Large Group Insured Plan

Large Group Insured Plan Highlights.

  • Available to groups with 51 or more enrolling employees.
  • 100% or 80% traditional plans with deductibles ranging from $500 to $3500.
  • Four-tier prescription drug coverage with copays starting at $15 available with traditional plans.
  • 100% or 80% high-deductible health plans (HDHPs) with $1500/$3000 and $2800/$5600 deductible options—All HDHPs feature integrated Rx coverage.
  • Preferred Provider Organization (PPO) plans, offering greatest flexibility and convenience when seeking care.
  • Proven provider networks are offered with high levels of participation in their respective areas and significant discounts– including Cofinity, HAP, HFN, FirstHealth, Cigna, and PHCS, among others.
  • Out-of-state members are assigned a provider network yielding high provider participation and discounts.
  • May be bundled with USHL dental coverage.
  • USHL Large Group Insured Plans feature an embedded deductible and coinsurance— an individual within a multiple contract must satisfy only the individual deductible and coinsurance level (does not apply to $1500 deductible HDHPs).
  • Dual plans available (minimum two contracts per plan offered).
  • Underwritten rates.
  • A staff of more than 170 professionals in claims, billing and client services stand behind USHL plans, and provide unparalleled levels of service to members and groups.
  • Online resources assist members 24/7 with needs including Explanation of Benefits (EOB) copies, provider lookups, identification cards, claim tracking, answers to coverage questions, and more.

This information summary is provided for marketing purposes only and does not represent a guarantee of coverage. For a complete list of policy provisions and exclusions, please refer to the USHL Medical Policy or Prescription Drug Rider.

Large Group

Insured Options

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Plan NameHighlightsDeductiblesCopays
PPO Pinnacle
  • Traditional PPO Plan with options that give you flexibility around deductible amounts.
  • No Coinsurance necessary with these plan options.
  • Enjoy 100% coverage with in-network providers, and 70% coverage out-of-network.
  • Prescription Drug coverage: select coverage from 6 package options
Range from $500 to $5,000 for individuals and $1,000 to $10,000 for family plans$20 for Primary Care Office Visits
$40 for Specialist Office Visits
$50 for Urgent Care Visits
$150 for ER Visits
PPO Summit
  • Traditional PPO Plan with options that give you flexibility around deductible amounts.
  • Includes coinsurance, with maximums ranging from $1,350 to $2,500 for individuals and $2,700 to $5,000 for family plans.
  • Member out-of-pocket maximum of $6,350 / $12,700 applies to all plans
  • Features 80% coverage with in-network providers, and 50% coverage out-of-network.
  • Prescription Drug coverage: select coverage from 6 package options
Range from $500 to $5,000 for individuals and $1,000 to $10,000 for family plans$20 for Primary Care Office Visits
$40 for Specialist Office Visits
$50 for Urgent Care Visits
$150 for ER Visits
PPO Peak
  • Traditional PPO Plan with 5 options that give you flexibility around deductible amounts.
  • Includes coinsurance, with maximums ranging from $1,350 to $2,500 for individuals and $2,700 to $5,000 for family plans.
  • Member out-of-pocket maximum of $6,350 / $12,700 applies to all plans
  • Features 60% coverage with in-network providers, and 50% coverage out-of-network.
  • Prescription Drug coverage: select coverage from 6 package options
Range from $500 to $5,000 for individuals and $1,000 to $10,000 for family plans$30 for Primary Care Office Visits
$60 for Specialist Office Visits
$75 for Urgent Care Visits
$150 for ER Visits
HDHP Pinnacle
  • High Deductible Health Plan with 4 options that give you flexibility around deductible amounts.
  • No Coinsurance necessary with these plan options.
  • Enjoy 100% coverage with in-network providers, and 70% coverage out-of-network.
  • Prescription Drug coverage: integrated into plans
Range from $1,500 to $5,000 for individuals and $3,000 to $10,000 for family plansNo Copays - member covers office visit costs.
HDHP Peak
  • High Deductible Health Plan with 4 options that give you flexibility around deductible amounts.
  • Includes coinsurance, with maximums ranging from $1,350 to $2,500 for individuals and $2,700 to $5,000 for family plans.
  • Member out-of-pocket maximum of $6,350 / $12,700 applies to all plans
  • Features 80% coverage with in-network providers, and 50% coverage out-of-network.
  • Prescription Drug coverage: integrated into plans
Range from $1,500 to $5,000 for individuals and $3,000 to $10,000 for family plansNo Copays - member covers office visit costs.

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