Medical Benefits

Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.

Keep in mind that these plans do not offer out-of-network coverage. To find participating provider, please visit https://www.umr.com/find-a-provider.

	In-Network
Annual Deductible (Individual/Family)	$5,000/ $10,000
Out-of-Pocket Max (Individual/Family)	$7,900/ $15,800
Member Coinsurance	70%
Physician Visits
Primary Care Visit	$50 Copay
Teladoc	$25 Copay
X-Rays	Covered at 100%
Preventive Care	100%
Specialist Visit	$75 Copay
Hospital Services
Physician Services	70% after Deductible
Inpatient Hospitalization	70% after Deductible
Outpatient Surgery	70% after Deductible
Basic Outpatient Diagnostics	70% after Deductible
Urgent Care	$100 Copay
Emergency Room	$500 Copay- waived if admitted
Retail Prescriptions
Tier 1	$15
Tier 2	$35
Tier 3	$65
Tier 4	20% up to $250
Mail Order Prescriptions
Tier 1	$30
Tier 2	$70
Tier 3	$130

	Per 24 Pay Period Cost	Employee Annual Cost	SCC Annual Contribution
Employee Only	$0.00	$0.00	$8,992.96
Employee + Spouse	$333.67	$8,008.08	$12,000.00
Employee + Child(ren)	$180.23	$4,325.52	$12,000.00
Employee + Family	$559.70	$13,432.92	$12,000.00

Downloads

Member Portal Registration

Life of a Claim

Know Where To Go

Know Where To Go Spanish

Healthier Tomorrow

Healthier Tomorrow Spanish

Optum Rx Flyer

Keep in mind that these plans do not offer out-of-network coverage. To find participating provider, please visit https://www.umr.com/find-a-provider.

	In-Network
Annual Deductible (Individual/Family)	$2,000/ $4,000
Out-of-Pocket Max (Individual/Family)	$6,000/ $12,000
Member Coinsurance	70%
Physician Visits
Primary Care Visit	$25 Copay
Teladoc	$25 Copay
X-Rays	$25 Copay
Preventive Care	100%
Specialist Visit	$50 Copay
Hospital Services
Physician Services	70% after Deductible
Inpatient Hospital	70% after Deductible
Outpatient Hospital	70% after Deductible
Basic Outpatient Diagnostics	70% after Deductible
Urgent Care	$75 Copay
Emergency Room	$400 Copay- waived if admitted
Retail Prescriptions
Tier 1	$10
Tier 2	$50
Tier 3	$100
Tier 4	20% up to $400
Mail Order Prescriptions
Tier 1	$20
Tier 2	$100
Tier 3	$200

	Per 24 Pay Period Cost	Employee Annual Cost	SCC Annual Contribution
Employee Only	$39.29	$942.96	$9,195.48
Employee + Spouse	$447.24	$10,733.76	$12,000.00
Employee + Child(ren)	$272.88	$6,549.12	$12,000.00
Employee + Family	$704.07	$16,897.68	$12,000.00

Downloads

Member Portal Registration

Healthier Tomorrow Spa

Optum Rx Flyer

Keep in mind that these plans do not offer out-of-network coverage. To find participating provider, please visit https://www.umr.com/find-a-provider.

	In-Network
Annual Deductible (Individual/Family)	$1,000/ $2,000
Out-of-Pocket Max (Individual/Family)	$4,000/ $8,000
Member Coinsurance	80%
Physician Visits
Primary Care Visit	$25 Copay
Teladoc	$25 Copay
X-Rays	$25 Copay
Preventive Care	100%
Specialist Visit	$50 Copay
Hospital Services
Physician Services	80% after Deductible
Inpatient Hospitalization	80% after Deductible
Outpatient Surgery	80% after Deductible
Basic Outpatient Diagnostics	80% after Deductible
Urgent Care	$75 Copay
Emergency Room	$300 Copay- waived if admitted
Retail Prescriptions
Tier 1	$10
Tier 2	$50
Tier 3	$100
Tier 4	20% up to $400
Mail Order Prescriptions
Tier 1	$20
Tier 2	$100
Tier 3	$200

	Per 24 Pay Period Cost	Employee Annual Cost	SCC Annual Contribution
Employee Only	$88.84	$2,132.16	$11,416.92
Employee + Spouse	$566.70	$13,600.80	$12,000.00
Employee + Child(ren)	$370.37	$8,888.88	$12,000.00
Employee + Family	$855.91	$20,541.84	$12,000.00