PERS Health Insurance Program Members – Non-Medicare Eligible
You have 2 Non-Medicare Health Plan Options
Plan option: UnitedHealthcare Choice Plus Core Value Plan
With this plan, you can use any doctor, clinic, hospital or health care facility you want. You save money when you use network providers. You will have a lower level of coverage if you use out-of-network providers.
The Choice Plus Plan highlights
Get a plan with access to a national network and the choice of out-of-network coverage.
- Save money by staying in our network. A network is a group of health care providers and facilities that have a contract with UnitedHealthcare. You can receive care and services from anyone in our network.
- There’s coverage if you need to go out of the network. You can receive care and services from anyone in or out of our network Out-of-network means that a provider does not have a contract with us. It’s important to remember, seeing an out-of-network provider will likely cost you more.
- There's no need to select a primary care physician (PCP) or get referrals to see a network specialist. Consider choosing a PCP as a partner in managing your care. They can help you avoid duplicating tests and services and connect you to a specialist.
- Preventive care is covered 100 percent in our network. You don't have to pay any out-of-pocket costs for age-appropriate preventive care as long as you use a network doctor.
Find your doctor
Find out if your doctor, clinic or facility is in our network.
Search the network: UnitedHealthcare Choice Plus Core Value Plan
The network can help lower your costs.
The doctors and facilities in our network have agreed to provide you services at a discount. This network includes:
- 930,000+ physicians and health care professionals
- 5,600+ hospitals
How paying for network care works
- You'll usually pay a copayment for certain covered services such as doctor visits and prescriptions.
- You'll usually have to pay a deductible before your plan will pay for covered services.
- You pay coinsurance, where you share a percentage of the cost with your plan.
- You are protected with an out-of-pocket limit. You'll never pay more than your out-of-pocket limit during the plan year. The out-of-pocket limit includes all of your network payments.
Note: You won't need to worry about these costs for age-appropriate preventive care if you stay in the network.
For certain services, you may be required to receive approval before they can be covered.
Summary of covered services
This plan covers the following health care services and more.
- Doctor office visits
- Emergency services
- Hospital care
- Lab services
- Mental health and substance use disorder services
- Outpatient care services
- Pregnancy and newborn care services
- Prescription drugs
- Preventive care services
- Rehabilitation services and devices
- Wellness services
This may not be a complete list of the services covered under this plan. See your health plan documents for coverage details.
Plan option: UnitedHealthcare Qualified HDHP Plan
With this plan, you can use any doctor, clinic, hospital or health care facility you want. You save money when you use network providers. You will have a lower level of coverage if you use out-of-network providers.
Get a plan with access to a national network and the choice of out-of-network coverage.
- Save money by staying in our network. A network is a group of health care providers and facilities that have a contract with UnitedHealthcare. You can receive care and services from anyone in our network.
- There’s coverage if you need to go out of the network. You can receive care and services from anyone in or out of our network. Out-of-network means that a provider does not have a contract with us. It’s important to remember, seeing an out-of-network provider will likely cost you more.
- There's no need to select a primary care physician (PCP) or get referrals to see a network specialist Consider choosing a PCP as a partner in managing your care. They can help you avoid duplicating tests and services and connect you to a specialist.
- Preventive care is covered 100 percent in our network. You don't have to pay any out-of-pocket costs for age-appropriate preventive care as long as you use a network doctor.
Find your doctor
Find out if your doctor, clinic or facility is in our network.
The network can help lower your costs.
The doctors and facilities in our network have agreed to provide you services at a discount. This network includes:
- 930,000+ physicians and health care professionals
- 5,600+ hospitals
How paying for network care works
- You'll usually pay a copayment for certain covered services such as doctor visits and prescriptions.
- You'll usually have to pay a deductible before your plan will pay for covered services.
- You pay coinsurance, where you share a percentage of the cost with your plan.
- You are protected with an out-of-pocket limit. You'll never pay more than your out-of-pocket limit during the plan year. The out-of-pocket limit includes all of your network payments.
Note: You won't need to worry about these costs for age-appropriate preventive care if you stay in the network.
For certain services, you may be required to receive approval before they can be covered.
Summary of covered services
This plan covers the following health care services and more.
- Doctor office visits
- Emergency services
- Hospital care
- Lab services
- Mental health and substance use disorder services
- Outpatient care services
- Pregnancy and newborn care services
- Prescription drugs
- Preventive care services
- Rehabilitation services and devices
- Wellness services
This may not be a complete list of the services covered under this plan. See your health plan documents for coverage details.