Unicare of Illinois Illinois UniCare Fit 1000 Plan Information

Plan Name: Illinois UniCare Fit 1000

Plan Type: PPO

Savings Account Compatibility: Not compatible

Physician Choice: Yes

Annual Out-of-Pocket Maximum: $3000 plus deductible per member, $6000 plus deductible per family

Annual Deductible: $1000 per member, two-member family maximum

Office Visits: office visits: UniCare waives the deductible ,you pay a $30 copay, unlimited visits

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): Office visit: $30 copay; Immunization: UniCare pays 100% with deductible waived up to $300 maximum payment. After maximum has been met, deductible and coinsurance applies.

Preventive Care for Adults: Office visit: $30 copay; Lab work/xray: Unicare pays 100% with deductible waived up to $300 maximum payment. After maximum has been met, deductible and coinsurance applies.

Drug Benefits: Generic drugs: You pay a $10 copay. Brand name drugs: You pay a $30 copay for formulary drugs or a $50 copay for nonformulary drugs plus a separate $250 deductible per member,per year. Self Injectable Drugs: You pay 20% (plus deductible for brand name).

Other Unicare of Illinois health insurance plans:

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