United Healthcare HDHP $2,900
Medical benefits are provided through United Healthcare and Kaiser. Consider the physician networks, premiums, and out-of-pocket costs for each plan when choosing for you and your family.
United Healthcare HDHP $2,900
Plan details
- Carrier
- United Healthcare
- Plan Type
- HDHP
- Network
- New in 2027, the United Healthcare network will be the Core network.
- Out-of-Network Coverage
- Yes
- HSA Eligible
- Yes
| Coverage tier | BIWEEKLY CONTRIBUTIONS |
|---|---|
| Employee Only | $65.40 |
| Employee + Spouse | $201.40 |
| Employee + Child(ren) | $183.09 |
| Employee + Family | $274.64 |
Employee Only
- BIWEEKLY CONTRIBUTIONS
- $65.40
Employee + Spouse
- BIWEEKLY CONTRIBUTIONS
- $201.40
Employee + Child(ren)
- BIWEEKLY CONTRIBUTIONS
- $183.09
Employee + Family
- BIWEEKLY CONTRIBUTIONS
- $274.64
| Benefit | IN-NETWORK | OUT-OF-NETWORK |
|---|---|---|
| Annual Deductible - Individual | $2,900 | $5,800 |
| Annual Deductible - Family | $3,500 | $7,000 |
| Coinsurance (Plan Pays) | 60%* | 50%* |
| Annual Out-Of-Pocket Maximum (Maximum Includes Deductible) - Individual | $8,700 | $17,400 |
| Annual Out-Of-Pocket Maximum (Maximum Includes Deductible) - Family | $17,400 | $34,800 |
| Preventive Care | 100% | Not covered |
| Primary Care | 60%* | 50%* |
| Specialist Services | 60%* | 50%* |
| Major Diagnostic Imaging | Office: 60%* Hospital: 50%* | 50%* |
| Inpatient | $250 copay plus 60%* | $250 copay + 50%* |
| Urgent Care | 60%* | 50%* |
| Emergency Room | $300 copay + 60%* | $300 copay + 60%* |
Annual Deductible - Individual
- IN-NETWORK
- $2,900
- OUT-OF-NETWORK
- $5,800
Annual Deductible - Family
- IN-NETWORK
- $3,500
- OUT-OF-NETWORK
- $7,000
Coinsurance (Plan Pays)
- IN-NETWORK
- 60%*
- OUT-OF-NETWORK
- 50%*
Annual Out-Of-Pocket Maximum (Maximum Includes Deductible) - Individual
- IN-NETWORK
- $8,700
- OUT-OF-NETWORK
- $17,400
Annual Out-Of-Pocket Maximum (Maximum Includes Deductible) - Family
- IN-NETWORK
- $17,400
- OUT-OF-NETWORK
- $34,800
Preventive Care
- IN-NETWORK
- 100%
- OUT-OF-NETWORK
- Not covered
Primary Care
- IN-NETWORK
- 60%*
- OUT-OF-NETWORK
- 50%*
Specialist Services
- IN-NETWORK
- 60%*
- OUT-OF-NETWORK
- 50%*
Major Diagnostic Imaging
- IN-NETWORK
- Office: 60%* Hospital: 50%*
- OUT-OF-NETWORK
- 50%*
Inpatient
- IN-NETWORK
- $250 copay plus 60%*
- OUT-OF-NETWORK
- $250 copay + 50%*
Urgent Care
- IN-NETWORK
- 60%*
- OUT-OF-NETWORK
- 50%*
Emergency Room
- IN-NETWORK
- $300 copay + 60%*
- OUT-OF-NETWORK
- $300 copay + 60%*
- *After deductible
| Benefit | IN-NETWORK | OUT-OF-NETWORK |
|---|---|---|
| Annual Rx Deductible - Individual | N/A | N/A |
| Annual Rx Deductible - Family | N/A | N/A |
| Retail Rx (31-Day Supply) - Tier 1 | $20 copay* | Not covered |
| Retail Rx (31-Day Supply) - Tier 2 | $85 copay* | Not covered |
| Retail Rx (31-Day Supply) - Tier 3 | $135 copay* | Not covered |
| Retail Rx (31-Day Supply) - Tier 4 | 75% to a maximum of $250* | Not covered |
| Retail Rx (31-Day Supply) - Specialty | $20/$150/$250* | Not covered |
| Mail Order Rx (90-Day Supply) - Tier 1 | $50 copay* | Not covered |
| Mail Order Rx (90-Day Supply) - Tier 2 | $212.50 copay* | Not covered |
| Mail Order Rx (90-Day Supply) - Tier 3 | $337.50 copay* | Not covered |
| Mail Order Rx (90-Day Supply) - Tier 4 | 75% to a maximum of $250* | Not covered |
Annual Rx Deductible - Individual
- IN-NETWORK
- N/A
- OUT-OF-NETWORK
- N/A
Annual Rx Deductible - Family
- IN-NETWORK
- N/A
- OUT-OF-NETWORK
- N/A
Retail Rx (31-Day Supply) - Tier 1
- IN-NETWORK
- $20 copay*
- OUT-OF-NETWORK
- Not covered
Retail Rx (31-Day Supply) - Tier 2
- IN-NETWORK
- $85 copay*
- OUT-OF-NETWORK
- Not covered
Retail Rx (31-Day Supply) - Tier 3
- IN-NETWORK
- $135 copay*
- OUT-OF-NETWORK
- Not covered
Retail Rx (31-Day Supply) - Tier 4
- IN-NETWORK
- 75% to a maximum of $250*
- OUT-OF-NETWORK
- Not covered
Retail Rx (31-Day Supply) - Specialty
- IN-NETWORK
- $20/$150/$250*
- OUT-OF-NETWORK
- Not covered
Mail Order Rx (90-Day Supply) - Tier 1
- IN-NETWORK
- $50 copay*
- OUT-OF-NETWORK
- Not covered
Mail Order Rx (90-Day Supply) - Tier 2
- IN-NETWORK
- $212.50 copay*
- OUT-OF-NETWORK
- Not covered
Mail Order Rx (90-Day Supply) - Tier 3
- IN-NETWORK
- $337.50 copay*
- OUT-OF-NETWORK
- Not covered
Mail Order Rx (90-Day Supply) - Tier 4
- IN-NETWORK
- 75% to a maximum of $250*
- OUT-OF-NETWORK
- Not covered
- *After deductible
Plan Notes
- You’ll pay less in premiums (think less money from your paycheck).
- You’ll pay for the full cost of non-preventive medical services until you reach your deductible.
- You can also use a Health Savings Account in conjunction, which provides a safety net for unexpected medical costs and tax advantages.
- If you expect to mostly use preventive care (which is usually covered in full when in-network), this plan could be for you.