UnitedHealthcare HMO Plans
Network 1, Network 2, and Alliance
HMOs allow you to receive comprehensive coverage at set prices, called copays.
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 could pay out of your own pocket.
Prescription Coverage: Prescriptions will be managed by Express Scripts. UHC HMO members will receive an ID card from UHC for medical and an ID card from Express Scripts for prescription drug benefits.
Note: Review the comparison charts below for copays, annual out-of-pocket maximums, and a list of medical groups.
Per Pay Period Cost
|Employee Only||Employee +1
||Employee + 2 or more|
UnitedHealthcare Performance HMO Network 1
UnitedHealthcare Performance HMO Network 2
UnitedHealthcare SignatureValue Alliance HMO
Contact the Provider
CoSD/VEBA Advocacy Center: 888-276-0250
Express Scripts 800-918-8011