United Healthcare of Texas Plan 100 Plan Information
Calendar-Year Deductible You pay: $1,500, $2,500, $5,000, $7,500, $10,000
Coinsurance Choices You pay:0%
Coinsurance Out-Of-Pocket Maximum $0
Lifetime Maximum Benefit $3Million ($5Million plan enhancment available)
Initial Rate Guarantee 12 Months (24 Month plan enhancment available)
Physicians (Illness & Injury)
Office Visit- History and Exam No charge after deductible
Primary Care Physician/Specialist Referrals Required No
Prescription Drugs
Preferred price card No charge after deductible
Annual Maximum $3,000
Wellness/Preventive Care Benefits (No waiting period)
Doctor Office visit No charge after deductible
X-ray and Lab No charge after deductible
Child immunizations (0-18) No charge after deductible
Preventive Mammograms, Pap Smear, PSA screening No charge after deductible
Outpatient Expense Benefits
X-ray and Lab No charge after deductible
Facility/Hospital for Outpatient Surgery No charge after deductible
Surgeon, Assistant Surgeon, and Facility Fees No charge after deductible
Hemodialysis, Radiation, Chemotherapy, Organ Transplant Drugs, and CAT Scans, MRIs No charge after deductible
Emergency Room Fees-Illness You pay: $100 copay if not admitted, then no charge after deductible
Emergency Room Fees-Injury No charge after deductible
Other Covered Outpatient Expenses No charge after deductible
Spine and Back Disorders No charge after deductible (limited benefit)
Mental and Nervous Disorders (including substance abuse) No charge after deductible (limited benefit)
Inpatient Expense Benefits
Room and Board, Intensive Care Unit, Operating Room, Recovery Room, Prescription Drugs, Physician Visit, and Professional Fees of Doctors, Surgeons, Nurses No charge after deductible
Other Covered Inpatient Services No charge after deductible
Other United Healthcare of Texas health insurance plans:
