Unicare of Texas Saver 2000 TXIMSVRC0706 Plan Information

Plan Name: Saver 2000 TXIMSVRC0706

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: 2 office visits per member, per year, participating and nonparticipating providers combined. You pay a $30 copay (deductible is waived). 3+ office visits: You pay 100% of billed charges.

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: You pay $10 copay. Brand name drugs: You pay $25 copay plus a separate $200 deductible per member, per year. There is a maximum payment by UniCare of $500 per member, per year for all drugs combined.

Other Unicare of Texas health insurance plans:

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