UK-PPO Factors to Consider



  • Lower copayments when using UK Healthcare providers for certain procedures.

  • UK-PPO provides care through a broader network, including UK HealthCare facilities and physicians and the Anthem BlueCross and BlueShield network. 

  • Out-of-network coverage is available.

  • 50% benefit after meeting your deductible when using an out-of-network provider.

  • Lowest PPO premium; slightly higher premium than HMO.

  • Covered transplants include kidney, liver, pancreas, kidney/pancreas, heart, lung, heart/lung, bone marrow and cornea transplants.

  • Deductible does not apply to in-network preventive services.


UK-PPO Summary of Benefits




With the PPO option, participating providers agree to accept Anthem’s determination of reasonable allowable charges as payment in full. The PPO plan provides a large number of providers, including UK HealthCare facilities (such as Chandler Hospital, Good Samaritan Hospital, and Kentucky Clinics), UK HealthCare physicians and Anthem BlueCross and BlueShield network.


Under either PPO: copayments, deductibles and expenses for mental health and substance abuse do NOT accrue toward the maximum out-of-pocket limit.


Prior authorization is required for the following services: durable medical equipment (over $750), home health care and hospice services and other services as listed in the certificate of coverage.


Click to view table summary of UK-PPO benefits »


Click to view full plan details of UK-PPO (PDF) »


Rates




Over 65 - Medicare Eligible - Rates


Under 65 - Non-Medicare Eligible - Retired Prior to 7/1/2007 - Rates »


Under 65 - Non-Medicare Eligible - Retired After 7/1/2007 - Rates »


Any Age - Actively Working at UK - Rates »

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