Unicare of Texas Consumer Choice 2000 TXIMDMFC0706 Plan Information

Plan Name: Consumer Choice 2000 TXIMDMFC0706

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: $2000 per member, two-member family maximum

Office Visits: First 4 office visits: UniCare waives the deductible. You pay a $30 copay. 5+ office visits: Once you pay your deductible, UniCare pays 75%.

Professional Services: UniCare pays 75%

Hospital Inpatient: UniCare pays 75%

Hospital Outpatient: UniCare pays 75%

Inpatient Medical Emergency: UniCare pays 75%

Preventive Care for Babies and Children (through age 6): UniCare pays 100%

Preventive Care for Adults: UniCare pays 75%

Drug Benefits: Generic drugs: UniCare pays 100% after member pays a $10 copay. Brand name formulary drugs: UniCare pays 100% after member pays a $30 copay plus a separate $1000 deductible per member, per year.

Other Unicare of Texas health insurance plans:

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