HMO's allow you to receive comprehensive coverage at set prices,
Doctors/Other Medical Care Providers: You can only
use doctors, hospitals, and pharmacies that participate in the HMO
network. Doctors who participate in the HMO network are called
in-network providers. There is no coverage if you go to out-of-network
providers, except for emergency services.
Annual Deductible: You don’t need to pay an annual deductible
before the plan begins to pay for a portion of covered medical
Copays: When you receive medical care, you pay a set dollar
amount called a copay.
Annual Out-of-Pocket Maximum: The HMO plans include an annual out-of-pocket maximum. This is the maximum amount you must pay out of your own pocket.
Note: Review the comparison chart below for copays, annual out-of-pocket maximums and annual deductible limits.
Per Pay Period Cost
Plus 2 or more
UnitedHealthcare Performance HMO Network 1
UnitedHealthcare Performance HMO Network 2
UnitedHealthcare Signature Value Alliance HMO
Contact the Provider
Member Services Phone Number: (888) 586-6365
COSD/VEBA Advocacy Center: (888) 276-0250
UnitedHealthcare Performance HMO – Network 1
Group # M2927
UnitedHealthcare Performance HMO – Network 2
UnitedHealthcare Alliance HMO