Page 4 - 2025 Benefits Overview
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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


                                                            $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



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