UCare Silver 3H – HMO

87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: 15% after deductible
Specialist visit: 15% after deductible
Urgent care visit: 15% after deductible

SKU: 85736MN023000805 Category:

Description

This plan has 87% cost sharing reduction [Popular Plan]

Health Care Plan Details

Network type HMO
Deductible $675 per person $675 per person
Out-of-pocket max $2,900 per person $5,800 per family
Metal tier Silver

Visit Copay

Primary care visit 15% after deductible
Specialist visit 15% after deductible
Preventive care visit No charge

Urgent, Emergency Care, and Hospital Care

Urgent care 15% after deductible
Emergency room 15% after deductible
Ambulance 15% after deductible
Hospital stay (facility) 15% after deductible
Hospital stay (physician) 15% after deductible
Outpatient procedure (facility) 15% after deductible
Outpatient procedure (physician) 15% after deductible
Physical rehabilitation 15% after deductible

Maternitowny and Pregnancy

Labor, delivery, hospital stay 15% after deductible

Pharmacy, Drugs, and Medication

Generic 15% after deductible
Brand 15% after deductible
Non-preferred Brand 15% after deductible
Specialty 15% after deductible

Lab Tests and Diagnostic Procedures

X-rays 15% after deductible
Imaging (CT/PET/MRI) 15% after deductible
Blood work 15% after deductible

Mental and Psychiatric Health Care

Mental Health outpatient services 15% after deductible
Psychiatric hospital stay 15% after deductible

Health Plan Provider Information

Health Plan Benefits https://d2ed110nmrd591.cloudfront.net/blobs/bQECf7XNKm5tjX52VTCbfyjP.pdf
Drug and medication plan formulary https://www.ucare.org/health-plans/ifp/formulary/?utm_source=vanity&utm_medium=vanity&utm_campaign=grdocs