2018 Buchanan Hauling Benefit Guide
2018 Benefit Summaries UNITED HEALTHCARE Plans
Primary Advantage ANFQ
HG4 * (HSA eligible)
HF7 *
AGT8 *
HG2-MOD (HSA)
Network Only POS
Network Only POS
Network Only POS
PPO - In Network
PPO - In Network
Network
Choice Network
Choice Network
Choice Network
Choice Plus Network
Choice Plus Network
Deductible
$5,000 / $10,000
$5,000 / $10,000
$2,500 / $5,000
$4,000 / $8,000
$3,000 / $6,000
(Single/Family)
OOP max
$6,250 / $12,500
$6,250 / $12,500
$6,250 / $6,850
$6,650 / $13,000
$6,500 / $13,000
(Single/Family)
Coinsurance
0%
20%
50%
20%
20%
Office Visit
$30 / $60 copay after deductible
Deductible then coinsurance Deductible then coinsurance Deductible then coinsurance
$30 / $60 copay
$30 / $60 copay
$0 / $100 copay
(PCP/Spec)
Deductible then coinsurance Deductible then coinsurance
Deductible then coinsurance Deductible then coinsurance
Deductible then coinsurance Deductible then coinsurance
Inpatient Hospital
Deductible
Outpatient surgery / Physician’s office
Deductible
Preventive Care
100%
100%
100%
100%
100%
Deductible then coinsurance $300 copay then coinsurance
Deductible then coinsurance $300 copay then coinsurance
Deductible then coinsurance Deductible then coinsurance
Deductible then coinsurance $250 copay, then deductible then coinsurance Individual Ded: $250 Family Ded: $500
Outpatient Lab
Deductible
$300 copay then 100% after deductible
Emergency
RX Deductible **
N/A
N/A
N/A
N/A
Prescription Drug Retail Prescription Drug Mail Order
$10 / $35 / $60 after deductible
$10 / $35 / $60 -after deductible
$10 / $35 / $60
$10 / $35 / $60
$5 / $50 / $100 / $250
2.5 times retail
2.5 times retail
2.5 times retail
2.5 times retail
2.5 times retail
*No Out of Network Benefits
** RX Ded does not apply to Tier 1 and Tier 2
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