Page 11 - ABM 2021 Benefit Guide MGT
P. 11
UnitedHealthcare (UHC) Plans Kaiser Permanente HMO
With these plans, you have the lexibility, at the If you select a Kaiser Permanente plan,
time of service, to seek care from an in-network you must use Kaiser’s exclusive network
or out-of-network provider. If you enroll in one of providers to receive coverage. Kaiser is
of the UHC plans, you will pay a copayment, only available if you live or work inside the
coinsurance, and/or deductible for covered service area in California, Colorado, Georgia,
in-network services. You can choose any doctor Mid-Atlantic States (Maryland, Virginia and
(including specialists), pharmacy, or hospital Washington, DC), or the Northwest (Oregon
in UHC’s national network; you do not need and parts of Washington state). Under these
referrals and you do not need to choose a plans there is no coverage out-of-network
Primary Care Physician (PCP) (some services, unless your event is a qualiied emergency or
however, will be subject to pre-authorization). urgent care that cannot wait.
If you choose to receive care outside of UHC’s Stay healthy with Kaiser Permanente’s Value
network, the treatment will be subject to the Plan—an afordable new option that provides
deductible and coinsurance, and in some cases you with access to high-quality care without
a copayment, before the plan starts paying inancial surprises. With this plan, you’ll have
beneits. You may be required to submit claim access to many common health services
paperwork when you receive out-of-network at a copay or no cost before you meet your
care. Keep in mind there is no coverage for deductible. Highlights include:
out-of-network pharmacy services—ensure you
always use an in-network pharmacy. Low copay for up to 3 in-person primary
care visits
If multiple services are provided during
a single appointment, each service may
count as an individual visit; deductible
applies after third in-person primary care
visit
$0 care by phone, video, or email when
appropriate and available
Low copay for lab tests and medications
A copy of the UnitedHealthcare and Kaiser
Permanente beneit summaries can be
found on abm.hrintouch.com. As part of your
healthcare beneits, all of our medical plan
choices provide 100% coverage for qualiied
wellness/preventive care services.
ABM 11
With these plans, you have the lexibility, at the If you select a Kaiser Permanente plan,
time of service, to seek care from an in-network you must use Kaiser’s exclusive network
or out-of-network provider. If you enroll in one of providers to receive coverage. Kaiser is
of the UHC plans, you will pay a copayment, only available if you live or work inside the
coinsurance, and/or deductible for covered service area in California, Colorado, Georgia,
in-network services. You can choose any doctor Mid-Atlantic States (Maryland, Virginia and
(including specialists), pharmacy, or hospital Washington, DC), or the Northwest (Oregon
in UHC’s national network; you do not need and parts of Washington state). Under these
referrals and you do not need to choose a plans there is no coverage out-of-network
Primary Care Physician (PCP) (some services, unless your event is a qualiied emergency or
however, will be subject to pre-authorization). urgent care that cannot wait.
If you choose to receive care outside of UHC’s Stay healthy with Kaiser Permanente’s Value
network, the treatment will be subject to the Plan—an afordable new option that provides
deductible and coinsurance, and in some cases you with access to high-quality care without
a copayment, before the plan starts paying inancial surprises. With this plan, you’ll have
beneits. You may be required to submit claim access to many common health services
paperwork when you receive out-of-network at a copay or no cost before you meet your
care. Keep in mind there is no coverage for deductible. Highlights include:
out-of-network pharmacy services—ensure you
always use an in-network pharmacy. Low copay for up to 3 in-person primary
care visits
If multiple services are provided during
a single appointment, each service may
count as an individual visit; deductible
applies after third in-person primary care
visit
$0 care by phone, video, or email when
appropriate and available
Low copay for lab tests and medications
A copy of the UnitedHealthcare and Kaiser
Permanente beneit summaries can be
found on abm.hrintouch.com. As part of your
healthcare beneits, all of our medical plan
choices provide 100% coverage for qualiied
wellness/preventive care services.
ABM 11
