Post on 25-Jun-2015
© 2008 UnitedHealthcare
Simple Health plan benefits you can understand.
State of New Mexico 2010-2011
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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You have a lot to consider when you sign up for your health plan…
So, Can Healthcare really be “Simple”?
Is my doctor in the network?
How Does my Plan work?
How do I manage my cost of health care?
How do I manage my healthcare?
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Find your doctorwww.myuhc.com/groups/nmex to find your doctor. You can search by: • Name
• Specialty
• Condition or procedure
• Office hours
• Gender
• Education
• Driving directions
• Languages spokenMost likely, your doctor is in our nationwide network.
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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UnitedHealthcare Choice Plus plan
• Visit any physician or hospital in our network without a referral
• No need to submit claims
• Lower copayments for network care
• Lower out-of-pocket costs for network care
• Personalized care coordination services
• Routine checkups included
• Non-network care available
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Your medical benefits at a glance
Member deductibles Network benefit Non-network benefit
• Single• 2 Person• Family
• $400• $800• $1,200
• $1,600• $3,200• $4,800
Out-of- PocketMaximum/policy year Network benefit Non-network benefit
• Single• 2 Person• Family
• $3,000• $6,000• $9,000
• $6,000• $12,000• $18,000
Lifetime Maximum Network benefit Non-network benefit
Participants Unlimited Unlimited
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Your medical benefits at a glance
Type of coverage Network benefit Non-network benefit
Physician’s office services $25 copayment- No Deductible 40% After deductible
Specialist office visit $ 40 copayment-Deductible Applies 40% After deductible
Emergency Room services $175 Copayment-Deductible Applies $175 Copayment
In-patient hospital stay $400 Per admission- Deductible applies. 40% After deductible
Urgent Care center services$50 Copayment –
Deductible applies. $50 Copayment
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Treatment Cost Estimator
• Provides cost estimates for specific treatments and procedures based on selected physician’s costs
• Helps you understand the cost of treatment
• Allows you to plan in advance of your health care need
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Quicken Health® Expense Tracker
• Simplifies claims information and medical terms
• Shows what you owe your provider
• Allows you to pay your bill online (Q1, 2010)
• Shows CDH members’ account balances
• Alerts you to possible physician billing errors
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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myuhc.com• Find network
doctors/hospitals• Estimate costs• Track claims status• Build a health
improvement program• Keep a Personal
Health Record• Get health
product discounts• Review plan details
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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UnitedHealth Premium® designation program• Doctors and cardiac
facilities that follow medical guidelines
• Compare quality and costs of health care facilities
• Look for the stars when you search for a physician
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Hospital Comparison Program
• On myuhc.com• Find national quality ratings
and cost information on 54 procedures and conditions
• Side-by-side hospital comparisons on cost and quality based on specific procedures
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Personal Health Record
• Keep health and medical history
• Manage health history and lifestyle habits; track stats: blood pressure, cholesterol, and weight
• Summary of conditions, medications, procedures, and lab results
• Download it to computer; print to share with doctor
myuhc.com
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Wellness resources
• Health assessment and personalized program information
• Latest health news, including healthy recipes
• Online quizzes to test your health knowledge
• Online health coach that provides you with information that may improve your health
myuhc.com
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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NurseLineSM
• Connect with a registered nurse any time• Get health information from a registered nurse by
phone• Prepare yourself before seeking a doctor’s care• Recorded messages on thousands of health topics• Communicate in live, one-to-one Nurse Chats
at myuhc.com
myuhc.com
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Behavioral health support
• Receive confidential, specialized help • For anxiety, stress, depression and coping with change • Licensed and certified professionals
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Healthy Pregnancy program
• Get support through every stage of pregnancy and delivery
• Nurses available, toll-free, 24/7• Personalized pregnancy assessment• Free pregnancy book and healthy baby bag• Discount on PJ’s Comfort
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Health discounts
Save 20 – 50 percent on products and services not in plan
• Laser eye surgery• Cosmetic dentistry• Health club memberships• Weight loss programs and more
www.myuhc.comunder “Health & Wellness”
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Source4Women• Get health plan
information in plain language
• Connect with women in your community
• Get tips to consider on getting and staying healthy
• Attend online seminars and events
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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You have a lot to consider when you sign up for your health plan
• Access to a really big network-
• 617,00 Providers and 5,010 Hospitals through out the United States.
• 4,824 Providers in NM Alone
What do I really get with UHC?
• Access to online and personal resource to help you manage your cost of care.
• Access to a true partner who’s interested in you and your families health.
© 2008 UnitedHealthcare
Simple Health plan benefits you can understand.
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. © 2009 United HealthCare Services, Inc.UHCEW439246-000
Visit www.myuhc.com/groups/nmex 1-800-842-0241