In-Network Deductible :$600 / $1,200 (Individual / Family)

In the UHC Global plan, any member of a family only has the “individual” deductible to get through. The family deductible is the maximum amount in deductibles a family will pay across all members.

Out-of-Network Deductible: $1,200 / $2,400 (Individual / Family)

In the UHC Global Plan any member of a family only has the “individual” deductible to get through. The family deductible is the maximum amount in deductibles a family will pay across all members.

Copays for In-Network Office visits: When in the US: $35 Primary Care Physician $50 Specialist

International: Covered 100%

In-Network Coinsurance – Amount you pay, 20% after deductible

This amount is capped at the plan’s Out of Pocket Maximum

Out-of-Network Coinsurance – Amount you pay, 40% of reasonable and customary

Reasonable and Customary is the prevailing charge for a service in a geographic area.

In-Network Out of Pocket Maximum: $4,000 / $8,000 (Individual / Family)

Out-of-Network Out of Pocket Maximum: $8,000 / $16,000 (Individual / Family)

Does not include any amounts in excess of the reasonable and customary limit

Copay for Emergency Room: 20% of after deductible

All Emergency Rooms are considered in network for true emergencies

Prescription Drugs :20%

Prescription Drug Out of Pocket: N/A