The UK-PPO plan is available at the same monthly cost as the UK-HMO and offers greater flexibility to choose a doctor or health care facility. While the monthly premiums are the same as the UK-HMO, members of the UK-PPO plan pay for this extra flexibility through deductibles and higher co-pays for certain services. UK HealthCare facilities and physicians are in the UK-PPO network and are available at lower co-pays and co-insurance than services outside of UK HealthCare.

 

Coverage Level Monthly Rate* UK Credit Monthly Cost to Employee
Employee only $680 $495 $185
Employee + child(ren) $1,018 $649 $369
Employee + spouse $1,358 $783 $575
Employee + family $1,700 $922 $778

* Regular part-time and temporary employees (less than 0.75 FTE or work less than an average of 30 hours per week in a 12 month measurement period), who are not eligible for the UK credit toward the costs of coverage, pay this rate.

Find a doctor

Anthem provides a Find a Doctor tool to show which providers in your area accept your insurance plan.

Full coverage information

Complete information about the UK-EPO plan is available in this Summary of Benefits Coverage or this medical benefits booklet.
 

2017-2018 UK-EPO Major Plan Benefits UK HealthCare Providers Anthem Providers
Lifetime Maximum Benefit Unlimited Unlimited Unlimited
Out-of-Pocket Amount Medical out-of-pocket maximum $3,000/member; $6,000/family $3,000/member; $6,000/family
Prescription out-of-pocket maximum $3,850/member; $7,700/family $3,850/member, $7,700/family
Preventive Care
* Coverage under preventive care category depends on age, symptoms and diagnosis
 
Routine immunizations (through age 18)
Routine mammogram and Pap smears
Routine child care (through age 18)
Routine adult physical exam (19 years and above)
100% 100%
Physician Services  Office visits (excludes certain diagnostic lab tests and X-ray) 100% after $15 co-pay per primary care visit or $40 co-pay per specialist visit  100% after $25 co-pay per primary care visit or $50 co-pay per specialist visit
Lab tests and X-rays 100% after office visit co-pay 100% after office visit co-pay 
Allergy injections  100% after $10 co-pay per visit  100% after $10 co-pay per visit
Inpatient services 
Outpatient surgery and diagnostic tests
Physician visits to emergency room
100% 100% 
Hospital Services Inpatient care (semi-private room and board, nursing care, ICU) 100% after $300 co-pay per admission (limited to two co-pays per plan year) 100% after $500 co-pay per admission (limited to two co-pays per plan year)
Outpatient surgery 100% after $100 co-pay per procedure 100% after $150 co-pay per procedure
Outpatient diagnostic testing (high costs - MRI, MRA, CT, PET scans) 100% after $75 co-pay per test 100% after $100 co-pay per test
Outpatient nonsurgical care
Outpatient tests, lab and X-ray
Ancillary services
Organ transplant
100% 100%
Emergent Medical Services Emergency room 100% after $100 co-pay (waved if admitted) 100% after $100 co-pay (waived if admitted)
Urgent treatment center N/A 100% after $50 co-pay per primary care visit
Ambulance services 100% after $100 co-pay 100% after $100 co-pay
Other Medical Services Skilled nursing facility (up to 100 days/plan year)
Home health care (up to 100 visits/plan year) and hospice services
Hospice services
100% 100%
Durable medical equipment  80% up to $500 member cost per year 80% up to $500 member cost per year
Chiropractic care*, physical, speech, music, hydrotherapy, occupational and acupuncture therapy (limited to 45 visits per plan year, combined) *Maximum 20 visits for chiropractic care 100% after $20 co-pay/visit 100% after $30 co-pay/visit
Mental Health and Substance Abuse Inpatient 100% after $300 co-pay per admission 100% after $500 co-pay per admission
Outpatient 100% after $40 co-pay per visit 100% after $50 co-pay per visit

Employee health plans

Employee health plans

UK-HMO
UK-RHP
UK-PPO
UK-EPO

Employee health plans

Employee health plans

UK-HMO
UK-RHP
UK-PPO
UK-EPO

Dental Plans

Dental Plans

UK Dental
Delta Dental