Strong Network Access with Local, Affordable Solutions

Neighborhood Health Partnership (NHP) HMO plans are health plans with local network access that encourage a strong relationship between the employee and a primary care physician (PCP).

What makes this plan different: The NHP HMO plans offer convenient, local access to network physicians and hospitals, with the PCP providing referrals to specialists when needed.

Typical Employer Size:

Delivering on What You Value Most

You Value: NHP HMO Offers:

A comprehensive local network ✔Online eligibility, enrollment and billing ✔Protection for employees from excessive costs for prescriptions, and physician and hospital services ✔

Access to programs and services designed to enhance employee health ✔

A health plan that accommodates locally based employees ✔

2-300 employees

Neighborhood Health Partnership HMO

Neighborhood Health Partnership Portfolio | Florida

Broad Network NHP plans are supported by a large local network of physicians and hospitals in the South Florida and Central Florida areas.

Online Employer Tools NHP Employer eServices® portal is designed to save time and money by streamlining online eligibility, enrollment and billing. Manage benefits administration online and in real time, creating a better experience for you, your employees and the physicians who treat them.

Employee Resources• mynhp.com

• Pharmaceutical solutions

Support and Wellness Programs• NurseLineSM

• Healthy Pregnancy Program• Care Management Services

For a description of the programs and services listed above, refer to the NHP plan portfolio brochure.

Understanding the Details

In-NetworkIndividual/Family

Deductible $1,000 – $5,000 / $3,000 – $10,000

Coinsurance 100% – 70%

Copayment

Primary care physician office visit $20 – $40

Specialist office visit $50 – $80

Out-of-Pocket Maximum $1,000 – $6,250 / $3,000 – $12,500

Covered Services

Emergency room service (if not admitted) $200 – $500

Urgent care services $75 – $100

Inpatient hospital services 100% – 70%

Outpatient surgery 100% – 70%

Major diagnostics (MRI, CT & PET) $200, 100%

All plans have an unlimited lifetime maximum. All plans cover in-network preventive care at 100%. The information in this grid is provided for informational purposes only and is not intended for use as a contract. Please reference a benefit summary for benefit information on additional services/coverage (home health care, hospice care, skilled-nursing facility care, inpatient and outpatient mental health services, or substance abuse care, ambulatory surgery services, etc.). For a complete listing of coverage and exclusions, please refer to the Certificate of Coverage or talk to your UnitedHealthcare representative for additional details that could impact the benefits. Different UnitedHealthcare plans may have varying approaches to whether pharmacy costs are included or excluded from the medical deductible.

Resources That Encourage Health and Wellness NHP plan members have access to the following resources and services, designed to promote wise health care choices and healthy living.

Neighborhood Health Partnership HMO

With NHP, you can choose from a variety of deductible, coinsurance, copayment and out-of-pocket maximums. The grid below highlights a sample of some of the benefit plan designs that may be available to you and your employees.

You Have Options

Deductible Coinsurance Out-of-Pocket

Maximum

Primary Care Physician

Office Visit

Specialist Office Visit

Urgent Care Services

Emergency Room

Inpatient Hospital Services

Outpatient Surgery

Major Diagnostics

$1,000 100% $2,500 $25 $50 $100 $200 100% 100% 100%

$2,000 100% $1,000 $25 $50 $100 $200 100% 100% 100%

$2,500 100% $2,500 $20 $80 $100 $200 100% 100% 100%

$4,000 90% $6,250 $25 $50 $75 $300 90% 90% $200

$5,000 70% $6,250 $40 $80 $100 $500 70% 70% $200

Neighborhood Health Partnership Portfolio

Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. Health Plan coverage provided by or through Neighborhood Health Partnership, Inc.

The UnitedHealthcare plan with Health Savings Account (HSA) is a high deductible health plan (HDHP) that is designed to comply with IRS requirements so eligible enrollees may open a Health Savings Account (HSA) with a bank of their choice or through Optum BankSM, Member of FDIC. The HSA refers only and specifically to the Health Savings Account that is provided in conjunction with a particular bank, such as Optum Bank, and not to the associated HDHP.

The UnitedHealthcare plan with Health Reimbursement Account (HRA) combines the flexibility of a medical benefit plan with an employer-funded reimbursement account.

NurseLineSM is for informational purposes only. Nurses cannot diagnose problems or recommend specific treatment and are not a substitute for your doctor’s care. NurseLine services are not an insurance program and may be discontinued at any time.

The Healthy Pregnancy Program follows national practice standards from the Institute for Clinical Systems Improvement. The Healthy Pregnancy Program can not diagnose problems or recommend specific treatment. The information provided is not a substitute for your doctor’s care.

10/13 ©2013 United HealthCare Services, Inc. NHP (HMO) – Broker/Employer Product Sheet NHPFL647440-000

Neighborhood Health Partnership

NHP POS NHP HMO NHP HSA/HRA

Network Coverage

Non-Network Coverage ✔ ✔Level of Member Involvement

PCP Selection ✔ ✔ ✔Referrals Required* ✔ ✔ ✔

Employer Premium $$$ $$ $$*Direct/Open Access based on plan selection.

What Do You Value in a Health Plan? To get the most from a health plan, consider which features give you the most value.

KEY

Best, Most

Better, Plus

Better, More

Good BasicNot Available

Included

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