Shell Retirees – Review plan benefits
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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.

Plan comparison (340.7 KB) 

UnitedHealthcare Group Medicare Advantage (PPO)

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Benefits and costs

UnitedHealthcare Group Medicare Advantage (PPO)

Annual medical deductible

$0

Annual out-of-pocket maximum

$3,000

Office and clinic visits

$15 copay for primary care

$25 copay for specialist visit

Hospital services (inpatient)

$250 copay per admit

Hospital services (outpatient)

20% coinsurance

Emergency room

$120 copay (waived if admitted)

Urgent care

$35 copay (waived if admitted)

Ambulance

$150 copay

Skilled nursing facility

$0 copay days 1 – 20

$80/day copay days 21 – 100 

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Teachers' Retirement System of Kentucky

Group retiree benefits for Shell

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Last updated: 07.20.2021 at 12:01 AM CT              H2001_033121IMR