Medical Insurance
| 2008 UHC Plan Comparison – Choice Plus Network | |||||||
|---|---|---|---|---|---|---|---|
| Network | PPO Basic | PPO Standard | PPO High | ||||
| Individual | Family | Individual | Family | Individual | Family | ||
| Deductible | Inside | $350 | $700 | $100 | $200 | $0 | $0 |
| Outside | $5,000 | $10,000 | $500 | $1,000 | $250 | $500 | |
| Coinsurance
(% of Eligible Expenses Covered) |
Inside | 20% | 10% | 0% | |||
| Outside | 40% | 30% | 20% | ||||
| Out-of-Pocket Maximum
*Does not include annual deductible |
Inside | $2,000 | $4,000 | $2,000 | $4,000 | $0 | $0 |
| Outside | $10,000 | $20,000 | $4,000 | $8,000 | $1,500 | $3,000 | |
| Office Copay | In/Outside | $35 | $30 | $15 | |||
| Prescription Copay
(Generic /Preferred/ Non-Preferred) |
In/Outside | $10 | $30 | $50 | $10 | $20 | $35 | $10 | $20 | $35 | |||
| Hospital Copay | In/Outside | 20% | 40% | $250, then 10% |
30% | $250 | 20% |
| Emergency Room Copay | In/Outside | $100 | $100 | $100 | |||
| Urgent Care Center Copay | In/Outside | $35 | $30 | $15 | |||
| Maximum Policy Benefit | Inside | No Maximum | No Maximum | No Maximum | |||
| Outside | $2 million
per person |
$2 million
per person |
$2 million
per person |
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