Benefits Enrollment Guide

UHC Choice HMO. Co-pay Plan BWMU Rx 568 UHC Choice Plus PPO. HSA Plan AHJE Rx 570 UHC Choice HMO. HSA Plan AQUK Rx 570 Services In-Network Benefits ONLY In-Network Benefits Below In-Network Benefits ONLY Physician Visit. Specialist Visit. Urgent Care Visit $40 Co-pay. $80 Co-pay. $50 Co-pay Deductible + Coinsurance . Deductible + Coinsurance ................
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