Unicare of Illinois HSA Compatible Variable Deductible Plan Plan Information
Plan Name: HSA Compatible Variable Deductible Plan
Plan Type: High Deductible HSA-Qualified
Health Savings Account: Compatibility with tax deferred savings accounts
Physician Choice: You choose specialist(s)
Annual Out-of-Pocket Maximum: Single party: $5000 or Family: $10,000 (includes annual deductible)
Annual Deductible: Subject to change annually to meet minimum IRS requirements.The 2007 amounts are: $1100 for single party or $2200 for family coverage.
Office Visits: UniCare pays 80%
Professional Services: UniCare pays 80%
Hospital Inpatient: UniCare pays 80%
Hospital Outpatient: UniCare pays 80%
Inpatient Medical Emergency: UniCare pays 80%
Preventive Care for Babies and Children (through age 6): UniCare pays 80%
Preventive Care for Adults: UniCare pays 80%
Drug Benefits: After the annual deductible is met, UniCare pays 100% except for the following member copay: Generic: $10 copay. Brand Formulary: $30 copay. Brand Non-Formulary: $50 copay.
Other Unicare of Illinois health insurance plans:
