Expecting a baby?
Sign up for UnitedHealthcare's Maternity Support Program to receive a gift and additional support through your pregnancy. For more information, click here.
You have access to three different medical plan options from UHC. The prescription drug benefit for each of the UHC plans is administered by CVS Caremark. If you reside in California, you will have access to Kaiser HMO as well.
On this page you can find information about:
The UnitedHealthcare network includes over 900,000 health care professionals. To locate a UnitedHealthcare network medical provider, visit UnitedHealthcare or call UnitedHealthcare at (844) 210-5428. You can also download the UnitedHealthcare mobile app to view and share your health plan ID card, estimate treatment costs, video chat with a doctor and more!
View this list that includes in-network freestanding imaging providers and professional radiology groups.
Before scheduling an appointment or receiving services, please check with the provider and your health plan to confirm that the provider is participating, that the service is covered, and the costs that you may be charged for the service.
You can access the medical plan SBCs by clicking on the link below:
The table below reflects your share of the cost.
Medical Plan 1 | Medical Plan 1 | Medical Plan 2 | Medical Plan 2 | Medical Plan 3 | Medical Plan 3 | |
---|---|---|---|---|---|---|
Selected coverage | Network | Out-of-Network | Network | Out-of-Network | Network | Out-of-Network |
Plan type | HSA-eligible: Better coverage in the network, out-of-network coverage allowed | HSA-eligible: Better coverage in the network, out-of-network coverage allowed | Preferred provider organization(PPO): Better coverage in the network, out-of-network coverage allowed | Preferred provider organization(PPO): Better coverage in the network, out-of-network coverage allowed | Exclusive provider organization (EPO): Network coverage only, except in emergencies | Exclusive provider organization (EPO): Network coverage only, except in emergencies |
Deductible | $1,600 Employee-only/$3,200 Family | $7,500 Employee-only/$15,000 Family | $300 Employee-only/$600 Family | $1,500 Employee-only/$3,000 Family | $200 Employee-only/$400 Family | No coverage |
Coinsurance | You pay 20% after deductible | You pay 50% after deductible | You pay 20% after deductible | You pay 50% after deductible | You pay 10% after deductible | No coverage |
Out-of-pocket maximum | $4,000 Employee-only/$7,350 Family | $12,500 Employee-only/$25,000 Family | $5,000 Employee-only/$10,000 Family | $12,500 Employee-only/$25,000 Family | $5,000 Employee-only/$10,000 Family | No coverage |
Preventive care | Covered 100% | You pay 50% after deductible | Covered 100% | You pay 50% after deductible | Covered 100% | No coverage |
HSA available | Yes. In addition to your contributions NXP puts money in your HSA ($500 for Employee-only and $1,000 for Family, prorated based on your start date). Limited Use Health Care FSA available | Yes. In addition to your contributions NXP puts money in your HSA ($500 for Employee-only and $1,000 for Family, prorated based on your start date). Limited Use Health Care FSA available | No HSA Health Care FSA available. | No HSA Health Care FSA available. | No HSA Health Care FSA available. | No HSA Health Care FSA available. |
Virtual Visits featuring Teladoc® | You pay no more than $50 | You pay no more than $50 | You pay $10 | You pay $10 | You pay $10 | You pay $10 |
Primary care physician visit | You pay 20% after deductible | You pay 50% after deductible | You pay $20 | You pay 50% after deductible | You pay $20 | No coverage |
Specialist visit | You pay 20% after deductible | You pay 50% after deductible | You pay $40 | You pay 50% after deductible | You pay $40 | No coverage |
Maternity (hospitalization) | You pay 20% after deductible | You pay 50% after deductible | You pay 20% after deductible | You pay 50% after deductible | You pay 10% after deductible | No coverage |
Hospital admission | You pay 20% after deductible | You pay 50% after deductible | You pay 20% after deductible | You pay 50% after deductible | You pay 10% after deductible | No coverage |
Inpatient surgery | You pay 20% after deductible | You pay 50% after deductible | You pay 20% after deductible | You pay 50% after deductible | You pay 10% after deductible | No coverage |
Outpatient surgery | You pay 20% after deductible | You pay 50% after deductible | You pay 20% after deductible | You pay 50% after deductible | You pay 10% after deductible | No coverage |
Emergency room visit | You pay 20% after deductible | You pay 20% after deductible | $100 copay, then 10% after deductible; copay waived if admitted | $100 copay, then 10% after deductible; copay waived if admitted | $100 copay, then 10% after deductible; copay waived if admitted | $100 copay, then 10% after deductible; copay waived if admitted |
Sign up for UnitedHealthcare's Maternity Support Program to receive a gift and additional support through your pregnancy. For more information, click here.
Learn about the medical benefits and support available to help guide you through your transition
HMO | HMO | |
---|---|---|
Selected Coverage | Network | Out-of-Network |
Plan type | Health maintenance organization (HMO) available only to California employees in the Kaiser network. Network coverage only, except in emergencies. | Health maintenance organization (HMO) available only to California employees in the Kaiser network. Network coverage only, except in emergencies. |
Network name | Kaiser Permanente Traditional Plan | Kaiser Permanente Traditional Plan |
Deductible | $0 Employee-only/$0 Family | No coverage |
Coinsurance | You pay $0 | No coverage |
Out-of-pocket maximum | $1,500 Employee-only/$3,000 Family | No coverage |
Preventive care | Covered 100% | No coverage |
HSA available | No. Health Care FSA available | No. Health Care FSA available |
Virtual Visits | Not available | Not available |
Primary care physician visit | You pay $35 | No coverage |
Specialist Visit | You pay $35 | No coverage |
Maternity (hospitalization) | 100% covered after $500 hospital copay | No coverage |
Hospital admission | You pay $500 copay | No coverage |
Inpatient surgery | You pay $0 after $500 hospital copay | No coverage |
Outpatient surgery | $150 copay per procedure | No coverage |
Emergency room visit | $150 copay, then $0; copay waived if admitted | $150 copay, then $0; copay waived if admitted |
Learn more information about your CVS / Caremark pharmacy benefit here [English] .  Need help estimating medication costs? You can call CVS / Caremark at (877) 505-8360. You can also download the CVS / Caremark mobile app to manage prescription refills, check drug costs and coverage, find a network pharmacy and more . Read the Caremark Cost Saver Member Flyer
Medical plan 11 | Medical plan 21 | Medical plan 31 | Kaiser Permanente2 | |
---|---|---|---|---|
Generic medications | Generic medications | Generic medications | Generic medications | |
30-day supply (short-term) | Generic preventive medications available at no cost; all other generics are 20% after deductible | You pay$5 | You pay$5 | You pay$10 |
Long-term supply or maintenance medications | You pay 20% after deductible for 90-day supply | you pay 10$ for 90-day supply | you pay 10$ for 90-day supply | you pay 20$ for 100-day supply |
Preferred brand-name medications | Preferred brand-name medications | Preferred brand-name medications | Preferred brand-name medications | |
30-day supply (short-term) | You pay 20% after deductible | You pay 30% up to a maximum of $75 | You pay 30% up to a maximum of $75 | You pay $30 |
Long-term supply or maintenance medications | You pay 20% after deductible for 90-day supply | You pay 30% for 90-day supply up to a maximum of $175 | You pay 30% for 90-day supply up to a maximum of $175 | You pay $60 for 100-day supply |
Non-preferred brand-name medications | Non-preferred brand-name medications | Non-preferred brand-name medications | Non-preferred brand-name medications | |
30-day supply (short-term) | You pay 20% after deductible | You pay 50% up to a maximum of $100 | You pay 50% up to a maximum of $100 | You pay $30 |
Long-term supply or maintenance medications | You pay 20% after deductible for 90-day supply | you pay 50% for 90-day supply up to a maximum of $250 | you pay 50% for 90-day supply up to a maximum of $250 | you pay %60 for 100-day supply |
1 You can fill your short-term-supply prescriptions at any of Caremark's over 68,000 participating pharmacies, not just at CVS pharmacies 90-day long-term or maintenance medications can be ordered by mail or picked up at CVS pharmacy near you.
2 Available at Kaiser Plan pharmacy only.
In addition, use the Formulary Drug List for information about preferred medications.
If you are in need of a blood glucose meter, you can order one from CVS Caremark here.
Participating National Network Retail Pharmacies
Prudent Rx Program Information
The PrudentRx Copay Program allows you to get select specialty medications at no cost to you. Because certain specialty medications do not qualify as “essential health benefits” (EHB) under the Affordable Care Act (ACA), member cost share payments for these medications, whether made by you or a manufacturer copayment assistance program, do not count towards the Plan’s MOOP. A list of specialty medications that are not considered to be EHB can be found here .
If you’re looking for a way to save on taxes or want to save for your health care at retirement, this plan might be just what you need. Medical Plan 1 is an HSA-eligible plan. It covers the same medical services as Medical Plan 2 and Medical Plan 3 (including network preventive care at 100 percent) and offers the same quality care and access to UnitedHealthcare’s national provider network. You can see any network provider you choose.
What makes Medical Plan 1 different is that NXP deposits money into your HSA with Fidelity to help you pay for your medical expenses, including your deductible and coinsurance amounts. Employees enrolled in Employee-only coverage will receive $500 and those who enroll dependents will receive $1,000 in NXP contributions (or a prorated amount, depending on when you were hired).
You pay for all services, including prescriptions, until you meet your deductible (with the exception of preventive care, which is covered at 100% when performed in the network).
Pay with your HSA or Pay another way
After you reach the deductible, you share the costs with the plan. You can use your HSA to help pay your share
Your plan pays 80% of network care + You pay 20% of network care
When you reach the limit, you are done paying. The plan will pay 100% of covered network services for the rest of the plan year.
You are done paying
Preventive care is covered 100 percent when you use a UnitedHealthcare provider.
Access your HSA account and learn more at Fidelity NetBenefits .
You can sign up to contribute to the Health Care Flexible Spending Account to put money aside on a pre-tax basis to use towards eligible medical, dental, and vision expenses [English]. You can sign up for the Health Care FSA while enrolled in any of the offered medical plans. You cannot contribute to a Health Savings Account and a Health Care Flexible Spending Account at the same time.
If you enroll in one of our 3 offered UnitedHealthcare medical plans, you will have access to doctors by video 24/7 through UnitedHealthcare’s Virtual Visit Program. No additional accounts to set up or apps to download. Just log in at UnitedHealthcare .
Virtual Visit doctors can diagnose your symptoms and prescribe medicine, if needed, for everyday medical conditions like:
The costs for the Virtual Visit program by plan is below.
Medical Plan 1 = (HSA-eligible) | Medical Plan 2 (PPO) | Medical Plan 3 (EPO) | |
---|---|---|---|
Cost | $54 until deductible is met | $10 Copay | $10 Copay |
Other virtual visit providers covered under United Healthcare include Teladoc , Amwell and Doctor on Demand .
Behavioral Health Virtual Visits provide quick and easy access to behavioral health professionals from your mobile device, tablet or computer.
The value of Behavioral Health Virtual Visits:
Use a Behavioral Health Virtual Visit for needs such as:
To schedule a Behavioral Health Virtual Visit:
Are Optum Behavioral Health Virtual Visits the same as UnitedHealthcare Virtual Visits?
No. UnitedHealthcare’s Virtual Visits model lets members seek medical care virtually for acute conditions. Benefit plans include a specific UHC Virtual Visit benefit. Teladoc, AmWell, and Doctor on Demand are the three national virtual-only provider groups contracted for UHC Virtual Visit. UHC Virtual Visits drives affordability, providing members with a convenient alternative to emergency room or urgent care facilities for treatment of acute medical conditions. Optum Behavioral Health positions virtual capabilities as a modality, allowing all network providers to offer virtual visits as an option. There is no separate benefit. Optum’s model drives access to care.
Do Optum Behavioral Health Virtual Visits have a lower co-pay or co-insurance than in-person visits?
No. For behavioral health, virtual visits are subject to the same out-of-pocket as an in-office visit (behavioral health outpatient office visit). This benefit model ensures that the member has the same out-of-pocket costs whether they see their therapist and/or psychiatrist in-office, virtually or both throughout the course of care.
For NXP Copay Plans 2 and 3, the Behavioral Health Virtual Visit copay is $20. For Medical Plan 1, the allowed amount could vary depending on the provider’s contracted rate and will be applied to the member’s deductible.