Unicare of Texas Health Savings Account-Compatible 5000 10000 Plan 3 TXIMHDHPC0706 Plan Information

Plan Name: Health Savings Account-Compatible 5000 10000 Plan 3 TXIMHDHPC0706

Plan Type: High Deductible Health Savings Account-Qualified

Health Savings Account: Compatibility with tax deferred savings accounts

Physician Choice: Yes

Annual Out-of-Pocket Maximum: Single party: $5000 or Family: $10,000 (includes annual deductible)

Annual Deductible: Single party: $5000 or Family: $10000

Office Visits: UniCare pays 100%

Professional Services: UniCare pays 100%

Hospital Inpatient: UniCare pays 100%

Hospital Outpatient: UniCare pays 100%

Inpatient Medical Emergency: UniCare pays 100%

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

Preventive Care for Adults: UniCare pays 100%

Drug Benefits: UniCare pays 100%, after annual deductible

Other Unicare of Texas health insurance plans:

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