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State Health Benefit Plan Members
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UnitedHealthcare Choice Plus

The State Health Benefit Plan (SHBP) option, formerly referred to as your PPO plan, is now referred to by SHBP as an Open Access Plan (OAP) option. UnitedHealthcare calls our Open Access Plan option Choice Plus. UnitedHealthcare Choice Plus option functions the same as the PPO option by offering both in-network benefits and out-of-network benefits without the need for a primary care physician or a referral to see a specialist.

Choice Plus 2010 Summary Plan Description


  • Summary
  • How it works

In or out of the network, you’re covered.

 

Benefit/Service Network / Non-network
Deductible  
Employee $600 / $1,200
Employee + 1 $1,200 / $2,400
Employee + Children $1,200 / $2,400
Family $1,800 / $3,600
Out-of-pocket maximum  
Employee $2,000 / $4,000
Employee + 1 $3,000 / $6,000
Employee + Children $3,000 / $6,000
Family $4,000 / $8,000
Annual HRA Contribution  
Employee N/A
Employee + 1 N/A
Employee + Children N/A
Family N/A
Lifetime maximum benefit $2 million
Office / Doctor visit $35 copay;100% / 60%; subject to ded
Specialist visit $35 copay;100% / 60%; subject to ded
Urgent care visit $45 copay / 80%
Emergency room $150 copay / 80%, subject to ded (copay waived if admitted)
Ambulance 80%; subj to ded / 80%; subj to ded
Outpatient surgery 80%; subj to ded / 60%; subj to ded
Hospital stay $250 copay; 80%; subj to ded / 60%: subj to ded
Maternity Care/Office Visit $250 copay; 80%; subj to ded / 60%: subj to ded
Well-child visits $35 copay; 100%
Mammogram $35 copay; 100%
Annual adult physical $35 copay; 100%; ($1000 per Plan year limit)

You choose from:

  • Our vast network of physician locations and in-network hospitals nationwide
  • In fact, your current physician is very likely to be a member of our network! Use our finder tool to look up participating physicians and facilities in your area.

 

You decide:

  • When to see a specialist - no referrals needed
  • Which physician, specialist or hospital is right for you
  • If you choose a network physician, it is their responsibility to submit claims
  • If you choose a non-network physician, it is your responsibility to submit claims

 

You get:

  • Our extensive information and tools, when and how you need them, via myuhc.com
  • Assisted service by telephone, toll-free
  • Access to registered nurses, 24 hours a day, to answer your clinical questions

Hear what our members say

Stories that touch us and connect us - and speak to us in ways that are memorable and believable

Health care success stories told by the people who lived them. The videos reveal the emotion and humanity of their personal health care stories.

 Learn more

Open Enrollment Brochures and Flyers

Learn more about the open enrollment options available to you.

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