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BENEFITS
Medical Insurance
United Healthcare | HMO Plans
Four HMO plan options are available
With the United Healthcare Health Maintenance Organization (HMO) plans, you must Virtual Visits
choose a primary care physician (PCP) or medical group within the network associated When you don’t feel well, or your
with the plan you’ve selected. All of your care must be directed through your PCP or child is sick, the last thing you want
medical group. Any specialty care you need will be coordinated through your PCP and will to do is leave the comfort of home
generally require a referral or authorization. You will receive benefits only if you use the to sit in a waiting room. Now you
doctors, clinics, and hospitals that belong to the medical group in which you are enrolled, don’t have to.
except in the case of an emergency.
Virtual Visits allow you see and talk
United Healthcare | PPO Plans to a doctor from your mobile device
Two PPO plan options are available or computer without an
The United Healthcare Preferred Provider Organization (PPO) plans allow you to direct appointment. Most visits take
your own care. If you receive care from a physician who is a member of the network, a about 10-15 minutes and doctors
greater percentage of the entire cost will be paid by the insurance plan. However, you are can write a prescription, if needed,
not limited to the physicians within the network and you may self-refer to specialists. If that you can pick up at your local
you obtain services using a non‐network provider, please note that you will be pharmacy.
responsible for the difference between the covered amount and the actual charges, and
you may be responsible for filing claims. Good For
• Allergies
• Bronchitis
Finding a Medical Provider • Coughs, Colds, Fever, Flu
Go to www.myuhc.com. • Stomach Ache, Diarrhea
• HMO 20-30/20% → Signature Value HMO network • Soar Throats
• Advantage HMO 20-30/20% → Signature Value Advantage • Pinkeye
network Not Good For
• Focus HMO 15-30/750A → Signature Value Focus network
• Alliance HMO 25-40/30% → Signature Value Alliance network • Anything requiring a hands-on
• Select Plus BILS PPO → Select Plus network exam
• Select Plus PRY PPO → Select Plus network • Anything requiring a test
• Cancer or other complex
conditions
• Chronic conditions
Summary of Benefits and Coverage (SBC) • International visits
Health insurance issuers and group health plans are required to provide you with an easy • Sprains, broken bones, or
-to-understand summary about your health plan’s benefits and coverage, referred to as a injuries requiring bandaging
Summary of Benefits and Coverage (SBC). This guide is designed to help you understand
the medical plan options offered to you by Petroleum Marketing Equipment. Please refer United Healthcare
to the SBC and carrier contracts provided by United Healthcare for additional plan www.myuhc.com
details.
Signing up is quick, easy, and free
to do. Be sure to enter your
insurance information since Virtual
Educational Video Visits are a covered benefit under
Benefits terminology can get confusing. Click here to watch a our United Healthcare plans.
quick video to learn the basics of how our medical plans work.
Deductibles, Copays, Coinsurance, and Out-of-Pocket Maximums
http://video.burnhambenefits.com/terms/
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