Video Transcript Video Length: 8:02
[UnitedHealthcare logo]
ON-SCREEN TEXT: UnitedHealthcare Choice Plus Premier Provider Network – Sandia High Deductible Health Plan
Thank you for taking the time to learn more about your benefits and the UnitedHealthcare Choice Plus Premier Provider Network offered by UnitedHealthcare and Sandia National Laboratories
ON-SCREEN TEXT: Common health terms
Let’s start by going over a few common health terms.
ON-SCREEN TEXT: Deductible
*Annual deductibles for Tier 1 and Tier 2 apply towards each other, In- and out-of-network does not. Annual out-of-pocket maximum for Tier 1 and Tier 2 apply towards each other, in- and out-of-network does not. For family coverage, no one receives the plan benefits until the total family deductible is met.
Your deductible is the amount you’ll need to pay before your plan starts to pay for covered services. This includes prescription drug costs.
ON-SCREEN TEXT: Coinsurance
Coinsurance is the percentage you pay as your share of a covered health care service.
ON-SCREEN TEXT: Out-of-pocket limit
The out-of-pocket limit is the most you could pay during a coverage period (January through December) for your cost share of covered services. After you meet this limit, the plan will usually pay one hundred percent of the allowed amount.
SCREEN TEXT: Paying for network care
Ok, here’s how paying for network care works.
SCREEN TEXT: Deductible You pay
Please read your plan documents. Additional information such as benefit details, plan limitations and exclusions, and the costs of coverage can be found in the Benefit Booklet.
You pay for all services, including prescriptions, until you meet your deductible.
SCREEN TEXT: Coinsurance
Note: Tier 1 providers are not currently available in CA.
Please read your plan documents. Additional information such as benefit details, plan limitations and exclusions, and the costs of coverage can be found in the Benefit Booklet.
After you reach the deductible, you share the costs with the plan. This is known as coinsurance. Using a Tier 1 provider can save you money.
This example assumes employee-only coverage and deductible has been met. With a 200-dollar doctor visit, if the coinsurance for a Tier 1 provider is 10 percent, you pay 20 dollars. If the coinsurance for a Tier 2 provider is 20 percent, you pay 40 dollars. If the coinsurance for a Tier 3 or out-of-network provider is 40 percent, you pay higher out-of-pocket costs, 80 dollars.
SCREEN TEXT: Please read your plan documents. Additional information such as benefit details, plan limitations and exclusions, and the costs of coverage can be found in the Benefit Booklet.
When you reach the out-of-pocket limit, you are done paying. The plan pays one hundred percent of covered services for the remainder of the year once this limit has been reached.
ON-SCREEN TEXT: UnitedHealthcare Choice Plus Premier Provider Network
Now, let’s take a closer look at the UnitedHealthcare Choice Plus Premier Provider Network.
ON-SCREEN TEXT: Tiered Benefit plans Pay less with Tier 1
Please read your plan documents. Additional information such as benefit details, plan limitations and exclusions, and the costs of coverage can be found in the Benefit Booklet. Tier 1 providers are not currently available in California.
The UnitedHealthcare Choice Plus Premier Provider Network has Tiered Benefit plans designed so you pay less when you see Tier 1 doctors and specialists.
ON-SCREEN TEXT: 16 medical specialties Meet national quality standards
Cost efficient
Look for the Tier 1 symbol
Please read your plan documents. Additional information such as benefit details, plan limitations and exclusions, and the costs of coverage can be found in the Benefit Booklet. Tier 1 providers are not currently available in California.
Where you go for care can make a big difference in cost. Tier 1 providers are physicians who are recognized for meeting national standards for quality and local market benchmarks for cost efficiency. To find a Tier 1 provider, look for the blue Tier 1 symbol when searching the plan network.
ON-SCREEN TEXT: Available to all employees except California residents
Tier 1 network providers are available to all employees, but due to state restrictions, there are no Tier 1 providers in California. In California, employees have access to in-network and out-of-network coverage.
ON-SCREEN TEXT: Premium Provider Network Covered services
Doctor office visits Hospital care
And much more
* As of March 30, 2021.
This is not the complete list of covered services. For more details, see your official health plan documents.
Our network includes more than one point two million providers in more than six thousand hospitals. Using network providers can help you save money because they provide services at a contracted rate.
ON-SCREEN TEXT: Coverage for services received from providers in or out of network Option to choose a primary care provider (PCP)
Referrals are not required to see a specialist
Preventive care is covered 100%
Certain preventive care items and services, including immunizations, are provided as specified by applicable law, including the Patient Protection and Affordable Care Act (ACA), with no cost-sharing to you. These services may be based on your age and other health factors. Other routine services may be covered under your plan, and some plans may require copayments, coinsurance or deductibles for these benefits. Always review your benefit plan documents to determine your specific coverage details.
You’ll have coverage for services received from providers in or out of network, you can choose your primary care provider, referrals are not required to see a specialist, and preventive care is covered at one hundred percent.
ON-SCREEN TEXT: “Find a Doctor” button on myuhc.com®
Call the number on your health plan ID card Search using the UnitedHealthcare® app
To find a network provider, look for the “Find a Doctor” button on my-U-H-C dot com, call the number on your health plan ID card or search using the UnitedHealthcare app.
ON-SCREEN TEXT: 1-877-835-9855
Mon–Fri, 8 a.m.–8 p.m. MT
If you’re not sure where to go for care, can’t find a doctor, have questions about a screening or test or need help resolving a claim, connect with our dedicated customer care team.
ON-SCREEN TEXT: whyuhcsnl.com
To see what a treatment, procedure or other service typically costs, and to find out what your share of expenses may be, try our easy-to-use online tools.
ON-SCREEN TEXT: myuhc.com®
As soon as your coverage begins, you can register online, where you’ll have access to all of your health plan information in one easy-to-find place. Use the site to track claims, pay bills and more.
ON-SCREEN TEXT: UnitedHealthcare® app Find nearby care options
Video chat
See claim details View deductible Health plan ID card
The UnitedHealthcare® app is available for download for iPhone® or Android®. iPhone is a registered trademark of Apple, Inc. Android is a registered trademark of Google LLC.
And, get easier access to your health plan with the UnitedHealthcare app. You can find nearby care options in your network, video chat with a doctor 24/7 — without leaving the app, see your claim details and view progress toward your deductible and view and share your health plan ID card.
ON-SCREEN TEXT: Visit sandiaretireebenefits.com Click Pre-Medicare Plans
To find information about the High Deductible Health Plan, visit Sandia Retiree Benefits dot com. Then click "Pre-Medicare Plans."
ON-SCREEN TEXT: Benefits
Changes What’s covered And more
Here, you can learn more about your health plan benefits and what’s new for this year, what’s covered under your medical plan, and much more.
ON-SCREEN TEXT: Benefits to help you stay healthier
Your health plan also has a number of benefits that can help you stay healthier.
ON-SCREEN TEXT: Preventive care 100% covered with a network provider
Like preventive care, which is one hundred percent covered when you see a network provider
ON-SCREEN TEXT: Immunizations
and includes immunizations
ON-SCREEN TEXT: Age-appropriate preventive exams Health screenings
and things like preventive exams and health screenings.
ON-SCREEN TEXT: uhc.com/health-and-wellness/preventive-care
To learn more about preventive care, visit our website.
ON-SCREEN TEXT: whyuhcsnl.com
You can also go online to see which preventive services are included as part of your plan.
ON-SCREEN TEXT: 24/7 Virtual Visits Common conditions such as:
Allergies Pink eye Rashes
Bladder/Urinary tract infections Flu
Sore throats Bronchitis Headaches/migraines Stomachaches
Data rates may apply.
Certain prescriptions may not be available, and other restrictions may apply.
Get care by video or phone with 24/7 Virtual Visits for common conditions like the flu, coughs, infections and more — without an appointment. The doctor can provide a diagnosis and, if appropriate, send a prescription to your local pharmacy. Doctors can diagnose and treat a wide range of non-emergency medical conditions.
ON-SCREEN TEXT:
Teladoc® Amwell®
Optum® Virtual Care Doctor On Demand WalMart Health
Certain prescriptions may not be available, and other restrictions may apply.
You can even get a prescription through Teladoc, Amwell, Optum Virtual Care, Doctor on Demand or Walmart Health.
ON-SCREEN TEXT:
$49 or per visit until deductible is met Then $10 copay per visit
Certain prescriptions may not be available, and other restrictions may apply.
24/7 Virtual Visits costs are subject to annual deductibles and copay or coinsurance. See your health plan documents for coverage details.
ON-SCREEN TEXT: Telehealth visits with your doctor
Stay connected with your local doctor through live audio/video chat Can be used for routine, chronic, or follow-up care
Subject to annual deductible and coinsurance.
With Telehealth visits you can stay connected with your local doctor through live audio or video chat.
These visits typically include a broad range of remote health services from your primary care provider (PCP). Telehealth services, including Virtual Primary Care, are subject to the annual deductible and coinsurance.
ON-SCREEN TEXT: Rally®
Rally is your path to better health. Just take the health survey to get personalized health recommendations and start earning rewards.
ON-SCREEN TEXT: Self-Care
Coping tools
Daily mood tracking Peer support Guided journeys
You also have tools to help manage stress and anxiety
Self-Care is an app that offers clinical techniques to help dial down the symptoms of stress, anxiety and depression — anytime. Relieve symptoms and build life skills with Self-Care.
ON-SCREEN TEXT: Asthma management Manage your asthma
Avoid triggers
Reduce hospital stays
If you have asthma, we can help. With our asthma management program, you can get ongoing one-on- one support from a nurse. They may help you manage your asthma, avoid triggers and reduce hospital stays.
ON-SCREEN TEXT: Toll-free member phone number myuhc.phs.com/asthma
To learn more, call the toll-free member phone number on your health plan ID card or go online.
ON-SCREEN TEXT: Cancer Resource Services Personalized support
Understand diagnosis Make informed decisions
With our cancer resource services, you can get personal support from experienced nurses who can help you understand your diagnosis and help you make informed decisions about your care.
ON-SCREEN TEXT: Toll-free member phone number myuhc.phs.com/cancerprograms
To learn more, call the toll-free member phone number on your health plan ID card or go online.
ON-SCREEN TEXT: Diabetes management Understand and manage
Diet and exercise Save time and money
Diabetes Management inclusive of CHF, CAD and COPD.
You can also get ongoing one-on-one nurse support for managing diabetes. They can help you understand and manage your diabetes and medications, improve your diet and exercise as well as help you save time and money.
ON-SCREEN TEXT: Toll-free member phone number myuhc.phs.com/diabetes
New members can get started by calling the member phone number on your health plan ID card or going online.
TEXT: 1-888-598-7809
sandiaretireebenefits.com
Via Benefits is the eligibility administrator for Sandia’s retiree plans. Call or go online to contact Via Benefits for assistance with enrollment, billing, benefit or eligibility questions.
ON-SCREEN TEXT: Toll-Free 1-877-835-9855
Habla Español? Podemos ayudar. whyuhcsnl.com
To learn more about all the programs, services and benefits available to you with your High Deductible Health Plan, call or visit us online. We’ll walk you through your benefits. All enrollment and billing questions, contact Via Benefits.
[UnitedHealthcare logo]