The Standard Benefit Guide

What You Pay

United Healthcare Standard POS

United Healthcare Amazing POS

United Healthcare OMG! POS

Medical

Monthly

Per paycheck

Monthly

Per paycheck

Monthly

Per paycheck

Employee

$103.17

$47.62

$171.11

$78.97 $275.90 $127.34

Employee + Spouse

$387.38 $178.79 $449.66 $207.54 $680.65 $314.15

Employee + Child(ren)

$336.06 $155.10 $390.10 $180.05 $590.51 $272.54

Employee + Family

$537.73 $248.18 $624.19 $288.09 $944.83 $436.08

United Healthcare Standard DMO

United Healthcare Amazing PPO

United Healthcare OMG! PPO

Dental

Monthly

Per paycheck

Monthly

Per paycheck

Monthly

Per paycheck

$6.84 $3.42 $7.32

$12.46 $6.23 $12.03 $25.09 $12.54 $24.23 $37.06 $18.53 $35.78

$23.17 $11.59 $22.38 $48.02 $24.01 $46.38 $68.82 $34.41 $66.47

$14.82 $15.87 $25.37 $27.17 $33.24 $35.60

$27.00 $26.07 $54.36 $52.49 $80.30 $77.53

$50.21 $48.50 $104.04 $100.50 $149.10 $144.02

Employee

$11.71 $5.85 $12.54 $15.34 $7.67 $16.43

Employee + 1 Dependent

Employee + Family

Eyemed Vision Eyemed Vision

Vision

Monthly Monthly

Per paycheck Per paycheck

$5.09 $5.09 $5.09 $9.60 $9.60 $9.60

$2.35 $1.17 $2.35 $4.43 $2.22 $4.43 $4.67 $2.34 $4.67 $6.84 $3.42 $6.84

Employee

Employee

Employee + Spouse

Employee + Spouse

$10.12 $10.12 $10.12 $14.83 $14.83 $14.83

Employee + Child(ren) Employee + Child(ren)

Employee + Family

Employee + Family

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