Medical Plan Comparison

UMR-UHC Medical Plan Comparison Direct Link

Category	Enhanced PPO	HSA Plan	Value PPO
HSA contributions are paid per pay period. The family deductible must be met before any person receives benefits. The family out of pocket max must be met before benefits are paid at 100% for any family member. All medical plans cover preventative care at 100%. For complete plan details see SBC's below.**
Petco Contribution to HSA	n/a	Employee: $500* Family: $1,000*	n/a
Deductible	Employee: $1,000 Family: $2,000	Employee: $2,000 Family: $4,000**	Employee: $3,750 Family: $7,500
Co-pay (Flat $ amount paid for services)	PCP $25 Specialist $50 Urgent Care $50 Generic Rx $10/$20	n/a	PCP $40 Specialist $80 Urgent Care $80 Generic Rx $10/$20
Co-insurance (% paid for services once deductible met)	20% Inpatient / Outpatient / Labs / Rx	Inpatient/ Outpatient/Labs 20% PCP 20% Specialist 20% Urgent Care 20% Rx 20%	30% Inpatient / Outpatient / Labs / Rx
Emergency Room Visit	$350 copay + 20% coinsurance	$350 copay + 20% coinsurance	$350 copay + 20% coinsurance
Out-of-Pocket Max (Expenses for covered services per plan year)	Employee: $5,000 Family: $10,000	Employee $4,000 Family $8,000***	Employee $5,000 Family $10,000

Kaiser Permanente service areas include CA, CO, GA, MD, OR, VA and WA.

Locate a Kaiser provider by calling you local office or visit https://healthy.kaiserpermanente.org/doctors-locations.

Find a UMR-UHC in-network provider by following these simple steps:

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Or connect with a Quantum care coordinator for assistance at (877) 324-3536.
- Monday – Friday 8:30AM – 10:00PM EST.

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