Welcome to UnitedHealthcare. Employees...Actives - HMO Actives - PPO In-Network Out-of-Network...

Welcome to UnitedHealthcare.

Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

What’s inside

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We’re here to help make each step of your health care experience easier.

Benefits At-a-Glance1

Your Pharmacy benefits2

MyUHC.com3

Programs designed for better health4

Get to know your benefits through UnitedHealthcare

Two innovative programs available:

-HMO

-PPO

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Select a primary care provider (PCP) from the plan network.

Network coverage only.

Referrals are required from your PCP for you to see a specialist.

Preventive care is covered 100 percent in our network.

Actives & Early Retirees - HMO

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Your Plan Benefits

Copayment

PCPTelehealth/Virtual VisitSpecialist

$3$3$3

No Deductible

Out-of-pocket max

Self

Family

$800

$2,400

IP Hospital Covered at 100%

Urgent CareER

$3$35

Prescription Drugs $5


COVID-19 Tools and Resources

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Vaccine manufacturer Doses1 Ages for EAU2

Pfizer-BioNTech 2 doses, 21 days apart 16 and older

Moderna 2-doses, 1 month apart 18 and older

Johnson & Johnson 1 dose 18 and older

UnitedHealthcare is committed to helping our members to protect their health and access to resources during this unprecedented time. Please visit www.MyUHC.com to access:

•Symptom Checker - Symptom checker to assess their risk for COVID-19 and get treatment options •Test Locator Tool – Will assist members find a COVID-19 diagnostic test location in their area. UnitedHealthcare will cover the COVID-19 diagnostic test and test-related visit with no cost sharing (copayment, coinsurance, and deductible).•COVID-19 Vaccine Resource Locator tool. The tool will help members navigate local vaccination planning and find resources for their area to help them take steps toward vaccination.

FDA Approved COVID-19 Vaccines

•Always follow vaccination instructions from the manufacturer

https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/pfizer-biontech-covid-19-vaccine#additionalhttps://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/moderna-covid-19-vaccinehttp://www.myuhc.com/


What is UnitedHealth Group doing to help members concerned with COVID-19?

• UnitedHealthcare has a team closely monitoring COVID-19, formerly known as the Novel Coronavirus. Our top priority is the health and well-being of the people we serve.

• As with any public health issue, UnitedHealthcare will work with and follow all guidance and protocols issued by the U.S. Centers for Disease Control and Prevention (CDC), Food and Drug Administration (FDA), and state and local public health departments.

Does UnitedHealthcare provide any support services for those people who have been affected by the virus?

• The CDC website is the best place to go to stay up to date on the developing COVID-19 virus.

• UHC is offering a free emotional support help line for all people impacted. This help line will provide those affected access to trained mental health specialists. The company’s public toll-free help line number, 866-342-6892, will be open 24 hours a day, seven days a week for as long as necessary.

• This service is free of charge and open to anyone. Mental health specialists help people manage their stress and anxiety so they can continue to address their everyday needs. Callers may also receive referrals to community resources to help them with specific concerns, including financial and legal matters.

COVID-19 Tools & Resources

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https://www.cdc.gov/coronavirus/2019-ncov/about/index.html


The CDC recommends getting a flu shot

• For this upcoming flu season in the Fall, it will be more important than ever with COVID-19. COVID-19 and the flu will both be spreading this season, according to the Centers for Disease Control and Prevention (CDC).

• Protecting yourself from the flu helps reduce your risk of hospitalization. It is recommended for most people including everyone 6 months and older, even healthy people. It is especially important for adults 65 and older, pregnant women, young children under 2 years old, and people with certain health conditions. Many high-risk people would also benefit from a pneumonia vaccine.

• The flu vaccine can help weaken or prevent the flu and the vaccine is covered a 100% for UnitedHealthcare members. Generally, it is recommended to get the flu shot by the end of October according to the CDC, especially with the ongoing spread of COVID-19. Discuss the flu and other vaccines and the best timing with your provider.

COVID-19 Tools & Resources

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https://www.cdc.gov/flu/index.htm

Proprietary information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.8

Visit liveandworkwell.com or call the toll free number on your id card

to learn more

Behavioral Health Benefits

Behavioral Health Solutions gives you confidential help with:

• Depression, stress and anxiety

• Relationship & Financial difficulties

• Child and elder care support

• Substance use and recovery

• Coping with grief and loss

• COVID-19 Resources and more


• UnitedHealthcare offers members with behavioral health benefits and access to ongoing resources. Emotional-support resources and information are also available online at www.liveandworkwell.com or by calling the toll-free number on your id card.

• UHC is offering a free emotional support help line for all people impacted by COVID-19. This help line will provide those affected access to trained mental health specialists. The company’s public toll-free help line number, 866-342-6892, will be open 24 hours a day, seven days a week for as long as necessary.

• This service is free of charge and open to anyone. Mental health specialists help people manage their stress and anxiety so they can continue to address their everyday needs. Callers may also receive referrals to community resources to help them with specific concerns, including financial and legal matters.


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http://www.liveandworkwell.com/


UnitedHealthcare helps members with behavioral health needs during the Covid-19 emergency with tele-mental health solutions

• In order to make it easier for our members to receive appropriate treatment during this challenging time, Optum Behavioral Health is enabling providers to use popular applications for video chat or telephonic care to effectively support the behavioral health needs of our members.

• This means that for members or providers who do not have access to approved technology typically required to conduct a virtual visit, alternative technologies like telephone visits or video chat services -- like Apple FaceTime, Facebook Messenger, Zoom, Google Hangouts or Skype --can be used. This also applies to health care providers who are qualified and licensed in accordance with applicable regulations to provide ABA services.


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Virtual Visits For All HMO & PPO Plans

*Data rates may apply. **Certain prescriptions may not be available, and other restrictions may apply. Access to Virtual Visits and prescription services may not be available in all states or for all

groups. Go to myuhc.com for more information about availability of Virtual Visits and prescription services. Always refer to your plan documents for your specific coverage. Virtual Visits and video

chat with a doctor are not an insurance product, health care provider or a health plan. Virtual Visits are an internet-based service provided by contracted UnitedHealthcare providers that allow

members to select and interact with independent physicians and other health care providers. It is the member’s responsibility to select health care professionals. Care decisions are between the

consumer and physician. Virtual Visits are not intended to address emergency or life-threatening medical conditions and should not be used in those circumstances. Services may not be available

at all times or in all locations. Members have cost share responsibility and all claims are adjudicated according to the terms of the member’s benefit plan. Payment for Virtual Visit services does

not cover pharmacy charges; members must pay for prescriptions (if any) separately. No controlled substances may be prescribed. Other prescriptions may be available where clinically

appropriate and permitted by law, and can be transmitted to the pharmacy of the member’s choice.

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Get care 24/7 using your computer or mobile device —no appointment needed.*

Video chat with a doctor for nonemergency medical conditions such as:

• Colds/flu

• Coughs/fevers

• Allergies

• Bronchitis

Doctors can provide a diagnosis and send a prescription** to your local pharmacy, if needed.

To get started, visit myuhc.com/virtualvisits.

• Eye, skin and urinary infections

• Sore throats

• Rashes

• Stomachaches

Real doctors. Real care. Real convenience.

Get a diagnosis and a prescription in

Minutes110-15


If you go out of network, your costs may be higher. Please read your plan documents and check your

Summary of Benefits for additional information.

There’s out-of-network coverage.

Option to choose a primary care provider (PCP).

No need to get referrals to see a specialist.


Actives - PPO

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Your Plan Benefits

Copayment


$25$25$35

Deductible

SelfFamily

$500$1,500

Out-of-pocket max

SelfFamily

$2,000$6,000


Urgent CareER

$50$100

Prescription Drugs $10/$20








Retiree Under Age 65 - PPO Plan A

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Your Plan Benefits

Copayment


$10$10$10

No Deductible

Out-of-pocket max

Self

Family

$1,000

$2,000


Urgent CareER

$25$25









Retiree Under Age 65 - PPO Plan B

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Your Plan Benefits

Copayment


$10$10$10

Deductible

SelfFamily

$250$500

Out-of-pocket max

Self

Family

$2,000

$4,000


ERUrgent Care

$25$25









Retiree Under Age 65 - PPO Plan C

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Your Plan Benefits

Copayment


$0$0$0

Deductible

SelfFamily

$2,000$4,000

Out-of-pocket max

Self

Family

$2,000

$4,000


Urgent CareER

$50$250

Prescription Drugs $15/$30/$45


Your Plan Benefits

Copayment


$0$0$0

No Deductible

Out-of-pocket max

Self

Family

$500

$1,500


Urgent CareER

$0$25


Use any doctor, clinic, hospital or health care facility in the country.

Same level of coverage for any health care provider or facility you use.




Owens Valley PPO

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Sign in to myuhc.com > Find Care & Costs.

A PCP can be a family practitioner, internist, pediatrician or general medicine physician. To find quality and cost-efficient providers, look for the blue hearts.

Ways to save

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When you see network providers, your routine wellness exams, certain recommended screenings and immunizations are covered by most UnitedHealthcare plans at no additional cost. Learn more at uhc.com/preventivecare.

Choose a network primary care provider (PCP).

Keep up with preventive care.

Your pharmacy benefits


Two easy ways to fill prescriptions:

Home delivery:

Order up to a 3-month supply of your regular

medications with free shipping.

Pick up at the pharmacy:

Show your ID card at any network pharmacy.

Pharmacy benefits

OptumRx is an affiliate of United HealthCare Insurance Company.

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Manage your meds.

Visit myuhc.com > Pharmacies & Prescriptions to:

• Find and compare medication costs.

• Locate a network pharmacy.

• See if your medications have any requirements

before filling them.

To sign up for home delivery or to find a network pharmacy:

• Visit myuhc.com.

• Use the UnitedHealthcare app.

• Call the number on your ID card.

Say hello to savings.OptumRx® makes it easy to keep track of your

medications and save money — both online

and on the go.

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2


Refill

reminders.

Free

shipping.

Get up to a

3-month supply.

May cost less

than retail.

24/7 pharmacist

access.

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Advantage of using home delivery


myuhc.com®

Manage your pharmacy benefits on the go

With myuhc.com® and the UnitedHealthcare® app1, you can:

Enroll in home delivery.

Find network pharmacies.

Refill prescriptions and

set up reminders.

Estimate and compare

medication costs.

1 The UnitedHealthcare app can also help determine how a medication is covered and whether or not there are other options to help save you money.

1220157 5/19 19-12448


Getting started

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• Find a network doctor.• View and pay claims.• Check account balances.• Find and estimate costs.

• Find nearby network care options.• See claims details and progress toward

your deductible.• View and share your health plan ID card.• Video chat with a doctor.

Activate your myuhc.com®

account and use it to:Download the UnitedHealthcare

®app to:

To set up your account:

• Go to myuhc.com > Register now.

• Follow the instructions

(have your ID card handy).

Programs designed for better health


RALLY Online Experience

Make the experience

fit my life

Help me manage

my health

• A user-friendly digital interface to help engage through online tools via myuhc.com®

• Personalized health goals

• Reward individuals with coins to achieve their goals

• Step-by-step supportmaking the experience fun and encouraging greater levels of engagement

• Tracking of individual results


24/7 Nurse Support: connect with a nurse, who can provide answers to questions and personal support throughout pregnancy.

Stay Informed: search symptoms and concerns that may occur, watch videos about a baby’s growth, monitor weight, and track baby’s movements.

Personalized milestones: keep track of pregnancy milestones based on due date.

Reminders: keep track of calendar appointments and set reminders to take vitamins or to take a few minutes to relax each day.

Support during pregnancy and post-partum.

Healthy Pregnancy App & Maternity Support Program


Ready to live tobacco-free?

Quit For Life is a personal support program available at no additional cost to you. As part of the program, you’ll receive:

• Access to a Quit Coach®

• A Quit Guide, mobile app and online tools to help you customize a quit plan

• And more

Enroll today at myuhc.com.

Quit For Life ®

The Quit For Life program provides information regarding tobacco cessation methods and related well-being support. Any health information provided by you is kept confidential in accordance

with the law. The Quit For Life program does not provide clinical treatment or medical services and should not be considered a substitute for your doctor’s care. Participation in this program is

voluntary. If you have specific health care needs or questions, consult an appropriate health care professional. This service should not be used for emergency or urgent care needs. In an

emergency, call 911 or go to the nearest emergency room.

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Real Appeal®

Get support to help reach your goals

MT 1176319.1 8/18

Real Appeal® is an online weight loss program available for free to UnitedHealthcare members.

Personal transformation coachStep-by-step guidance and customization for a program that fits your needs, preferences and goals.

24/7 convenienceStaying accountable to your goals may be easier than ever with access to digital content, trackers, group classes and weekly health tips.

Success kitResources to help you kick-start your weight loss and keep yourself on the road to results.

Learn more and start today at success.realappeal.com


Real Appeal®

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Success Kit


Real results from Real Appeal.

Before After Before After Before After

Real Appeal®

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We Look Forward To Serving You!!!

Thank You

Welcome to UnitedHealthcare. Employees...Actives - HMO Actives - PPO In-Network Out-of-Network...

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