Page 5 - Future Steps
P. 5
Medical UHC Health Plan
To check physician participation
NISC values the health and wellness of its employees, and follow the steps below.
is committed to providing benefits to meet their needs. www.myuhc.com or
Medical www.myMedica.com
Under Links and Tools
NISC offers a consumer driven health plan, which combines a high section, select Find Physician,
deductible health plan (HDHP) and a tax-advantaged health savings Laboratory, or Facility
account (HSA). The HDHP, providing medical and prescription drug Select UnitedHealthcare
coverage, is administered by UnitedHealthcare (UHC). Members who live Choice Plus plan
in Minnesota, North Dakota, South Dakota, and western Wisconsin will Fill in search criteria
utilize doctors and hospitals in Medica’s network. The HSA is provided UHC Prescription Drug
through Optum Bank (see pages 8–9). Plan
The medical plan allows you to see the healthcare provider of your To check pharmacy participation
or view prescription drug list by
choice, although your out-of-pocket cost is reduced when you see following the steps below.
providers who are part of the network listed on your ID card. www.myuhc.com or
www.myMedica.com
Preventive care is covered at 100% Under Links and Tools
Preventive prescriptions are available at a three-tier copay rate section, select Pharmacy
All other expenses go towards the deductible Information
Once deductible is met, the plan pays 80% of the cost of eligible Scroll down for Prescription
Drug List options
in-network medical services and prescription drug are available for a
copay
Coverage for dependent children extends through the end of the
month in which they turn 26
Employee Employee +1 Family
Premium $0.00 $0.00 $0.00
Deductible $2,000 $4,000 (1) $4,000 (1)
Maximum out-of-pocket $4,000 $8,000 (2) $8,000 (2)
(1) Includes an individual deductible limit of $2,600
(2) Includes an individual out-of-pocket maximum limit of $6,400
5
To check physician participation
NISC values the health and wellness of its employees, and follow the steps below.
is committed to providing benefits to meet their needs. www.myuhc.com or
Medical www.myMedica.com
Under Links and Tools
NISC offers a consumer driven health plan, which combines a high section, select Find Physician,
deductible health plan (HDHP) and a tax-advantaged health savings Laboratory, or Facility
account (HSA). The HDHP, providing medical and prescription drug Select UnitedHealthcare
coverage, is administered by UnitedHealthcare (UHC). Members who live Choice Plus plan
in Minnesota, North Dakota, South Dakota, and western Wisconsin will Fill in search criteria
utilize doctors and hospitals in Medica’s network. The HSA is provided UHC Prescription Drug
through Optum Bank (see pages 8–9). Plan
The medical plan allows you to see the healthcare provider of your To check pharmacy participation
or view prescription drug list by
choice, although your out-of-pocket cost is reduced when you see following the steps below.
providers who are part of the network listed on your ID card. www.myuhc.com or
www.myMedica.com
Preventive care is covered at 100% Under Links and Tools
Preventive prescriptions are available at a three-tier copay rate section, select Pharmacy
All other expenses go towards the deductible Information
Once deductible is met, the plan pays 80% of the cost of eligible Scroll down for Prescription
Drug List options
in-network medical services and prescription drug are available for a
copay
Coverage for dependent children extends through the end of the
month in which they turn 26
Employee Employee +1 Family
Premium $0.00 $0.00 $0.00
Deductible $2,000 $4,000 (1) $4,000 (1)
Maximum out-of-pocket $4,000 $8,000 (2) $8,000 (2)
(1) Includes an individual deductible limit of $2,600
(2) Includes an individual out-of-pocket maximum limit of $6,400
5
