Compare health plan details
Check out benefits and what’s covered in each different plan. The comparison table here highlights only the network benefit amounts. To see network and out-of-network benefits, please review your enrollment materials.
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Network coverage
Does this plan cover both network and out-of-network providers? |
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Network coverage
Does this plan cover both network and out-of-network providers? |
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PCP requirement
Is a primary care provider (PCP) required with this plan? |
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PCP requirement
Is a primary care provider (PCP) required with this plan? |
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Savings account option
Does this plan offer a savings or reimbursement account that can be used toward health expenses? |
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Savings account option
Does this plan offer a savings or reimbursement account that can be used toward health expenses? |
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Search for providers
Find out if your doctor, clinic or facility is in the network |
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Search for providers
Find out if your doctor, clinic or facility is in the network |
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Deductible - Amount you pay before your plan starts sharing costs |
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Individual
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Tier 1
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Tier 1
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Tier 2
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Tier 2
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Out-of-Network
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Out-of-Network
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Family
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Tier 1
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Tier 1
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Tier 2
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Tier 2
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Out-of-Network
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Out-of-Network
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Out-of-pocket limit - Amount you pay before your plan covers all costs |
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Individual
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Tier 1
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Tier 1
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Tier 2
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Tier 2
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Out-of-Network
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Out-of-Network
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Family
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Tier 1
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Tier 1
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Tier 2
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Tier 2
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Out-of-Network
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Out-of-Network
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Primary care visit |
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Coinsurance
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Tier 1
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Tier 1
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In-Network
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In-Network
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Out-of-Network
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Out-of-Network
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Specialist visits |
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Coinsurance
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Tier 1
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Tier 1
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In-Network
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In-Network
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Out-of-Network
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Out-of-Network
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Lab testing - outpatient |
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Coinsurance
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Tier 1
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Tier 1
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In-Network
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In-Network
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Out-of-Network
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Out-of-Network
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X-ray and other diagnostic testing - outpatient |
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Coinsurance
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Tier 1
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Tier 1
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In-Network
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In-Network
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Out-of-Network
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Out-of-Network
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Virtual visits |
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Coinsurance
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Tier 1
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Tier 1
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In-Network
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In-Network
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Out-of-Network
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Out-of-Network
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Emergency room |
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Coinsurance
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Tier 1
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Tier 1
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In-Network
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In-Network
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Out-of-Network
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Out-of-Network
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List of benefits
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List of benefits
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Important: The designated virtual visit provider’s reduced rate for a virtual visit is subject to change at any time.
Comparison information does not replace your official plan documents. Please see your benefit summary and official plan documents for coverage details, including limitations and exclusions.
Virtual visits phone and video chat with a doctor are not an insurance product, health care provider or a health plan. Unless otherwise required, benefits are available only when services are delivered through a designated virtual network provider. 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.
This information does not replace your official plan documents. Please see your benefit summary and official plan documents for coverage details, including limitations and exclusions.
Administrative services provided by United HealthCare Services, Inc. or their affiliates.