2027_Active_Benefits_MWAA | Page 8

FEATURE
UNITEDHEALTHCARE CHOICE PLUS
UNITEDHEALTHCARE CHOICE
KAISER PERMANENTE HMO
Preventive care, diagnostics and surgery
IN-NETWORK OUT-OF-NETWORK IN-NETWORK IN-NETWORK
Preventive care, Well child care, Adult physical, Routine OB / GYN, Mammogram, Cancer screening
No copay
Plan pays 60 % after deductible
No copay
No copay
Diagnostic services, lab & X-ray
Plan pays 90 % after deductible
Plan pays 60 % after deductible
Plan pays 100 % deductible does not apply
No copay
Outpatient surgery
Inpatient surgery
Plan pays 90 % after deductible
Plan pays 90 % after deductible Major imaging and outpatient therapies
Major imaging services( CT, PET, MRI, MRA, nuclear medicine)
Outpatient chiropractic, speech, occupational, physical therapy
Emergency Room and urgent care
Emergency room( true emergency only)
Plan pays 90 % after deductible
Plan pays 60 % after deductible
Plan pays 60 % after deductible
Plan pays 60 % after deductible
$ 35 copay Plan pays 60 % after deductible
$ 400 copay( waived if admitted)
$ 400 copay( waived if admitted)
$ 50 copay after deductible
$ 100 copay per admission
Plan pays 100 % after deductible
$ 25 copay, deductible does not apply
$ 400 copay( waived if admitted)
$ 25 copay
$ 250 copay per admission
No copay
$ 25 copay, limited to 30 visits per year
$ 200 copay
Urgent Care
$ 40 copay
Plan pays 60 % after
deductible
Eye exams and vision correction
Routine eye exam( once every calendar year, excludes contact lens exam)
Eyeglasses and contact lenses
Plan pays 100 %
Plan pays 60 % after deductible
$ 25 copay $ 25 copay
Plan pays 100 % $ 20 copay
n / a
n / a
n / a
Kaiser vision discount
program
SPECIALTY PROGRAM: NAVIGUARD
Participants in our UHC Choice and Choice Plus medical options are able to use Naviguard, a program to help you navigate coverage and cost issues that can arise when you use providers who are not in the UHC network. It combines:
• Robust advocacy services on your behalf, provided by UHC professionals
• UHC’ s extensive and proprietary knowledge of pricing data in the marketplace, and
• Enforcement of provisions protecting patients from egregious billing practices.
If out-of-network medical providers file claims with UHC for services you received, the Naviguard team may contact you to offer their services and reduce potential out-of-pocket cost.
SPECIALTY PROGRAM: NOURISH
Nourish is a dietitian-led metabolic health clinic that is available to participants in the UHC Choice and Choice Plus medical options. Nourish pairs evidence-based nutrition counseling with technology that supports you on your health journey. With Nourish, you get:
• A personalized care plan based on a comprehensive nutrition assessment.
• Regular one-on-one sessions with a dietitian
• Free access to the Nourish mobile app with a suite of AI powered nutrition tools
No matter who you are or where you’ re from, Nourish can help you.
8 | METROPOLITAN WASHINGTON AIRPORTS AUTHORITY