Page 6 - Future Steps
P. 6
Benefits Enrollment
Medical Benefits
MyHealthcare Cost Network Non-Network
Estimator Deductible
The UHC Cost Estimator helps Individual $2,000 $3,800
you determine heath care costs Employee +1/family $4,000 (1) $7,600
before you seek treatment. The Out-of-Pocket Maximum (2)
Estimator allows you to evaluate Individual $4,000 $11,500
the cost and quality of services (3)
that best it your needs, by Employee +1/family $8,000 $23,000
providing various treatment and Physician Care
cost options for each service. To Ofice visits 80% after ded. 60% after ded.
access: Specialty care 80% after ded. 60% after ded.
Preventive care (physician’s ofice) 100% no ded. 60% after ded.
Log into MyUHC.com or
www.myMedica.com Immunizations 100% no ded. 60% after ded.
Well-baby care 100% no ded. 60% after ded.
Select “Estimate Health Care Hospital Charges
Costs” Inpatient 80% after ded. 60% after ded.
Begin exploring your health Outpatient hospital/surgical center 80% after ded. 60% after ded.
service options! Outpatient lab and x-rays 80% after ded. 60% after ded.
Outpatient therapies: PT, OT, speech 80% after ded. 60% after ded.
Emergency room/urgent care 80% after ded. 60% after ded.
Other Care
Chiropractic care 80% after ded. 60% after ded.
Emergency transport 80% after ded. 80% after ded.
Inpatient mental health 80% after ded. 60% after ded.
Outpatient mental health 80% after ded. 60% after ded.
Inpatient alcohol/drug 80% after ded. 60% after ded.
Outpatient alcohol/drug 80% after ded. 60% after ded.
Skilled nursing 80% after ded. 60% after ded.
Durable medical equipment 80% after ded. 60% after ded.
(1) Includes an individual deductible limit of $2,600
(2) Includes the deductible
(3) Individual out-of-pocket maximum of $6,400
6
Medical Benefits
MyHealthcare Cost Network Non-Network
Estimator Deductible
The UHC Cost Estimator helps Individual $2,000 $3,800
you determine heath care costs Employee +1/family $4,000 (1) $7,600
before you seek treatment. The Out-of-Pocket Maximum (2)
Estimator allows you to evaluate Individual $4,000 $11,500
the cost and quality of services (3)
that best it your needs, by Employee +1/family $8,000 $23,000
providing various treatment and Physician Care
cost options for each service. To Ofice visits 80% after ded. 60% after ded.
access: Specialty care 80% after ded. 60% after ded.
Preventive care (physician’s ofice) 100% no ded. 60% after ded.
Log into MyUHC.com or
www.myMedica.com Immunizations 100% no ded. 60% after ded.
Well-baby care 100% no ded. 60% after ded.
Select “Estimate Health Care Hospital Charges
Costs” Inpatient 80% after ded. 60% after ded.
Begin exploring your health Outpatient hospital/surgical center 80% after ded. 60% after ded.
service options! Outpatient lab and x-rays 80% after ded. 60% after ded.
Outpatient therapies: PT, OT, speech 80% after ded. 60% after ded.
Emergency room/urgent care 80% after ded. 60% after ded.
Other Care
Chiropractic care 80% after ded. 60% after ded.
Emergency transport 80% after ded. 80% after ded.
Inpatient mental health 80% after ded. 60% after ded.
Outpatient mental health 80% after ded. 60% after ded.
Inpatient alcohol/drug 80% after ded. 60% after ded.
Outpatient alcohol/drug 80% after ded. 60% after ded.
Skilled nursing 80% after ded. 60% after ded.
Durable medical equipment 80% after ded. 60% after ded.
(1) Includes an individual deductible limit of $2,600
(2) Includes the deductible
(3) Individual out-of-pocket maximum of $6,400
6
