2-50: UHC's February 1, 2011 Updates
Rate Action
UnitedHealthcare Small Group has announced rate adjustments for effective dates February 1, 2011 through April 30, 2011.
Average statewide rates for new business are:
- An approximate 2% increase for PPO.
- No measurable rate change for HMO product. See following averages by area:
- Alameda, Marin, San Francisco & San Mateo Counties
- Up to a 2% decrease for HMO;
- 3.6% increase for PPO/HSA
- Fresno County
- Rate pass for HMO;
- 3% increase PPO/HSA
- Sacramento Area:
- Up to a 2% decrease for HMO;
- Rate pass for PPO/HSA
Average statewide increases for renewing business are:
- An approximate 13% increase for PPO
- An approximate 7% increase for HMO
Region Changes - UHC Only
- San Diego County moved from Region 2 to Region 8.
- Alameda, Marin, Napa, Nevada, San Francisco, San Mateo ,Santa Cruz, Sonoma ,and Yolo Counties moved from Region 6 to Region 2.
- Contra Costa, ElDorado, Merced, Placer, Sacramento, San Joaquin and Stanislaus Counties moved from Region 8 to Region 6.
Plan Changes
New Choice Plus Plan:
- Choice Plus Balanced Value 40/5000/70% (Plan Code J3-U)
- Per-occurrence deductible of $500 for outpatient surgery.
- Per-occurrence deductible of $1,000 for inpatient hospital services.
- Substance Use Disorder supplemental coverage, offered with HMO plans through an arrangement with U.S. Behavioral Health Plan.