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Coverage and benefits
Get a quick overview of your plan benefits and costs and find more detailed information about additional benefits and programs.
2024 Plan benefits
Preventive services
The following preventive services are covered under your plan for a $0 copay when you visit your primary care provider:
- Annual Wellness Exam
- Annual Routine Physical
- Screenings for certain Cancers (Prostate, colorectal, breast cancer)
- Screening for diabetes
- Smoking and Tobacco Use Cessation
For more information about these preventive services, please call the Customer Service number on your member ID card.
Benefits and costs
| Benefit | Medicare Advantage Core Plan (PPO) | Medicare Advantage Comprehensive Plan (PPO) |
|---|---|---|
| Annual medical deductible | $300 | $0 |
| Annual medical out-of-pocket maximum | $3,000 | $600 |
| Office and clinic visits | $20 copay primary care $30 copay specialist visit |
$5 copay primary care $10 copay specialist visit |
| Hospital services (inpatient) | $100 copay per day, days 0 – 9 $0 copay per day, days 10 and later |
$100 copay per admit |
| Hospital services (outpatient) | $20 copay | $20 copay |
Disclaimer
Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the costsharing that applies to out-of-network services.