Page 4 - 2018-19 US Tool Benefit Guide
P. 4
2018–19 Benefits Enrollment
MEDICAL
Medical coverage
provided by UMR. US Tool Group offers a robust medical insurance program to our
employees. This plan year we are changing medical carriers from Anthem
to UMR.
In-Network vs. Plan Highlights
Out-of-Network
A network is a group of providers You have the option of choosing one of two plans. Our plans offer
your plan contracts with at coverage for most healthcare services and utilizes the Choice Plus
discounted rates. You will almost network. When you receive care in-network you beneit from our
always pay less when you receive negotiated discounts with UMR.
care in-network.
If you choose to see an out-of- UMR’s Member Site
network provider, you may be
balance billed, which means you The UMR member site, www.umr.com offers many valuable services
will be responsible for charges including the following.
above UMR’s reimbursement
amount. z In-network providers and hospital searches
z Access to temporary ID cards and means to order another ID card
Find a Provider z Information regarding paid and pending claims
z Go to www.umr.com and 2018–19 Weekly Employee Contributions
select “Find a provider”
z Search for UnitedHealthcare Premier Plan Basic Plan
Choice Plus in the search box Employee Only $69.00 $57.00
z Choose Search for a medical Employee and Spouse $147.00 $123.00
provider Employee and Child(ren) $103.50 $83.00
z Use your address or ZIP Employee and Family $181.50 $149.00
Code to search for a provider
or hospital near you Wellness Program Potential Weekly Premium
You can also use the UMR mobile Discounts
app to ind a provider on the go. Silver Gold Platinum
(200 Points) (300 Points) (400 Points)
Employee $19.00 discount $25.00 discount $31.50 discount
Spouse $19.00 discount $25.00 discount $31.50 discount
4
MEDICAL
Medical coverage
provided by UMR. US Tool Group offers a robust medical insurance program to our
employees. This plan year we are changing medical carriers from Anthem
to UMR.
In-Network vs. Plan Highlights
Out-of-Network
A network is a group of providers You have the option of choosing one of two plans. Our plans offer
your plan contracts with at coverage for most healthcare services and utilizes the Choice Plus
discounted rates. You will almost network. When you receive care in-network you beneit from our
always pay less when you receive negotiated discounts with UMR.
care in-network.
If you choose to see an out-of- UMR’s Member Site
network provider, you may be
balance billed, which means you The UMR member site, www.umr.com offers many valuable services
will be responsible for charges including the following.
above UMR’s reimbursement
amount. z In-network providers and hospital searches
z Access to temporary ID cards and means to order another ID card
Find a Provider z Information regarding paid and pending claims
z Go to www.umr.com and 2018–19 Weekly Employee Contributions
select “Find a provider”
z Search for UnitedHealthcare Premier Plan Basic Plan
Choice Plus in the search box Employee Only $69.00 $57.00
z Choose Search for a medical Employee and Spouse $147.00 $123.00
provider Employee and Child(ren) $103.50 $83.00
z Use your address or ZIP Employee and Family $181.50 $149.00
Code to search for a provider
or hospital near you Wellness Program Potential Weekly Premium
You can also use the UMR mobile Discounts
app to ind a provider on the go. Silver Gold Platinum
(200 Points) (300 Points) (400 Points)
Employee $19.00 discount $25.00 discount $31.50 discount
Spouse $19.00 discount $25.00 discount $31.50 discount
4
