Unicare of Texas Texas UniCare Fit 1500 TXIMDEDC0706 Plan Information

Plan Name: Texas UniCare Fit 1500 TXIMDEDC0706

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: $1500 per member, two-member family maximum

Office Visits: You pay a $30 copay, unlimited visits, deductible waived

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): Office Visit: $30 copay Immunizations: UniCare pays 100%, deductible waived

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 $50 for nonformulary drugs, plus a separate $250 deductible per member, per year. Self Injectable Drugs: You pay 25% (deductible applies to brand name).

Other Unicare of Texas health insurance plans:

Request a FREE QUOTE with NO OBLIGATION today! It only takes a minute... Step 1
* Required Field

Question 1*
Yes No

Question 2
Yes No

Question 3*

©2009 Health Insurance Online. All rights reserved.