — Specialist | 50 | 50% after Deductible |
Convenience Care Clinic | $25 | 50% after Deductible |
Virtual Visits | 100% Covered | N/A |
Urgent Care | $75 | 50% after Deductible |
Emergency Room | $250 | See In-Network |
Lab Testing and X-ray | $25 | 50% after Deductible |
Major Diagnostic and Imaging Services | 10% after Deductible | 50% after Deductible |
OP Mental Health/Substance Abuse | $25 | 50% after Deductible |
Inpatient Hospital | $500 | 50% after Deductible |
Outpatient Surgery | $250 | 50% after Deductible |
Pediatric Dental and Vision | No | No |
Contact Us
United Healthcare is your first point of contact for all your health needs and insurance-related questions.
Call: (866) 633-2446