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Virtual Education Center

State of Maryland

United Healthcare

What you’re getting

Whichever of your 2 plan options you choose – the Choice EPO or ChoicePlus PPO – you’re signing up for quality care that goes where you go, and the extra support you need to get the most from your plan. With UnitedHealthcare, you get:

  • A national network of 1.2 million+ providers and 6,900+ hospitals, so you can choose from a robust network of health care professionals and sites, including Mayo Clinics1
  • A local network of 29,800+ providers2 and every hospital in Maryland
  • A vision network with 100,000+ providers, including Warby Parker and GlassesUSA
  • Specialist visits without a referral, saving you time when a concern won’t wait
  • Mental health benefits, including Virtual Behavioral Health Visits and digital tools that make it easier to get help anywhere
  • 24/7 Virtual Visits and Virtual Primary Care to access urgent care around the clock, along with routine care from doctors on myuhc.com® or the UnitedHealthcare app – anywhere you are
  • Condition management and wellness programs, to help you get – and stay – healthier

Support above and beyond

You’ll get the information and advocacy to help you get the most of your health and wellness benefits:

  • 24/7 NurseLine lets you chat with a registered nurse anytime, day or night, for answers or guidance
  • If you have a device – computer, tablet or smartphone3 – you can see a doctor or behavioral health specialist through virtual care
  • Advocacy for families with special needs children offers one-stop support from a dedicated advisor, removing barriers and easing access to the care your child needs
  • Rally® helps make it fun to take action for better health – physical, mental, and emotional – and may just earn you rewards
  • Real Appeal® is a digital program that helps guide, support and inspire you on your path to healthy weight loss
  • Quit For Life® provides 1-on-1 support from a Quit Coach® to help you give up tobacco
  • Members who complete wellness plan activities can save money, with $0 copays on PCP and behavioral health office visits and 24/7 Virtual Visits, plus reduced copays on specialist visits

All your health plan info in one place

The UnitedHealthcare secure member website, myuhc.com, is your personalized health plan hub, letting you search for care or see your plan information at a glance – on a smartphone, tablet or computer.

  • Easy care search for a provider, clinic, hospital or lab based on location, specialty, cost, services and more – plus, see how other patients rated them
  • Cost estimator that lets you estimate treatment costs before deciding where to go
  • Current claim information – whether claims history or their status right now – along with the ability to track, personalize and manage your claims
  • Benefit information and plan materials, including your Explanation of Benefits (EOB)
  • Options for replacing or printing a lost health plan ID card
  • Wellness tools, along with tips on healthier living and how to use your benefits to your best advantage
  • Care reminders, from when to schedule checkups and treatments to suggestions on immunizations, well visits, routine tests or lab work
  • 24/7 Virtual Visit and Virtual Primary Care access, right from your member site
Did you know?
The UnitedHealthcare app lets you access many of the same services as on myuhc.com

Options that fit the way you live

Get a closer look at the distinctive benefits of the Choice EPO and ChoicePlus PPO plans.

Choice EPO Plan

With the Choice EPO Plan, you won’t have to meet a deductible before the plan begins to pay; you just have to choose a provider from the UnitedHealthcare national network. That means immediate savings, as long as you stay in the network – out-of-network providers are not covered by the plan.4

  • Preventive care is covered at 100% when you use a network provider
  • For other care, you’ll be responsible for a copay5
  • Coverage from our robust nationwide network means quality care and one less stress when you travel
    • Premium Care Physicians are screened to meet or exceed national standards for quality and local benchmarks for cost effectiveness
    • Premium providers are listed on myuhc.com® and the UnitedHealthcare app (just look for the two blue hearts!)
  • You have coverage for network services only, so if you see an out-of-network provider, you’ll have to pay out of pocket
  • If you’re not yet a UnitedHealthcare member, you can find network providers easily with the online search tool (see the Resources)

See your options side by side

ChoicePlus PPO Plan

With the ChoicePlus PPO option, you are covered for both network and out-of-network services. That means more flexibility; you’ll just pay coinsurance until you meet your out of pocket limit.

  • Preventive care is covered at 100% when you use a network provider
  • For other care, you’ll have a deductible to meet before the plan will start to pay; after that, you’ll be responsible for coinsurance with most services5
  • Coverage from our robust nationwide network means quality care and one less stress when you travel
    • Premium Care Physicians are screened to meet or exceed national standards for quality and local benchmarks for cost effectiveness
    • Premium providers are listed on myuhc.com® and the UnitedHealthcare app (just look for the two blue hearts!)
  • Out-of-network providers are also covered, but you may be charged more than with network providers
  • If you’re not yet a UnitedHealthcare member, you can find network providers easily with the online search tool (see the Resources)

See your options side by side

State of Maryland benefits
January 1–December 31, 2023
UnitedHealthcare
ChoicePlus PPO
UnitedHealthcare
Choice EPO
Network Out of Network Network Only
Plan overview
Referrals No No
National network Yes Yes
Deductible None $250 Individual
$500 Family
None
Coinsurance out of pocket limit $1,000 Individual
$2,000 Family
$3,000 Individual
$6,000 Family
None
Copay out of pocket limit $1,000 Individual
$2,000 Family
None $1,500 Individual
$3,000 Family
Total annual medical out of pocket costs $2,000 Individual
$4,000 Family
$3,250 Individual
$6,500 Family
$1,500 Individual
$3,000 Family
Lifetime maximum Unlimited Unlimited
Medical overview4
Physician office visits
Primary care provider (PCP) $15 copay 70% after deductible $15 copay
Specialist $30 copay 70% after deductible $30 copay
Inpatient care 90% 70% after deductible 100%
Outpatient care 90% 70% after deductible 100%
Inpatient hospitalization 90% 70% after deductible 100%
Outpatient facility 90% 70% after deductible 100%
Maternity 90% 70% after deductible 100%
Diagnostic lab and X-ray 90% – Lab testing services related to diabetes, high blood pressure, heart disease, asthma and COPD are paid at 100% 70% after deductible 100%
Durable medical equipment 90% 70% after deductible 100%
Emergency room
(inside and outside the area)
100% after $150 copay; copays are waived if admitted. (If criteria are not met for a medical emergency, plan coverage is 50% of allowed amount, plus the $150 copay.)
Behavioral health $15 copay 70% after deductible $15 copay
Intensive outpatient services 90% 70% after deductible 100%
Preventive care
Mammography 100% 70% 100%
Immunizations, including annual flu shots (flu shots not covered out of network) 100% 70% after deductible 100%
Well-child care 100% 70% after deductible 100%
Annual physical exams 100% 70% after deductible 100%
Physical/occupational/speech therapy $30 copay 70% after deductible $30 copay
Acupuncture for chronic pain management $30 copay 70% after deductible $30 copay
Chiropractic services $30 copay 70% after deductible $30 copay
Hearing aids 100% for basic-model hearing aids 70% after deductible for basic-model hearing aids 100% for basic-model hearing aids
Vision
For full vision benefit information, visit uhcmaryland.com
You also have the added option of discounted services on laser vision correction surgery through Laser Vision Network of America.
Mental health services are covered under both plans. Mental health providers can be found at liveandworkwell.com.