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Welcome to Unitedhealthcare. What’S Inside

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Welcome to Unitedhealthcare. What’S Inside 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.
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