| UHC Small Group Plans & Networks |
Description |
| HMO |
HMO plans available in 3 networks:
- SignatureValue HMO: Full HMO network with 62,590 physicians and health care professionals, and 273 hospitals
- Alliance HMO: Distinct subset of the SignatureValue HMO network in select counties with 36,200 physicians and health care professionals, and 258 hospitals
- Harmony HMO: High-performing narrow network in Southern CA with 11,970 physicians and health care professionals, and 144 hospitals
|
| PPO |
PPO plans available in 2 networks:
- Select Plus PPO: Full PPO network with 80,557 physicians and health care professionals, and 290 hospitals
- Core PPO: Narrow PPO network with 47,105 physicians and health care professionals, and 280 hospitals
- Non-Differential Indemnity Plan: Available to employees in Idaho.
|
| EPO |
EPO plans available in 2 networks:
- Doctors Plan EPO: Collaboration between Canopy Health and UHC in the Bay Area with 5,000 physicians and health care professionals, and 20 hospitals
- Navigate EPO: Narrow EPO network (PCP selection and electronic referrals required) with 49,854 physicians and health care professionals, and 262 hospitals
|
| HSA |
HSA-compatible PPO or EPO plans available in 4 networks:
- Select Plus PPO
- Core PPO
- Doctors Plan EPO
- Navigate EPO
|
| |
|
| Other Important Information |
Description |
|
Choice Simplified Portfolio
|
Small group medical plans consisting of all metallic levels associated with all networks
|
|
Multi-Choice State Portfolio
|
State-mirror portfolio consisting of select plans |
|
Formulary
|
- California Small Group 4-Tier HMO and PPO Prescription Drug List: Formulary that applies to all UHC small group ACA plans except Navigate plans
- California Small Group 4-Tier PPO Prescription Drug List: Formulary that applies to Navigate plans only
|
|
Rx Mail Order
|
OptumRx
|
|
Behavioral Health
|
United Behavioral Health network
|
|
Pediatric Dental
|
- Dental network (CA Select Managed Care DHMO) for embedded HMO pediatric Dental benefits within Medical plans
- Dental network (National Options 20) for embedded PPO pediatric Dental benefits within Medical plans
|
|
Pediatric Vision
|
Vision network (Spectera) for embedded pediatric Vision benefits within Medical plans.
|
