Page 5 - AMT Gordian CA EE Guide 01-2020

BENEFITS

Medical Insurance

United Healthcare | PPO
The United Healthcare Preferred Provider Organization (PPO) plans allow you to
direct your own care. If you receive care from a physician who is a member of the Virtual Visits
Select Plus network, a greater percentage of the entire cost will be paid by the When you don’t feel well, or your
insurance plan. However, you are not limited to the physicians within the network child is sick, the last thing you
and you may self-refer to specialists. If you obtain services using a non-network want to do is leave the comfort
provider, please note that you will be responsible for the difference between the of home to sit in a waiting room.
covered amount and the actual charges, and you may be responsible for filing Now you don’t have to.
claims.
You can see and talk to a doctor
United Healthcare | HSA PPO from your mobile device or
With the United Healthcare Preferred Provider Organization (PPO) HSA plan, you computer without an
can pay for qualified healthcare expenses now and grow your savings for future appointment. Most visits take
healthcare needs. This plan combines a High Deductible Health Plan (HDHP) with about 10-15 minutes and doctors
a special, tax-qualified Health Savings Account (HSA). You can contribute tax-free can write a prescription, if
money to your HSA up to IRS maximums while being on a PPO benefit plan. needed, that you can pick up at
Please see page 8 for more details. your local pharmacy. Use this
service for minor issues such as
United Healthcare | HMO colds, fever, flu, allergies, sore
With the United Healthcare Health Maintenance Organization (HMO) plan, you throats, headache, stomach
must choose a primary care physician (PCP) or medical group within the ache, and more. This service is
SignatureValue network. All of your care must be directed through your PCP or part of your health benefits
medical group. Any specialty care you need will be coordinated through your PCP offered through United
and will generally require a referral or authorization. You will receive benefits only Healthcare and Kaiser
if you use the doctors, clinics, and hospitals that belong to the medical group in Permanente.
which you are enrolled, except in the case of an emergency.
United Healthcare
Kaiser Permanente | HMO www.myuhc.com
With the Kaiser Permanente Health Maintenance Organization (HMO) plans, you Signing up is quick, easy, and
must obtain services at a Kaiser Permanente facility, except in the case of free to do. Be sure to enter your
emergency. All of your care must be directed through your selected doctor, but insurance information since
you can choose and change your doctor at any time, for any reason. Kaiser virtual visits are a covered
Permanente integrates all elements of healthcare such as physicians, medical benefit under our United
centers, pharmacy, and administration in one convenient facility. In addition, Healthcare plans.
Kaiser Permanente offers online tools so you can email your doctor’s office, make
appointments, refill prescriptions, and more. Kaiser Permanente
www.kaiserpermanente.org
Quickly and easily make your
video visits online or via the
Kaiser Permanente mobile app.
You must be registered on
Kaiser’s website to take
advantage of this service.

Finding a Medical Provider
United Healthcare:
• Go to www.myuhc.com:
• PPO and HSA PPO participants should refer to the “Select Plus” network
• HMO participants should refer to the “SignatureValue” network

Kaiser Permanente
• Go to www.kaiserpermanente.org.

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