Page 4 - 2016 Enrollment
P. 4
Find an In-Network Doctor Medical Benefits
Go to www.myuhc.com Medical Coverage—UnitedHealthcare
Emmaus offers three CDHPs with coverage provided
Click the link “Find by UnitedHealthcare (UHC). All three plans are Health
Physician, Laboratory or Savings Account (HSA) qualified. All medical expenses will
Facility” on the right side be subject to the plan's deductible. Reminder: Medical and
under “Links and Tools” dental deductibles run the calendar year and reset each
Select “UnitedHealthcare January 1.
Choice Plus” Prescription Drug Coverage—Express Scripts
Enter the name of the The plan covers preventive drugs at 100 percent. For more
Facility or Physician or information on preventive drugs, refer to Mission Control
select the type of doctor under Human Resources.
you are looking for
Below are the semi-monthly contributions of the UHC
Action Required medical plans for the 2016 - 2017 medical plan year.
Select Home Delivery requires
you to make an active choice Gold Plan Silver Plan Bronze Plan
between EE $99.00 $65.00 $41.00
Using home delivery EE + spouse $304.00 $234.00 $184.00
from the Express Scripts EE + child(ren) $271.00 $211.00 $168.00
Pharmacy for maintenance EE + family $425.00 $317.00 $241.00
medications or
Continuing to fill at a retail
pharmacy after two retail
fills.
If you do not make a choice
and attempt to fill the third
refill at a retail pharmacy, you
will be charged the full cost of
your medication until making
a decision.
For more detailed information, an online benefits enrollment
presentation can be viewed on
Mission Control under Human Resources or visit
https://www.brainshark.com/LocktonSTL/1617EmmausMediacalRx
Go to www.myuhc.com Medical Coverage—UnitedHealthcare
Emmaus offers three CDHPs with coverage provided
Click the link “Find by UnitedHealthcare (UHC). All three plans are Health
Physician, Laboratory or Savings Account (HSA) qualified. All medical expenses will
Facility” on the right side be subject to the plan's deductible. Reminder: Medical and
under “Links and Tools” dental deductibles run the calendar year and reset each
Select “UnitedHealthcare January 1.
Choice Plus” Prescription Drug Coverage—Express Scripts
Enter the name of the The plan covers preventive drugs at 100 percent. For more
Facility or Physician or information on preventive drugs, refer to Mission Control
select the type of doctor under Human Resources.
you are looking for
Below are the semi-monthly contributions of the UHC
Action Required medical plans for the 2016 - 2017 medical plan year.
Select Home Delivery requires
you to make an active choice Gold Plan Silver Plan Bronze Plan
between EE $99.00 $65.00 $41.00
Using home delivery EE + spouse $304.00 $234.00 $184.00
from the Express Scripts EE + child(ren) $271.00 $211.00 $168.00
Pharmacy for maintenance EE + family $425.00 $317.00 $241.00
medications or
Continuing to fill at a retail
pharmacy after two retail
fills.
If you do not make a choice
and attempt to fill the third
refill at a retail pharmacy, you
will be charged the full cost of
your medication until making
a decision.
For more detailed information, an online benefits enrollment
presentation can be viewed on
Mission Control under Human Resources or visit
https://www.brainshark.com/LocktonSTL/1617EmmausMediacalRx
