© 2008 UnitedHealthcare Simple Health plan benefits you can ...

© 2008 UnitedHealthcare

Simple Health plan benefits you can understand.

State of New Mexico 2010-2011

Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.

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You have a lot to consider when you sign up for your health plan…

So, Can Healthcare really be “Simple”?

Is my doctor in the network?

How Does my Plan work?

How do I manage my cost of health care?

How do I manage my healthcare?


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Find your doctorwww.myuhc.com/groups/nmex to find your doctor. You can search by: • Name

• Specialty

• Condition or procedure

• Office hours

• Gender

• Education

• Driving directions

• Languages spokenMost likely, your doctor is in our nationwide network.


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UnitedHealthcare Choice Plus plan

• Visit any physician or hospital in our network without a referral

• No need to submit claims

• Lower copayments for network care

• Lower out-of-pocket costs for network care

• Personalized care coordination services

• Routine checkups included

• Non-network care available


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Your medical benefits at a glance

Member deductibles Network benefit Non-network benefit

• Single• 2 Person• Family

• $400• $800• $1,200

• $1,600• $3,200• $4,800

Out-of- PocketMaximum/policy year Network benefit Non-network benefit

• Single• 2 Person• Family

• $3,000• $6,000• $9,000

• $6,000• $12,000• $18,000

Lifetime Maximum Network benefit Non-network benefit

Participants Unlimited Unlimited


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Your medical benefits at a glance

Type of coverage Network benefit Non-network benefit

Physician’s office services $25 copayment- No Deductible 40% After deductible

Specialist office visit $ 40 copayment-Deductible Applies 40% After deductible

Emergency Room services $175 Copayment-Deductible Applies $175 Copayment

In-patient hospital stay $400 Per admission- Deductible applies. 40% After deductible

Urgent Care center services$50 Copayment –

Deductible applies. $50 Copayment


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Treatment Cost Estimator

• Provides cost estimates for specific treatments and procedures based on selected physician’s costs

• Helps you understand the cost of treatment

• Allows you to plan in advance of your health care need


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Quicken Health® Expense Tracker

• Simplifies claims information and medical terms

• Shows what you owe your provider

• Allows you to pay your bill online (Q1, 2010)

• Shows CDH members’ account balances

• Alerts you to possible physician billing errors


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myuhc.com• Find network

doctors/hospitals• Estimate costs• Track claims status• Build a health

improvement program• Keep a Personal

Health Record• Get health

product discounts• Review plan details


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UnitedHealth Premium® designation program• Doctors and cardiac

facilities that follow medical guidelines

• Compare quality and costs of health care facilities

• Look for the stars when you search for a physician


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Hospital Comparison Program

• On myuhc.com• Find national quality ratings

and cost information on 54 procedures and conditions

• Side-by-side hospital comparisons on cost and quality based on specific procedures


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Personal Health Record

• Keep health and medical history

• Manage health history and lifestyle habits; track stats: blood pressure, cholesterol, and weight

• Summary of conditions, medications, procedures, and lab results

• Download it to computer; print to share with doctor

myuhc.com


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Wellness resources

• Health assessment and personalized program information

• Latest health news, including healthy recipes

• Online quizzes to test your health knowledge

• Online health coach that provides you with information that may improve your health

myuhc.com


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NurseLineSM

• Connect with a registered nurse any time• Get health information from a registered nurse by

phone• Prepare yourself before seeking a doctor’s care• Recorded messages on thousands of health topics• Communicate in live, one-to-one Nurse Chats

at myuhc.com

myuhc.com


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Behavioral health support

• Receive confidential, specialized help • For anxiety, stress, depression and coping with change • Licensed and certified professionals


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Healthy Pregnancy program

• Get support through every stage of pregnancy and delivery

• Nurses available, toll-free, 24/7• Personalized pregnancy assessment• Free pregnancy book and healthy baby bag• Discount on PJ’s Comfort


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Health discounts

Save 20 – 50 percent on products and services not in plan

• Laser eye surgery• Cosmetic dentistry• Health club memberships• Weight loss programs and more

www.myuhc.comunder “Health & Wellness”


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Source4Women• Get health plan

information in plain language

• Connect with women in your community

• Get tips to consider on getting and staying healthy

• Attend online seminars and events


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You have a lot to consider when you sign up for your health plan

• Access to a really big network-

• 617,00 Providers and 5,010 Hospitals through out the United States.

• 4,824 Providers in NM Alone

What do I really get with UHC?

• Access to online and personal resource to help you manage your cost of care.

• Access to a true partner who’s interested in you and your families health.

© 2008 UnitedHealthcare

Simple Health plan benefits you can understand.

Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. © 2009 United HealthCare Services, Inc.UHCEW439246-000

Visit www.myuhc.com/groups/nmex 1-800-842-0241

© 2008 UnitedHealthcare Simple Health plan benefits you can ...

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