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Insurance for Boonshoft School of Medicine Students
Your United Health Care Benefits at a Glance
July 1, 2007
- June 30, 2008
| In-Network Deductible |
$100 |
| Out-of-Network Deductible |
$400 |
| Primary Care &
Specialty Physician Visit |
$20 co-pay |
| ER |
$100 co-pay |
| Urgent Care |
$50 co-pay |
| Prescriptions |
$30 co-pay brand name, $10 co-pay generic |
| Inpatient Hospital |
100% in network, 70% out network |
| Outpatient Hospital |
100% in network, 70% out network |
| Other Expenses Including Ambulance, Home Health Care, Equipment,
Supplies, Maternity, Complications of Pregnancy, Accidental Dental Injury
and Hospice Care |
100% in network, 70% out network |
| Network |
United Health Care Choice Plus |
| Plan Maximum |
$200,000 |
| Web site... Find a network physician |
www.myuhc.com |
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