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Coverage and benefits
When you are a member of the UnitedHealthcare® Group Medicare Advantage (PPO) plan you can see any provider (in-network or out-of-network) at the same cost share, as long as they accept the plan and have not opted out of or been excluded or precluded from the Medicare Program.
Find out more by reviewing your plan benefits and costs, additional benefits and programs. If you need a printed copy of plan materials, please call UnitedHealthcare at 844-320-5021, 8 a.m. – 8 p.m. local time, Monday through Friday. TTY users, call 711.
UnitedHealthcare® Group Medicare Advantage (PPO) plan
General Status Members
2026 materials
General Status Members
Coming soon
-
Plan guide
-
General Status Evidence of Coverage January 2026
-
2026 UAW Trust Benefit Booklet
Protected Status Members
2026 materials
Protected Status
Coming soon
-
Plan guide
-
Protected Status Evidence of Coverage January 2026
General Status Members Benefits and costs 2026
| Benefits |
General Status Members |
|---|---|
|
General Status Members |
|
| Annual medical deductible |
$0 |
| Annual medical deductible | |
|
$0 |
|
| Total out-of-pocket maximum |
$1,500 |
| Total out-of-pocket maximum | |
|
$1,500 |
|
| 24/7 Nurse Support |
$0 |
| 24/7 Nurse Support | |
|
$0 |
|
| Virtual Doctor Visit with AmWell, Doctors on Demand & Teladoc |
$0 |
| Virtual Doctor Visit with AmWell, Doctors on Demand & Teladoc | |
|
$0 |
|
| Primary Care Physician office visit |
$0 |
| Primary Care Physician office visit | |
|
$0 |
|
| Specialist office visit |
$10 |
| Specialist office visit | |
|
$10 |
|
| Urgent Care |
$15 |
| Urgent Care | |
|
$15 |
|
| Emergency Room |
$50 |
| Emergency Room | |
|
$50 |
|
| Hospital services (inpatient) |
$0 |
| Hospital services (inpatient) | |
|
$0 |
|
| Hospital services (outpatient) |
$0 |
| Hospital services (outpatient) | |
|
$0 |
Disclaimer
Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.