Page 5 - 2023 Benefits Overview V1_Neat
P. 5
Health and Wellbeing
Medical, Pharmacy & Vision
myuhc.com express-scripts.com myuhcvision.com
The medical plan is through UnitedHealthcare and the pharmacy
plan is through Express Scripts. Virtual visits for health and mental
care are available, as well as a free 2nd medical opinion service, and
the pharmacy plan includes a copay savings program for filling
maintenance medications. Vision care is also included in the medical
plan. Coverage includes eye exams and lenses and frames or
contacts in lieu of glasses.
In-Network Medical Plan Benefits
$0 Preventative Care
$0 Virtual Health Visit
Physician Copay $0 Virtual Mental Health Visit
$20 Primary Physician
$45 Specialist Physician
$10 - Tier 1
Pharmacy Copay $40 - Tier 2
$60 - Tier 3
$750 Individual
Deductible
$2,250 Family
Co-Insurance 80% in-Network
$3,000 Individual
Out of Pocket Max
$7,500 Family
5
