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Enhanced PPO

With this plan, you can use any doctor, clinic, hospital or health care facility you want in our national network.

There’s coverage if you need to go out of the network. However, seeing an out-of-network provider will likely cost you more. If you need to see a specialist, a referral is not required.

Preventive care is covered 100 percent in the network. You don't have to pay any out-of-pocket costs for age-appropriate preventive care as long as you use a network doctor.

View plan benefits

Our comparison chart helps you find your best fit by listing important plan benefits side-by-side.

Plan comparison

Plan highlights

Network coverage

Both network and out-of-network providers covered

Primary care provider

Primary care provider is not required

Copays

Copay due for certain services and prescriptions

Savings account options

Savings account options not offered

Medical annual deductibles and out-of-pocket limits

Deductible amounts

	Network	Out-of-network
Individual	$750	$3,000
Family	$1,500	$6,000

Out-of-pocket limits

	Network	Out-of-network
Individual	$5,500	$11,000
Family	$11,000	$22,000

Deductible amounts

	Network	Out-of-network
Individual	$750	$3,000
Family	$1,500	$6,000

Out-of-pocket limits

	Network	Out-of-network
Individual	$5,500	$11,000
Family	$11,000	$22,000

Medical costs - copays ($) and coinsurance (%)

Doctors and specialists

	Network	Out-of-network
Primary care visit (illness or injury)	$30	30%
Specialist visit	$50	30%

Virtual, urgent and emergency care

	Network	Out-of-network
24/7 Virtual Visit (online doctor)	$0 and 0%	Not Applicable
Emergency room	$500 and 0%	$500 and 0%

Doctors and specialists

	Network	Out-of-network
Primary care visit (illness or injury)	$30	30%
Specialist visit	$50	30%

Virtual, urgent and emergency care

	Network	Out-of-network
24/7 Virtual Visit (online doctor)	$0 and 0%	Not Applicable
Emergency room	$500 and 0%	$500 and 0%

Pharmacy costs

Prescription drugs

	Tier level 1	Tier level 2	Tier level 3
Retail - up to 31 day supply	$10	$50	$75
Out-of-network	Not Applicable	Not Applicable	Not Applicable
Home delivery - up to 90 day supply	$20	$100	$150
Important information	Tier level 1: $ - generic. Tier level 2: $$ - brand-name and generic. Tier level 3 $$$ - brand-name and generic. Tier level 4: $$$$ - mostly brand-name.

Prescription drugs

	Tier level 1	Tier level 2	Tier level 3
Retail - up to 31 day supply	$10	$50	$75
Out-of-network	Not Applicable	Not Applicable	Not Applicable
Home delivery - up to 90 day supply	$20	$100	$150
Important information	Tier level 1: $ - generic. Tier level 2: $$ - brand-name and generic. Tier level 3 $$$ - brand-name and generic. Tier level 4: $$$$ - mostly brand-name.

Network coverage

Network coverage plays a big part in delivering you cost savings and quality care. With the network, you'll have access to a group of health care providers and facilities that have a contract with UnitedHealthcare.

Are your providers in network?

Stay in the network

To help save on costs, choose care and services from within our network.

Look for the hearts

To help you find quality and cost-efficient doctors, the
UnitedHealth Premium® program fully evaluates doctors in various specialties.

The importance of a primary care provider (PCP)

Primary care provider

This plan does not require you to have a primary care provider (PCP), but choosing one for yourself and each covered family member is highly recommended. Your PCP is your health guide - coordinating your care, helping you avoid cost surprises and supporting you in achieving your best health.

It's easy to find and choose a network Primary Care Provider
Click the provider network link above, or choose "Search for a Provider" in the main menu, and open the network provider directory website for your selected plan.

Then follow these steps:

Under “What type of Medical Care can we help you find near”, click Change Location, fill in your location information, and click Update Location.
Under “Find Health Care by Category”, select People > Primary Care > All Primary Care Providers to see a listing of PCPs.
Scroll through the listing and select the name of the network PCP you'd like to coordinate your care.
Click on the PCP’s name for the Provider ID number.

Important: For health plans requiring a PCP, a PCP will be selected for you and your covered family members if you don’t pick one by the enrollment deadline. You can change your PCP anytime at myuhc.com.

The importance of a primary care provider (PCP)

Having a PCP to help guide and coordinate your care is important whether or not the health plan you select requires one.

Services covered in the network

Here's a partial list of your coverage:

Preventive Care Services
Doctor Office Visits and Labs
Emergency and Outpatient Care
Mental Health and Substance Disorder Service
Pregnancy and Newborn Care
Health and Wellness

The UnitedHealth Premium® designation program is a resource for informational purposes only. Designations are displayed in UnitedHealthcare online physician directories at myuhc.com®. You should always visit myuhc.com for the most current information. Premium designations are a guide to choosing a physician and may be used as one of many factors you consider when choosing a physician. If you already have a physician, you may also wish to confer with him or her for advice on selecting other physicians. You should also discuss designations with a physician before choosing him or her. Physician evaluations have a risk of error and should not be the sole basis for selecting a physician. Please visit myuhc.com for detailed program information and methodologies.

Enhanced PPO

Compare to help find the right health plan

Plan highlights

Network coverage

Primary care provider

Copays

Savings account options

Medical annual deductibles and out-of-pocket limits

Deductible amounts Deductible amounts

Out-of-pocket limits Out-of-pocket limits

Deductible amounts Deductible amounts

Out-of-pocket limits Out-of-pocket limits

Medical costs - copays ($) and coinsurance (%)

Doctors and specialists Doctors and specialists

Virtual, urgent and emergency care Virtual, urgent and emergency care

Doctors and specialists Doctors and specialists

Virtual, urgent and emergency care Virtual, urgent and emergency care

Pharmacy costs

Prescription drugs Prescription drugs

Prescription drugs Prescription drugs

Network coverage

Are your providers in network?

Stay in the network

Look for the hearts

The importance of a primary care provider (PCP)

Primary care provider

It's easy to find and choose a network Primary Care Provider It's easy to find and choose a network Primary Care Provider

The importance of a primary care provider (PCP)

Services covered in the network

Deductible amounts

Out-of-pocket limits

Deductible amounts

Out-of-pocket limits

Doctors and specialists

Virtual, urgent and emergency care

Doctors and specialists

Virtual, urgent and emergency care

Prescription drugs

Prescription drugs

It's easy to find and choose a network Primary Care Provider