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Benefits & Highlights of the UUA Health Plan
The Unitarian Universalist Association (UUA) Health Plan provides comprehensive coverage with an emphasis on affordable preventive care. Plans for people under age 65 use a Preferred Provider model, with increased benefits for those who choose network providers, coupled with complete flexibility to use any licensed provider. Our 65+ Medicare Supplement plan is based on a Standard Medicare Plan F. Here are some highlights of the PPO plans:
- You may select your own physician from more than 720,000 providers from coast to coast.
- No evidence of insurability is required, and there are no exclusions for preexisting conditions during the open enrollment period or within 30 days of a qualifying event.
- No primary care gatekeeper is required. You may make your own decisions about specialists.
- The plan offers complete portability across the U.S.; the plan goes with you if you change jobs within Unitarian Universalist (UU) organizations, with no new eligibility tests.
- All plan options provide prescription drug coverage. The Standard PPO has the most drug coverage, with a three-tier co-pay arrangement; the High Deductible Plan 2 offers 70% coverage, with no deductible; High Deductible Plan 1 has 70% coverage after the deductible, and can be paired with an HSA account.
- All plans offer affordable annual physical exams to detect health problems before they become serious. All plans also cover routine immunizations for children and adults. You can review the Preventive Schedule (PDF).
- Coverage includes access to specialists when they are needed. All of the major specialties such as obstetrics, gynecology, cardiology, oncology, urology, pediatrics and various surgical specialties are included in the Blue Cross Blue Shield networks.
- Well child visits and a full range of diagnostic testing are included.
- Women can use OBGYN specialists for routine gynecological exams and Pap tests.
- Mental health and substance abuse services are covered the same as any other illness.
- Emergency care is covered anywhere, through both in-network and out-of-network providers, with no co-pay if the patient is admitted to a hospital.
- Travel coverage goes with you anywhere through the BlueCard Worldwide® program.
- You have your own Blue Cross Blue Shield member card to present whenever you see a doctor, use hospital services, or have a prescription filled.
- Additional toll-free telephone support is provided through the Blues On Call (sm) health decision and support service, available 24 hours every day.
- You'll have online access to the Highmark Blue Cross Blue Shield website offering provider participation information, health resources and confidential health decision support.
- Calculate Your January 1, 2016, Monthly Premium Rate
- Glossary of Health Insurance Terms (PDF)
- Summary of Standard PPO Benefits (PDF)
- Summary of High Deductible PPO Plan Benefits (w/HSA) (PDF)
- Summary of High Deductible PPO Plan Benefits (w/o HSA) (PDF)
- Summary of High Deductible PPO Plan (wHSA) Bronze Level (PDF)
- Summary of Medicare Supplement Plan F Benefits (PDF) (Retiree Benefits)
- Summary of Benefits and Coverage—Standard PPO (PDF, 9 pages)
- Summary of Benefits and Coverage—Qualified High Deductible Health Plan (PDF, 10 pages)
- Summary of Benefits and Coverage—Non-Qualified High Deductible Health Plan (not available in MA) (PDF, 10 pages)
- Summary of Benefits and Coverage—Qualified High Deductible Bronze Plan (PDF)
- Standard PPO $0 Preferred Generic Drug List (pdf)