Unicare of Michigan UniCare Solaura HSA Plan 1a Plan Information

Plan Name: UniCare Solaura HSA Plan 1a

Plan Type: HSA

Health Savings Account: Yes

Physician Choice: Yes

Annual Out-of-Pocket Maximum: $5,000 single/$10,000 famiIy

Annual Deductible: $3,000 single/$6,000 famiIy

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 100% deductible waived

Preventive Care for Adults: UniCare pays 100% deductible waived

Drug Benefits: UniCare pays 80% after deductible

Account Contribution by UniCare: None

Health Program Credits: No

Other Unicare of Michigan health insurance plans:

• UniCare Solaura HIA Plus Plan 3
• MI FIT 5000
• UniCare High Deductible Health Plan 4 100
• UniCare Saver 2000
• UniCare Solaura HSA Plan 2a
• UniCare Solaura HIA Plan 2
• UniCare High Deductible Health Plan 2 80
• MI FIT 3000
• UniCare Solaura HIA Plus Plan 1
• UniCare Solaura HIA Plan 1
• UniCare High-Deductible Health Plan 3 100
• MI FIT 2000
• UniCare Solaura HIA Plus Plan 2
• MI FIT 1500
• MI FIT 1000
• UniCare High-Deductible Health Plan 1 80
• MI FIT 500