Welcome to UnitedHealthcare. What’s inside
We’re here to help make each step of your health care experience easier.
1 Benefits At-a-Glance
2 Your Pharmacy benefits
3 MyUHC.com
4 Programs designed for better health
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 2 Get to know your benefits through UnitedHealthcare
Two innovative programs available:
-HMO
-PPO
3 Actives & Early Retirees - HMO
Your Plan Benefits
Copayment Select a primary care provider (PCP) from PCP $3 the plan network. Telehealth/Virtual Visit $3 Specialist $3 Network coverage only.
Referrals are required from your PCP for No Deductible you to see a specialist. Out-of-pocket max Preventive care is covered $800 Self 100 percent in our network. $2,400 Family
IP Hospital Covered at 100%
Urgent Care $3 ER $35
Prescription Drugs $5
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.9126827 7/20 19-12448 COVID-19 Tools and Resources
UnitedHealthcare is committed to helping our members to protect their health and access to resources during this unprecedented time. Please visit www.MyUHC.com to access:
•Symptom Checker - Symptom checker to assess their risk for COVID-19 and get treatment options •Test Locator Tool – Will assist members find a COVID-19 diagnostic test location in their area. UnitedHealthcare will cover the COVID-19 diagnostic test and test-related visit with no cost sharing (copayment, coinsurance, and deductible). •COVID-19 Vaccine Resource Locator tool. The tool will help members navigate local vaccination planning and find resources for their area to help them take steps toward vaccination. FDA Approved COVID-19 Vaccines Vaccine manufacturer Doses1 Ages for EAU2
Pfizer-BioNTech 2 doses, 21 days apart 16 and older
Moderna 2-doses, 1 month apart 18 and older
Johnson & Johnson 1 dose 18 and older
•Always follow vaccination instructions from the manufacturer
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 5 COVID-19 Tools & Resources
What is UnitedHealth Group doing to help members concerned with COVID-19? • UnitedHealthcare has a team closely monitoring COVID-19, formerly known as the Novel Coronavirus. Our top priority is the health and well-being of the people we serve. • As with any public health issue, UnitedHealthcare will work with and follow all guidance and protocols issued by the U.S. Centers for Disease Control and Prevention (CDC), Food and Drug Administration (FDA), and state and local public health departments.
Does UnitedHealthcare provide any support services for those people who have been affected by the virus? • The CDC website is the best place to go to stay up to date on the developing COVID-19 virus. • UHC is offering a free emotional support help line for all people impacted. This help line will provide those affected access to trained mental health specialists. The company’s public toll-free help line number, 866-342-6892, will be open 24 hours a day, seven days a week for as long as necessary. • This service is free of charge and open to anyone. Mental health specialists help people manage their stress and anxiety so they can continue to address their everyday needs. Callers may also receive referrals to community resources to help them with specific concerns, including financial and legal matters.
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 6 COVID-19 Tools & Resources
The CDC recommends getting a flu shot • For this upcoming flu season in the Fall, it will be more important than ever with COVID-19. COVID-19 and the flu will both be spreading this season, according to the Centers for Disease Control and Prevention (CDC).
• Protecting yourself from the flu helps reduce your risk of hospitalization. It is recommended for most people including everyone 6 months and older, even healthy people. It is especially important for adults 65 and older, pregnant women, young children under 2 years old, and people with certain health conditions. Many high-risk people would also benefit from a pneumonia vaccine.
• The flu vaccine can help weaken or prevent the flu and the vaccine is covered a 100% for UnitedHealthcare members. Generally, it is recommended to get the flu shot by the end of October according to the CDC, especially with the ongoing spread of COVID-19. Discuss the flu and other vaccines and the best timing with your provider.
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 7 Behavioral Health Benefits
Behavioral Health Solutions gives you confidential help with:
• Depression, stress and anxiety
• Relationship & Financial difficulties
• Child and elder care support
• Substance use and recovery
• Coping with grief and loss
• COVID-19 Resources and more
Visit liveandworkwell.com or call the toll free number on your id card to learn more
8 Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. Behavioral Health Benefits
• UnitedHealthcare offers members with behavioral health benefits and access to ongoing resources. Emotional-support resources and information are also available online at www.liveandworkwell.com or by calling the toll-free number on your id card.
• UHC is offering a free emotional support help line for all people impacted by COVID-19. This help line will provide those affected access to trained mental health specialists. The company’s public toll-free help line number, 866-342-6892, will be open 24 hours a day, seven days a week for as long as necessary.
• This service is free of charge and open to anyone. Mental health specialists help people manage their stress and anxiety so they can continue to address their everyday needs. Callers may also receive referrals to community resources to help them with specific concerns, including financial and legal matters.
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 9 Behavioral Health Benefits
UnitedHealthcare helps members with behavioral health needs during the Covid-19 emergency with tele-mental health solutions
• In order to make it easier for our members to receive appropriate treatment during this challenging time, Optum Behavioral Health is enabling providers to use popular applications for video chat or telephonic care to effectively support the behavioral health needs of our members.
• This means that for members or providers who do not have access to approved technology typically required to conduct a virtual visit, alternative technologies like telephone visits or video chat services -- like Apple FaceTime, Facebook Messenger, Zoom, Google Hangouts or Skype -- can be used. This also applies to health care providers who are qualified and licensed in accordance with applicable regulations to provide ABA services.
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 10 Virtual Visits For All HMO & PPO Plans Real doctors. Real care. Real convenience.
Get care 24/7 using your Get a diagnosis computer or mobile device — and a prescription in no appointment needed.* Video chat with a doctor for nonemergency medical conditions such as: 10-15 • Colds/flu • Eye, skin and urinary infections • Coughs/fevers • Sore throats 1 • Allergies • Rashes Minutes • Bronchitis • Stomachaches Doctors can provide a diagnosis and send a prescription** to your local pharmacy, if needed.
To get started, visit myuhc.com/virtualvisits.
*Data rates may apply. **Certain prescriptions may not be available, and other restrictions may apply. Access to Virtual Visits and prescription services may not be available in all states or for all groups. Go to myuhc.com for more information about availability of Virtual Visits and prescription services. Always refer to your plan documents for your specific coverage. Virtual Visits and video chat with a doctor are not an insurance product, health care provider or a health plan. Virtual Visits are an internet-based service provided by contracted UnitedHealthcare providers that allow members to select and interact with independent physicians and other health care providers. It is the member’s responsibility to select health care professionals. Care decisions are between the consumer and physician. Virtual Visits are not intended to address emergency or life-threatening medical conditions and should not be used in those circumstances. Services may not be available at all times or in all locations. Members have cost share responsibility and all claims are adjudicated according to the terms of the member’s benefit plan. Payment for Virtual Visit services does not cover pharmacy charges; members must pay for prescriptions (if any) separately. No controlled substances may be prescribed. Other prescriptions may be available where clinically appropriate and permitted by law, and can be transmitted to the pharmacy of the member’s choice.
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 11 Actives - PPO
Your Plan Benefits
Copayment There’s out-of-network coverage. PCP $25 Telehealth/Virtual Visit $25 Option to choose a primary care Specialist $35 provider (PCP). Deductible No need to get referrals to see Self $500 a specialist. Family $1,500 Out-of-pocket max Preventive care is covered Self $2,000 100 percent in our network. Family $6,000
IP Hospital Covered at 80% If you go out of network, your costs may be higher. Please read your plan documents and check your Urgent Care $50 Summary of Benefits for additional information. ER $100
Prescription Drugs $10/$20
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 9126827 7/20 19-12448 Retiree Under Age 65 - PPO Plan A
Your Plan Benefits
Copayment There’s out-of-network coverage. PCP $10 Telehealth/Virtual Visit $10 Option to choose a primary care Specialist $10 provider (PCP).
No need to get referrals to see No Deductible a specialist. Out-of-pocket max Preventive care is covered Self $1,000 100 percent in our network. Family $2,000
IP Hospital Covered at 90%
If you go out of network, Urgent Care $25 your costs may be higher. ER $25 Please read your plan documents and check your Summary of Benefits for additional information. Prescription Drugs $5/$10
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 9126827 7/20 19-12448 Retiree Under Age 65 - PPO Plan B
Your Plan Benefits
Copayment There’s out-of-network coverage. PCP $10 Telehealth/Virtual Visit $10 Option to choose a primary care Specialist $10 provider (PCP). Deductible No need to get referrals to see Self $250 a specialist. Family $500
Preventive care is covered Out-of-pocket max 100 percent in our network. Self $2,000 Family $4,000 IP Hospital Covered at 90% If you go out of network, your costs may be higher. ER $25 Please read your plan documents and check your Summary of Benefits for additional information. Urgent Care $25
Prescription Drugs $10/$20
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 9126827 7/20 19-12448 Retiree Under Age 65 - PPO Plan C
Your Plan Benefits
Copayment There’s out-of-network coverage. PCP $0 Telehealth/Virtual Visit $0 Option to choose a primary care Specialist $0 provider (PCP). Deductible No need to get referrals to see Self $2,000 a specialist. Family $4,000 Preventive care is covered Out-of-pocket max 100 percent in our network. Self $2,000 Family $4,000
IP Hospital Covered at 80%
If you go out of network, your costs may be higher. Urgent Care $50 Please read your plan documents and check your ER $250 Summary of Benefits for additional information.
Prescription Drugs $15/$30/$45
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 9126827 7/20 19-12448 Owens Valley PPO
Your Plan Benefits Use any doctor, clinic, hospital or health care facility in the country. Copayment PCP $0 Same level of coverage for any Telehealth/Virtual Visit $0 health care provider or facility you Specialist $0 use. No Deductible Option to choose a primary care Out-of-pocket max provider (PCP). Self $500 No need to get referrals to see Family $1,500 a specialist. IP Hospital Covered at 100% Preventive care is covered 100 percent in our network. Urgent Care $0 ER $25
Prescription Drugs $5/$10
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 9126827 7/20 19-12448 Ways to save
Choose a network Keep up with primary care preventive care. provider (PCP). Sign in to myuhc.com > Find Care & Costs. When you see network providers, your routine wellness exams, certain A PCP can be a family practitioner, recommended screenings and internist, pediatrician or general medicine immunizations are covered by most physician. To find quality and cost-efficient UnitedHealthcare plans at no additional providers, look for cost. Learn more at the blue hearts. uhc.com/preventivecare.
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 17 Your pharmacy benefits Pharmacy benefits
Say hello to savings. To sign up for home delivery or to find a network pharmacy: OptumRx® makes it easy to keep track of your • Visit myuhc.com. medications and save money — both online • Use the UnitedHealthcare app. and on the go. • Call the number on your ID card. Two easy ways to fill prescriptions: Manage your meds. 1 Home delivery: Visit myuhc.com > Pharmacies & Prescriptions to: Order up to a 3-month supply of your regular • Find and compare medication costs. medications with free shipping. • Locate a network pharmacy. 2 Pick up at the pharmacy: • See if your medications have any requirements Show your ID card at any network pharmacy. before filling them.
OptumRx is an affiliate of United HealthCare Insurance Company.
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 19 Advantage of using home delivery
Free Get up to a May cost less 24/7 pharmacist Refill shipping. 3-month supply. than retail. access. reminders.
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 1220157 5/19 19-12448 Manage your pharmacy benefits on the go
With myuhc.com® and the UnitedHealthcare® app1, you can:
Enroll in home delivery.
Find network pharmacies.
Refill prescriptions and myuhc.com® set up reminders.
Estimate and compare medication costs.
1 The UnitedHealthcare app can also help determine how a medication is covered and whether or not there are other options to help save you money.
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 1220157 5/19 19-12448 Getting started
® Activate your myuhc.com Download the ® account and use it to: UnitedHealthcare app to:
• Find a network doctor. • Find nearby network care options. • View and pay claims. • See claims details and progress toward • Check account balances. your deductible. • Find and estimate costs. • View and share your health plan ID card. • Video chat with a doctor.
To set up your account: • Go to myuhc.com > Register now. • Follow the instructions (have your ID card handy).
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 22 Programs designed for better health RALLY Online Experience
• A user-friendly digital Help me manage Make the experience interface to help engage my health fit my life through online tools via myuhc.com® • Personalized health goals • Reward individuals with coins to achieve their goals • Step-by-step support making the experience fun and encouraging greater levels of engagement • Tracking of individual results
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. Healthy Pregnancy App & Maternity Support Program
24/7 Nurse Support: connect with a nurse, who can provide answers to questions and personal support throughout pregnancy. Stay Informed: search symptoms and concerns that may occur, watch videos about a baby’s growth, monitor weight, and track baby’s movements. Personalized milestones: keep track of pregnancy milestones based on due date. Reminders: keep track of calendar appointments and set reminders to take vitamins or to take a few minutes to relax each day. Support during pregnancy and post- partum.
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. Quit For Life ®
Ready to live tobacco-free? Quit For Life is a personal support program available at no additional cost to you. As part of the program, you’ll receive: • Access to a Quit Coach® • A Quit Guide, mobile app and online tools to help you customize a quit plan • And more Enroll today at myuhc.com.
The Quit For Life program provides information regarding tobacco cessation methods and related well-being support. Any health information provided by you is kept confidential in accordance with the law. The Quit For Life program does not provide clinical treatment or medical services and should not be considered a substitute for your doctor’s care. Participation in this program is voluntary. If you have specific health care needs or questions, consult an appropriate health care professional. This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room.
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. 26 Real Appeal® Real Appeal® is an online weight loss program available for free to UnitedHealthcare members. Get support to help reach your goals Personal transformation coach Step-by-step guidance and customization for a program that fits your needs, preferences and goals.
24/7 convenience Staying accountable to your goals may be easier than ever with access to digital content, trackers, group classes and weekly health tips.
Success kit Resources to help you kick-start your weight loss and keep yourself on the road to results.
Learn more and start today at success.realappeal.com
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Success Kit
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Real results from Real Appeal.
Before After Before After Before After
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We Look Forward To Serving You!!!
Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.