Page 4 - 2025 Texicare Benefits Overview - Redesign
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HEALTH AND WELLBEING
MEDICAL, PHARMACY & VISION BENEFIT
The medical plan is through UnitedHealthcare
and the pharmacy plan is through Express Scripts. Care Type Plan Links
Virtual visits for health and mentalcare are myuhc.com
available, as well as a free 2nd medical opinion Medical
service, and the pharmacy plan includes a copay
savings program for filling maintenance Pharmacy Express-scripts.com
medications. Vision care is also included in the
medical plan. Coverage includes eye exams and Vision myuhcvision.com
lenses and frames or contacts in lieu of glasses.
In-Network Medical Plan Benefits
Coverage begins for other benefits as listed below:
$20 Primary Physician
Physician Copay
$45 Specialist Physician
$0 Preventative Care
No Copay Care $0 Virtual Health Visit
$0 Virtual Mental Health Visit
$10 Tier 1
Pharmacy Copay $40 Tier 2
$60 Tier 3
$15 Exam
Vision Copay
$15 Glasses or Contacts
$750 Individual
Deductible
$2,250 Family
Co-Insurance 80% in-Network
$3,000 Individual
Out of Pocket Max
$7,500 Family
Texicare Benefits Overview 2025 Page 4
