WebOOPM (IND/FAM) Combined Med/ RX/PediDental PCP Specialist PT/OT/ST Labs Low-Tech Imaging & Diagnostic High-Tech Imaging Outpatient Procedure Inpatient Hospital ER Ambulance Transport RX Copay Plans HMO Basic Platinum II - 2016 0% $0/$0 $3,000/$6,000 $30 $30 $30 CIF CIF $150 $500 $500 $175 CIF $20/40/60/100 WebJan 28, 2024 · This is the maximum amount of your own money you will have to pay for care during the year. Think of the out-of-pocket limit as your deductible + coinsurance + copayments (if your plan has them) up to a total dollar amount. The only costs that don’t count toward your out-of-pocket limit are premiums, which you must continue paying to …
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WebUnitedHealthcare and the United States Office of Personnel Management, as authorized by the Federal Employees Health Benefits law. Customer service may be reached at 1-877-835-9861 or through our website www.uhcfeds.com. The address for our administrative offices is: UnitedHealthcare Insurance Company, Inc. Federal Employees Health Benefit … WebOOPM: Out-of-Pocket Maximum CIF: Covered-in-Full All plans meet Minimum Credible Coverage (MCC) standards for MA employees. All 2024 plans meet Medicare Part D Credible Coverage when Medicare is the primary payer, except Advantage HMO Saver 3450 Bronze. OON: Out-of-Network PCP: Primary Care Physician LGC: Low Cost Generic nist assessment and authorization
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