United Health Standard HMO

Back to this Carrier’s Main Page


	[High HMO] [Standard HMO]


	Last Updated Friday, February 23, 2001


	Click here to go up one level

QuickStat	PPO Net	Maternity
7.0	Select	Incl

United offers two "Standard Option" HMO plans. One with a Prescription card, the other without..

There is no reason to not select the prescription card benefit which has a $10 copay at participating pharmacies. All plans include maternity benefits. Office visits are $10, Specialists are $20.




	Plan Options Available:

Maternity	Included
Dental	No
Life	No
Disability	No


	Plan Availability:

Chicago Area Only

Surgeries and hospitalizations have copayments of $200 per day inpatient, to a maximum of four days per year. Outpatient surgery also has a $200 copayment for the facility. Emergency care copayments range from $10 to $50 depending on where you obtain service.

Non-life-threatening charges generated without Primary care physician approval are not covered. Other services such as prosthetics, implants, and medical equipment is covered at 60% to 80% of eligible charges




	Claim Type

Office Visits and preventive Care

Medical Exams
Eye Exams
Well Child Care
Voluntary Family Planning
Immunizations

Outpatient Medical Care

Office Calls

Diagnostic Xray and Lab

Specialist Care and consultations.

Short Term Rehab Services (max:60 per cal. yr.)

Allergy Testing


	$10 per visit copayment when seen by your primary care physician or $20 per visit when referred to a specialist.

Outpatient Surgery

Inpatient Hospi

•Semi Private room • Surgery Anesthesia•Medications and Drugs •Physicians Care •Nursing care •X-ray and Lab •Intensive/ Coronary Care •Radiation Therapy •Blood, plasma and its administration •short-term rehab services (max:120 days per calendar year) •Detoxification services.

tal Care

$200 Copayment per occurrence.

$200 Copayment per member, per day.

(4 day maximum)

Maternity, Prenatal and postnatal care.

(First Visit Copayment only)...... $10 per visit Copayment when seen by your primary care physician or $20 per visit when referred to a specialist.

Hospitalization and Delivery........$200 Copay per day (4 day max. per member, per year.)
Newborn Care (while hospitalized)......... No copayment


Emergency Care At a Share participating Medical Office At a Share primary care doctor ....................... $10 Copay At a Share referred specialist .......................... $20 Copay At a hospital (per visit) ....................................... $50 Copay At a hospital ( if admitted) ...................................$200 Copay per day (4 day max. per member, per year.) Ambulance ............................................................. No Copay Mental Health Inpatient - Up to 10 days per calendar year -$200 copay, per day Outpatient - Evaluation, S-T Treatment, (limited to 20 visits per year (40 group) - ... $20 copay per visit. Detoxification - Outpatient - $20 copay per visit. Prescription Drugs (Plans with Rx Only)...... $10 Copayment. at participating Share Pharmacy's.

	No preexisting condition clause if accepted.

		All treatment must be approved by your primary care doctor.


	feedback legal copyright © 1999 Castle Group Health


	The following summary is NOT a solicitation to sell you insurance. Solicitations can only be made with state, and insurance company, approved brochures. Information contained in this web may contain generalities or inaccuracies. Please read the brochures and policies for specific limitations and exclusions.