Page 4 - 2019 Benefits Overview_Final_Neat
P. 4
Health and Wellbeing
Health Insurance and Pharmacy Benefits
myuhc.com express-scripts.com
Texas Mutual offers a PPO medical plan through
UnitedHealthcare and a pharmacy plan through
Express Scripts. Benefits begin for eligible employees
effective upon the date of hire.
Unitedhealthcare’s Health4me app and the Express
Script app provide employees to access ID cards and
view claims data at any time.
In-Network Medical Plan Design
Physician visit copays $0 Preventative Care
$10 Virtual Office Visit
$20 Primary Physician
$45 Specialist Physician
$10 - Tier 1
Pharmacy Copay $40 - Tier 2
$60 - Tier 3
$750 Individual
Deductible
$2,250 Family
Co-Insurance 80% in-Network
$3,000 Individual
Out of Pocket Max
$7,500 Family
Vision Insurance
myuhcvision.com
Vision care is provided by UnitedHealthcare and is included
in the medical plan benefits. Coverage includes eye exams,
lenses, frames and contacts.
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