MEDICAL INSURANCE
AAPL offers two medical plans through United Healthcare. To find participating providers go to www.myuhc.com and click on “Find a Doctor”. On the following screen select “All United Healthcare Plans.” Select either “Choice HMO” or “Choice”, depending on which plan you are interested in. See chart below for network per plan. Complete the remaining information and click Search.
The chart below provides a brief overview of the medical plans. This chart is intended only to highlight the benefits available and should not be relied upon to fully determine your coverage. If the below illustration of benefits conflicts in any way with the Summary Plan Description (SPD), the SPD shall prevail. It is suggested that you review your exact description of services and supplies that are covered, those which are excluded or limited, and other terms and conditions of coverage.
HMO Plan Choice AUXC
PPO Plan Choice AUW4
IN-NETWORK
Choice HMO
Choice PPO
Deductible (Individual / Family)
$3,500 / $7,000
$2,000 / $4,000
Maximum Out-of-Pocket (Individual / Family)
$7,350 / $14,700
$4,000 / $8,000
Deductible, Coinsurance, & Copays
Deductible, Coinsurance, & Copays
Out-of-Pocket Max Includes
Coinsurance
80% / 20%
90% / 10%
Routine Preventive Services
Wellness
Immunizations
Covered 100%
Covered 100%
Mammography/Colonoscopy
Office Visits & Facility Services
Referral required
No
No
PCP Office Visits
$40 Copay
$25 Copay
Specialist Visits
$80 Copay
$50 Copay
Inpatient Hospital
20% after deductible
10% after deductible
Outpatient Surgery
20% after deductible
10% after deductible
Emergency Room
20% after deductible
$250 copay
Urgent Care
20% after deductible
$50 copay
OUTPATIENT DIAGNOSTIC SERVICES
Lab Services (Freestanding Lab)
20% after deductible
10% after deductible
X-Ray Services (Freestanding Lab)
20% after deductible
10% after deductible
Complex Diagnostic
20% after deductible
10% after deductible
PRESCRIPTIONS
Retail (30 day supply)
$10 / $35 / $60
$10 / $35 / $60
Mail Order (90 day supply)
2.5x retail
2.5x retail
OUT-OF-NETWORK
Deductible
Maximum Out-of-Pocket
Not Available
Not Available
Coinsurance
3
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