High Deductible

With the High Deductible Plan, you’ll need to select a Primary Care Physician (PCP) from the NexusACO® network to help you manage your care.

Our national Tier 1 network includes select Accountable Care Organization (ACO) providers and network physicians who meet the standards for safe, timely and effective quality care. Choosing Tier 1 providers and hospitals in an ACO will help you get the most out of your health plan benefits. 

Where you go for care can make a difference. You will pay less by using Tier 1 providers so it’s important to check your doctor’s Tier 1 status before you access care to be sure their Tier 1 status hasn’t changed. You may choose services from an out-of-network provider. However, care services may likely cost you more.

To see a network specialist, you don’t need a referral from your PCP. 

Preventive care is covered 100 percent in the network. You don't have to pay any out-of-pocket costs for age-appropriate preventive care.

This plan features a Health Savings Account (HSA) - a personal bank account that lets you put money aside, tax-free, to save and pay for qualified medical expenses. 

If you enroll in this health plan, you may also choose to enroll for Pharmacy Benefits. For more information, visit Optum Rx.

Plan at-a-glance

Network coverage

Both network and out-of-network providers covered, including Tier 1 providers

Primary care provider

Primary care provider is required

Copays

Copay due for certain services and prescriptions

Savings account options

Savings account options not offered

Network coverage

Network coverage plays a big part in delivering you cost savings and quality care. With the network, you'll have access to a group of health care providers and facilities that have a contract with UnitedHealthcare. 

Are your providers in network?

Stay in the network

To help save on costs, choose care and services from within our network.

Tier 1 providers

Spot the dot to find Tier 1 providers offering you the greatest value from your health care benefits. These providers are primary care physicians and medical specialists typically affiliated with an ACO. Tier 1 hospitals are ACO hospitals and select facilities that meet national standards for safe, timely and effective quality care.

Premium care physician

Make informed choices for your medical care with UnitedHealth Premium®. You’ll have access to doctors across multiple specialties who meet national standards for safe, timely and effective quality care.

The importance of a primary care provider (PCP)

Primary care provider

With this plan, you'll need to select a primary care provider (PCP) for yourself and each covered family member. Your PCP is your health guide - coordinating your care, helping you avoid cost surprises and supporting you in achieving your best health.

If you don't select a PCP by the deadline, one will be selected for you.  But you can always change your PCP anytime at myuhc.com.

  • Easily find and choose a primary care provider

The importance of a primary care provider (PCP)

Having a PCP to help guide and coordinate your care is important whether or not the health plan you select requires one. 

Covered services

Here’s a partial list of covered services when in network:

  • Preventive Care Service
  • Doctor Office Visits (both virtual and in-person) and Labs
  • Emergency and Outpatient Care
  • Mental Health and Substance Disorder Service
  • Pregnancy and Newborn Care