UnitedHealthcare®
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Review plan benefits & costs

Get a quick overview of your plan benefits and costs, and find more detailed information about additional coverage and benefit services.

UnitedHealthcare® Group Medicare Advantage
(PPO)

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Benefits

UnitedHealthcare® Group Medicare Advantage (PPO)

Annual medical deductible $0

Annual out-of-pocket maximum

$2,500

Office and clinic visits

$15 copay for primary care
$20 copay for specialist visit

Hospital services (inpatient)

$100 copay per day for days 1-3
$0 copay for days 4 and beyond

Hospital services (outpatient)

$125 copay

Prescription drug coverage

Retail up to a 31-day supply:
40% coinsurance up to $250

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PERS Health Insurance Program


Group retiree benefits for Oregon PERS Retirees

 

IMPORTANT DATES


2020 Plan Change Period

Begins: October 1, 2019
Ends: November 15, 2019

 

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Last updated: 01.21.2019 at 12:01 AM CT  H2001_190115_041206