UnitedHealthOne – Copay Select Plan Benefits

Copay Select Overview

Our Rating:

• Brochure

Copay Select Plans are more like traditional employer plans with a co-payment for routine healthcare expenses. Individuals who prefer the convenience of copay benefits for routine health care expenses, families with young children who have regularly scheduled doctor visits and adults who want copay benefits for preventive care and prescriptions drugs benefit most from a CoPay Select Plan.

Copay Select plan highlights include:

• Preventive care benefits for adults and children ($35 copay fror the office visit. Lab tests and x-rays are covered at 100%, no annual maximum)
• Unlimited office visits ($35 copayment)
• Unlimited lifteime maximum benefit
• Prescription drug co-payment card for generic and brand name drugs (deductible waived)
  • Generic drugs – $15 copay
  • Preferred brands – $30 copay*
  • Non-preferred brands – $60 copay*

(*please note there is a $100 calendar year deductible for brand and non-preferred brand drugs)

Copay Select Deductibles
$500 single / $1,000 family	$1,000 single / $2,000 family
$1,500 single / $3,000 family	$2,500 single / $5,000 family
$3,500 single / $7,000 family	$5,000 single / $10,000 family
$7,500 single / $15,000 family	$10,000 single / $20,000 family