Your health and the health of your family are important and Clermont County recognizes that families have different needs and priorities, that’s why we offer two excellent medical plans to choose from.
Choice of two plan designs: UHC Copay plan or the UHC High Deductible plan (HDP) with a HSA (health savings account).
UHC Copay Plan In-Network Info:
Primary Care Physician Office visit (including Pediatricians): $0 Copay
Virtual Dr. Visit (including mental health): $0 Copay
Emergency Room: $250 copay + 20% of the balance up to the maximum-out-of-pocket (MOOP).
Deductible $2000 per person / $4000 maximum per family
Maximum-Out-of-Pocket (MOOP): $5,500 per person /maximum = $11,000 per family.
Rx Copay = Retail: $15;/$30/$50/25% Injectables. Mail Order: $30/$100/$140/25% Injectables
UHC HDP w/HSA In-Network Info:
Member pays 100% of the UHC provider contract rate until satisfying the deductible, including prescription drugs (Rx).
Deductible: $3000 per person / $6000 maximum per family
Member pays 10% co-insurance after meeting deductible, up to the MOOP.
MOOP (Maximum-Out-of-Pocket): $4000 per person / maximum = $8000 per family
Can be paired with an HSA and/or a Limited FSA (dental & vision only). Learn about HSA’s here.
Compare the SBC’s and SPD’s for each plan to understand the difference between the two plans.
UnitedHealthcare creates & publishes the Machine-Readable Files on behalf of Clermont Board
of County Commissioners. To link to the Machine-Readable Files, please click on the URL
provided: https://transparency-in-coverage.uhc.com/
