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Client Login |
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Testimonials |
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Allen Arvig, President / CEO - Arvig Communication Systems (ACS)
"In the mid 1980's our company was in need of a telecommunications specialist who could help us with some regulatory hurdles we were facing. As a growing company, we needed a consulting firm that understood
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| Summary of WGA Employee Benefits |
| United HealthCare Choice Plus FS |
| Plan |
In-Network |
Out-of-Network |
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Description
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Services received from participating providers or otherwise covered by United HealthCare of the Midwest, Inc.
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Services received from non-participating providers and covered by United HealthCare Insurance Company.
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Annual Deductible
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N/A
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$500 per member, $1,000 per family
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Maximum Benefit
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Unlimited
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$1,000,000
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Out-of-Pocket Maximum
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$1,000 per member or $2,000 per family per calendar year for all services
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N/A
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Out-of-Pocket Limit
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N/A
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$3,000 per member or per family per calendar year
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| Partial Coverage Listing for In-Network |
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Physician Office Services
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Member is Responsible for
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| Office visits for illness or injury |
$15 copayment per visit |
| Physical exams |
$15 copayment per visit |
| Immunizations only (birth to age 6) |
Covered in Full |
| Family planning, birth control devices, voluntary sterilization |
$15 copayment per visit |
| Surgery and related services |
$15 copayment per visit |
| Maternity Care (pre-natal and post-natal services) |
$15 copayment |
| Vision exams |
$15 copayment per visit |
| Outpatient Hospital Services |
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| Emergency services |
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| Hospital |
$50 copayment per visit |
| Urgent Care Center |
$15 copayment per visit |
| Other Services |
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| Prescription drugs Retail Pharmacy |
$10 Generic
$15 Preferred Brand Name
$30 Non-Preferred Brand Name |
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| Dental Benefits |
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Individual Benefit Maximums
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Covered expenses are payable to $1500 per calendar year per covered person for Preventive, Basic and Major Services
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Individual Deductible
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Basic and Major Services $25 per calendar year for each covered person
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Maximum Family Deductible
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$75 per calendar year
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| Covered Expenses |
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Preventive Services
Covered expenses are payable at 100% at the lesser of the Customary, Usual, and Reasonable or Maximum Allowable Fee for Preventive Services.
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Basic Services
Covered Expenses are payable at 80% after the Deductible, at the lesser of the Customary, Usual, and Reasonable or Maximum Allowable Fee for Basic Services.
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Major Services
Covered Expenses are Payable at 50%, after the Deductible, at the lesser of the Customary, Usual, and Reasonable or Maximum Allowable Fee.
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Orthodontic Services
Covered Expenses are payable at 50%, after the Deductible, at the lesser of the Customary, Usual, and Reasonable or Maximum Allowable Fee. Covered Expenses are payable up to a $1,000 Lifetime Maximum for each Dependent child to age 19.
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News & Notes |
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Newsletter |
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Midwest
Office
10561 Barkley Street, Suite 550
Overland Park,
KS 66212-1835
Tel: 913.559.3236
Fax: 913.559.3737 |
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Northwest Office
501 Southwest
295th Place
fedral Way,
WA 98023-3531
Tel: 253.941.5668
Tel: 913.259.9004 |
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