University of Missouri Group Retiree – Review Plan Benefits
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) - Base

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UnitedHealthcare® Group Medicare Advantage
(PPO) - Enhanced

Benefits and costs
UnitedHealthcare® Group
Medicare Advantage (PPO) –
Base Plan
UnitedHealthcare® Group
Medicare Advantage (PPO) –
Enhanced Plan

Annual medical deductible

$0

$0

Annual out-of-pocket maximum

$2,000

$0

Office and clinic visits

$10 copay for primary care visit

$20 copay for specialist visit

$0 copay for primary care or specialist visit

Hospital services (inpatient)

$200 copay per admission  

$0 per admission

Hospital services (outpatient)

$100 copay for surgery and observation

$0 copay

Emergency care

$65 copay

$0 copay

Urgent care

$35 copay

$0 copay

Medically-necessary services outside the United States

$200,000 lifetime maximum

$200,000 lifetime maximum

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University of Missouri

Group retiree benefits for the University of Missouri

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IMPORTANT DATES

2021 Annual Enrollment Period

Began: 10/26/2020
Ended: 11/06/2020


Benefits effective January 1, 2021

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Last updated: 09.03.2021 at 12:01 AM CT  H2001_020821IMR