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Our full-featured health plans meet all Affordable Care Act (ACA) requirements to include drug and vision coverage, and 100% coverage for wellness and preventive medicine.Current UHA customers can get their specific health plan information by accessing the UHA Member or Employer portal.
UHA 3000 (Bundle)
Low annual deductible and $12 co-pay for most physician services.
UHA 3000 Benefit Plan Summary
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UHA 3000 Benefit Plan Summary
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UHA 3000 Medical Benefits Guide (MBG)
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UHA 3000 Medical Benefits Guide (MBG)
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Drug Plan T Flyer
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Drug Plan T Flyer
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Vision 100 Flyer
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Vision 100 Flyer
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Essential Health Benefits (EHB)
UHA 3000-T
For groups of 50 or fewer.
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Essential Health Benefits (EHB)
UHA 3000-T
For groups of 50 or fewer.
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Drug Plan 90/10 Preferred
With drug costs on the rise, Drug Plan 90/10 Preferred may be your ideal plan. It’s a unique option that may help your employees save money.
Contact our Sales team for more details.
Phone: (808) 532-4009
Toll free: (800) 458-4600, ext. 301
Toll free fax: (866) 577-3035
Detailed Plan Comparison
The following chart displays a comparison of plan provisions and benefits when seeing a participating provider.
| UHA 3000(Bundle) | UHA One Plan℠ (Bundle) | UHA 600(Bundle) | |||||
|---|---|---|---|---|---|---|---|
| Plan Provisions1 | |||||||
| Dependent Child Coverage | Less than 26 years of age | ||||||
| Annual Deductible2 | $200 per person;$600 per family | None | None | ||||
| Annual Maximum Out-of-Pocket | $2,200 per person;$6,600 per family | $2,500 per person;$7,500 per family | $2,500 per person;$7,500 per family | ||||
| Lifetime Maximum3 | Unlimited | ||||||
| Preventive Care Services†4 | |||||||
| Physical Exam (office visit) once per calendar year | None | ||||||
| Preventive Screening Services | |||||||
| Well Child Care Visit | |||||||
| Childhood Immunizations | |||||||
| Adult Immunizations | |||||||
| Screening Laboratory Services – Outpatient | |||||||
| Maternity Services | |||||||
| Maternity Care** | None | None | 10% of EC* | ||||
| Birthing Room† | None | ||||||
| Newborn Nursery† | 10% of EC* | ||||||
| Disease Management Programs† | |||||||
| Smoking Cessation Program | None | ||||||
| Asthma Education Program | |||||||
| Diabetes Self-Management Training & Education | |||||||
| Nutritional Counseling Programs | |||||||
| Physician Services† | |||||||
| Physician Office Visit | $12 co-payment | $12 co-payment | 10% of EC* | ||||
| Hospital Services | |||||||
| Room & Board (semi-private room) | 20% of EC*;deductible applies | 20% of EC* | 10% of EC* | ||||
| Hospital Ancillary Services | |||||||
| Laboratory & Pathology – Inpatient | |||||||
| Emergency Services | |||||||
| Emergency Room Services | 20% of EC*;deductible applies | 20% of EC* | 10% of EC* | ||||
| Ambulance (ground or inter-island air) | 20% of EC* | ||||||
| Complimentary Alternative Medicine | |||||||
| Chiropractor / Acupuncture ServicesBenefits limited to the treatment of conditions of the neuromusculoskeletal system by a licensed provider. | $10 co-payment per visit First set of x-rays at 50% of EC*; full charge for add’l sets; $500 com-bined maximum per calendar year | ||||||
| MedicalServices | |||||
| UHA 3000(Bundle) | UHA One Plan℠ (Bundle) | UHA 600(Bundle) | |||
|---|---|---|---|---|---|
| Plan Provisions1 | |||||
| Dependent Child Coverage | |||||
| Less than 26 years of age | |||||
| Annual Deductible2 | |||||
| $200 per person;$600 per family | None | None | |||
| Annual Maximum Out-of-Pocket | |||||
| $2,200 per person;$6,600 per family | $2,500 per person;$7,500 per family | $2,500 per person;$7,500 per family | |||
| Lifetime Maximum3 | |||||
| Unlimited | |||||
| Preventive Care Services†4 | |||||
| Physical Exam (office visit) once per calendar year | |||||
| None | |||||
| Preventive Screening Services | |||||
| None | |||||
| Well Child Care Visit | |||||
| None | |||||
| Childhood Immunizations | |||||
| None | |||||
| Adult Immunizations | |||||
| None | |||||
| Screening Laboratory Services – Outpatient | |||||
| None | |||||
| Maternity Services | |||||
| Maternity Care** | |||||
| None | None | 10% of EC* | |||
| Birthing Room† | |||||
| None | None | None | |||
| Newborn Nursery† | |||||
| None | None | 10% of EC* | |||
| Disease Management Programs† | |||||
| Smoking Cessation Program | |||||
| None | |||||
| Asthma Education Program | |||||
| None | |||||
| Diabetes Self-Management Training & Education | |||||
| None | |||||
| Nutritional Counseling Programs | |||||
| None | |||||
| Physician Services† | |||||
| Physician Office Visit | |||||
| $12 co-payment | $12 co-payment | 10% of EC* | |||
| Hospital Services | |||||
| Room & Board (semi-private room) | |||||
| 20% of EC*;deductible applies | 20% of EC* | 10% of EC* | |||
| Hospital Ancillary Services | |||||
| 20% of EC*;deductible applies | 20% of EC* | 10% of EC* | |||
| Laboratory & Pathology – Inpatient | |||||
| 20% of EC*;deductible applies | 20% of EC* | 10% of EC* | |||
| Emergency Services | |||||
| Emergency Room Services | |||||
| 20% of EC*;deductible applies | 20% of EC* | 10% of EC* | |||
| Ambulance (ground or inter-island air) | |||||
| 20% of EC*;deductible applies | 20% of EC* | 20% of EC* | |||
| Complimentary Alternative Medicine | |||||
| Chiropractor / Acupuncture ServicesBenefits limited to the treatment of conditions of the neuromusculoskeletal system by a licensed provider. | |||||
| $10 co-payment per visit First set of x-rays at 50% of EC*; full charge for add’l sets; $500 com-bined maximum per calendar year | |||||
- 1.The information above is intended to provide a condensed explanation of UHA medical plan benefits. Please refer to the appropriate Medical Benefits Guide (MBG) for complete information on benefits and provisions. In case of a discrepancy between this comparison and the language contained in the MBG, the MBG will take precedence.
- 2.Annual deductible does not apply to all services. Refer to your Medical Benefits Guide to verify which services apply.
- 3.No annual or lifetime maximum.
- 4.All U.S. Preventive Services Task Force (USPSTF) A and B recommended screening services are covered at 100% as required under the provisions of the Patient Protection and Affordable Care Act (ACA).
- †UHA 3000 annual deductible does not apply.
- *EC (Eligible Charge) Refer to your Medical Benefits Guide for detailed definition.
- **Maternity care includes professional services provided by your physician or Certified Nurse Midwife. Refer to your Medical Benefits Guide for more information on these and other services related to pregnancy and delivery.
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