How the Plan Works
Always 100% covered when you use in-network providers and includes things like physical exams, flu shots and screenings.
The deductible is the amount you pay each year for eligible in-network and out-of-network charges before the plan begins to pay.
Once your deductible is met, you and the plan share the cost of covered medical and pharmacy expenses with coinsurance.
Coinsurance means plan will pay a percentage of each eligible expense, and you will pay the rest.
Copay means you pay a flat dollar amount depending on the visit/service; the plan pays the rest.
Out of Pocket Maximums
When you reach your out-of-pocket maximum, the plan pays 100% of covered medical and pharmacy expenses for the rest of the plan year. Your deductible coinsurance, and any copays apply toward the out-of-pocket maximum.
To locate a participating UHC Choice Plus network provider visit the member portal www.myuhc.com.
For the Summary of Plan Description (SPD), please review the $1500 FranklinCovey SPD and/or $2400 FranklinCovey SPD.
For the Summary of Benefits and Coverages (SBC), please review the $1500 FranklinCovey SBC and/or $2400 FranklinCovey SBC.
Certain preventive medications are included prior to your deductible.
Click here to see the complete list.
|$1,500 / $3,000 CDHP||$2,400 / $4,800 CDHP|
|YOU PAY||YOU PAY||YOU PAY||YOU PAY|
|CALENDAR YEAR DEDUCTIBLE|
|CALENDAR YEAR OUT OF POCKET MAXIMUM (INCLUDES DEDUCTIBLE)|
|COINSURANCE / COPAYS|
|Primary Care Physician||20%*||40%*||20%*||40%*|
|RETAIL RX (UP TO 30-DAY SUPPLY)|
|MAIL ORDER RX (UP TO 90-DAY SUPPLY)|