Page 5 - Teacher Created Materials EE Guide 09-18 - Non CA

Benefits

Medical Insurance

United Healthcare | PPO
With the United Healthcare Preferred Provider Organization (PPO) plan, you have the freedom to choose your doctor without using
a Primary Care Physician (PCP) and you may self-refer to specialists. You may use a “United Healthcare Select Plus” network
provider whose negotiated rates provide richer levels of benefits with claim forms filed by the providers. You may also obtain
services using a non-network provider; however, you will be responsible for paying the difference between the covered amount
and the actual charges, and you may be responsible for filing claims.

Plan Differences PPO

Employee Premiums $$$
Out-of-Pocket Costs $$

Cost Sharing Contribution, Copay,
Deductible, Coinsurance

Network
- Network Size 
- Network Name United Healthcare Select Plus
- In-Network Benefits ✓
- Non-Network Benefits ✓

Access to Providers Managed by You
- Primary Care Physician Not Required
- Referral for Specialist Not Required

Finding a Medical Provider
Go to www.myuhc.com or call (866) 633-2446 for PPO.
• PPO: Refer to the “UnitedHealthcare Select Plus” network when prompted.

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