Page 8 - 2018 DAN Enrollment
P. 8
Medical Plan Highlights United HealthCare
High Deductible
Enhanced Plan Standard Plan
Health Plan (HDHP) ****
Plan Feature* In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network Resources and Tools
Contributions Per Semi Monthly Pay Period
Employee $96.50 $60.50 $32.00 You Can Use
Employee + Spouse $224.00 $151.50 $95.00 MANAGE YOUR HEALTH
Employee + Child(ren) $200.50 $122.00 $76.00 AT MYUHC.COM
Family $373.00 $253.00 $158.50 Real Appeal UnitedHealthcare’s
Deductible UHC’s Real Appeal is a FREE, online weight loss and healthy living myUHC.com helps you
Individual $500 $1,000 $1,000 $2,000 $2,000 $4,000 program available as part of your medical plan through DAN. Real manage all of your
Family $1,000 $2,000 $2,000 $4,000 $4,000 $8,000 Appeal helps you lose weight and reduce your risk of developing medical beneits:
certain illnesses like diabetes and cardiovascular disease. From
Company HSA Contribution personal Transformation Coaches, online group classes, nutrition • Find a doctor close to
Individual/Family N/A N/A $500/$1,000 and itness guides to food and exercise trackers, Real Appeal home or work
Out of Pocket Maximum offers the support and guidance you need to begin and continue • Estimate treatment or
Individual $4,000 $8,000 $4,000 $8,000 $4,000 $12,000 your journey to better health and lifelong wellness. visit costs ahead of time
Family $8,000 $16,000 $8,000 $16,000 $6,850 $24,000 • View your current and
Plan Feature Lose up to 10lbs+ past claims and monthly
Plan Coinsurance 90% 80% 80% 60% 80% 60% when you participate!* statements
Preventive 100% Ded. and Coin. 100% Ded. and Coin. 100% Ded. and Coin. *average weight loss after 4 sessions Advocate4Me™
Virtual Visits $15 Not Covered $15 Not Covered Ded. and Coin. Not Covered
Primary Care $30 Ded. and Coin. $30 Ded. and Coin. Ded. and Coin. Ded. and Coin. How It Works UnitedHealthcare members also
get access to Advocate4Me
TM
Specialist $50 Ded. and Coin. $50 Ded. and Coin. Ded. and Coin. Ded. and Coin. • You’ll need internet access and a computer, tablet or — your one-stop resource to
Inpatient Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. smartphone help you understand your health
Outpatient Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. • Sign up at www.realappeal.com (you’ll need insurance plan beneits, connect you to
Emergency Room Copay $250 $250 Ded. and Coin. a registered nurse for medical
information, height and weight, and health history) conditions*, treatment options or
Pharmacy Plan Highlights • Attend weekly online group sessions - led by specially trained assist you in managing a chronic
condition.. Whether you want
coaches
High Deductible to learn how to get the most
Enhanced Plan Standard Plan
Health Plan (HDHP) **** • Access online tools – activity trackers available 24/7 to out of your medical coverage,
Plan Feature* Retail Mail Order Retail Mail Order Retail Mail Order customize your experience make informed decisions about a
recent diagnosis, resolve a billing
Tier 1 $10 copay $20 co-pay $10 copay $20 co-pay Ded. and Coin. • Receive your Success Kit - including a scale, workout DVDs, or claims issue, or ind the right
session guides and more for free after your irst session
Tier 2 $50 copay $100 co-pay $50 copay $100 co-pay Ded. and Coin. doctor for you or your family, your
Advocate is ready to assist you at
Tier 3 $75 copay $150 co-pay $75 copay $150 co-pay Ded. and Coin. Real Appeal is full of small doable steps—things you’ll no additional cost. To contact an
want to do—that will make a difference, and work for the Advocate, call 800.765.6717
long run for your life, your family and your body. *For information only. Nurses cannot
The HDHP Plan covers select preventive medications at no cost to plan diagnose problems or recommend
participants. Review the list of covered medications at DANbeneitsPLUS.com To be eligible to join Real Appeal, certain health criteria must be met. speciic treatment, and are not a
For example, your BMI must be 23 or greater. substitute for your doctor’s care.
8 2018 Benefits Enrollment Dentsu Aegis Network 9
High Deductible
Enhanced Plan Standard Plan
Health Plan (HDHP) ****
Plan Feature* In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network Resources and Tools
Contributions Per Semi Monthly Pay Period
Employee $96.50 $60.50 $32.00 You Can Use
Employee + Spouse $224.00 $151.50 $95.00 MANAGE YOUR HEALTH
Employee + Child(ren) $200.50 $122.00 $76.00 AT MYUHC.COM
Family $373.00 $253.00 $158.50 Real Appeal UnitedHealthcare’s
Deductible UHC’s Real Appeal is a FREE, online weight loss and healthy living myUHC.com helps you
Individual $500 $1,000 $1,000 $2,000 $2,000 $4,000 program available as part of your medical plan through DAN. Real manage all of your
Family $1,000 $2,000 $2,000 $4,000 $4,000 $8,000 Appeal helps you lose weight and reduce your risk of developing medical beneits:
certain illnesses like diabetes and cardiovascular disease. From
Company HSA Contribution personal Transformation Coaches, online group classes, nutrition • Find a doctor close to
Individual/Family N/A N/A $500/$1,000 and itness guides to food and exercise trackers, Real Appeal home or work
Out of Pocket Maximum offers the support and guidance you need to begin and continue • Estimate treatment or
Individual $4,000 $8,000 $4,000 $8,000 $4,000 $12,000 your journey to better health and lifelong wellness. visit costs ahead of time
Family $8,000 $16,000 $8,000 $16,000 $6,850 $24,000 • View your current and
Plan Feature Lose up to 10lbs+ past claims and monthly
Plan Coinsurance 90% 80% 80% 60% 80% 60% when you participate!* statements
Preventive 100% Ded. and Coin. 100% Ded. and Coin. 100% Ded. and Coin. *average weight loss after 4 sessions Advocate4Me™
Virtual Visits $15 Not Covered $15 Not Covered Ded. and Coin. Not Covered
Primary Care $30 Ded. and Coin. $30 Ded. and Coin. Ded. and Coin. Ded. and Coin. How It Works UnitedHealthcare members also
get access to Advocate4Me
TM
Specialist $50 Ded. and Coin. $50 Ded. and Coin. Ded. and Coin. Ded. and Coin. • You’ll need internet access and a computer, tablet or — your one-stop resource to
Inpatient Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. smartphone help you understand your health
Outpatient Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. • Sign up at www.realappeal.com (you’ll need insurance plan beneits, connect you to
Emergency Room Copay $250 $250 Ded. and Coin. a registered nurse for medical
information, height and weight, and health history) conditions*, treatment options or
Pharmacy Plan Highlights • Attend weekly online group sessions - led by specially trained assist you in managing a chronic
condition.. Whether you want
coaches
High Deductible to learn how to get the most
Enhanced Plan Standard Plan
Health Plan (HDHP) **** • Access online tools – activity trackers available 24/7 to out of your medical coverage,
Plan Feature* Retail Mail Order Retail Mail Order Retail Mail Order customize your experience make informed decisions about a
recent diagnosis, resolve a billing
Tier 1 $10 copay $20 co-pay $10 copay $20 co-pay Ded. and Coin. • Receive your Success Kit - including a scale, workout DVDs, or claims issue, or ind the right
session guides and more for free after your irst session
Tier 2 $50 copay $100 co-pay $50 copay $100 co-pay Ded. and Coin. doctor for you or your family, your
Advocate is ready to assist you at
Tier 3 $75 copay $150 co-pay $75 copay $150 co-pay Ded. and Coin. Real Appeal is full of small doable steps—things you’ll no additional cost. To contact an
want to do—that will make a difference, and work for the Advocate, call 800.765.6717
long run for your life, your family and your body. *For information only. Nurses cannot
The HDHP Plan covers select preventive medications at no cost to plan diagnose problems or recommend
participants. Review the list of covered medications at DANbeneitsPLUS.com To be eligible to join Real Appeal, certain health criteria must be met. speciic treatment, and are not a
For example, your BMI must be 23 or greater. substitute for your doctor’s care.
8 2018 Benefits Enrollment Dentsu Aegis Network 9
