Medical and Prescription Plan Information

2024 Benefit Summaries:

2024 Benefit Summaries are available at the links below.

• High Deductible Health Plans:
  • HSA Silver Summary:   UHC HDHP Silver
  • HSA Gold Summary:   UHC HDHP Gold
• Low Deductible Health Plans:
  • PPO Summary:  UHC PPO
  • EPO Summary:  UHC EPO
• Milwaukee Union Employees:
  • Summary for Milwaukee EPO
• Gum Springs Union Employees:
  • Summary for Gum Springs PPO

 

2024 Veolia UHC Medical Plan Comparison: 

Visit the pre-member website for a more detailed plan-to-plan comparison: https://www.whyuhc.com/veolia 

 

Plan Design (In-network)	2024 PPO	2024 HDHP Silver	2024 HDHP Gold	2024 EPO
Deductible (EE / Family)	$750 / $1,500	$3,000 / $6,000	$1,750 / $3,500	$500 / $1,000
Deductible Accumulation (Fam)	Embedded	Embedded  (individual $3,200)	Aggregate	Embedded
Deductible Application	Medical Only	Medical / Rx	Medical / Rx	Medical Only
Coinsurance	20%	30%	20%	10%
Out of Pocket Max (EE / Family)	$3,250 / $6,500	$6,000 / $12,000	$3,500 / $7,000	$2,500 / $5,000
Out of Pocket Max Accumulation (Family)	Embedded	Embedded	Aggregate	Embedded
Out-of-Pocket Max Application	Medical / Rx
Preventative Services	Covered 100%
Office Visit (PCP / Specialist)	$25 / $40	Acute/Wellness: Covered 100% PCP / SPC: 30% after deductible	Acute/Wellness: Covered 100% PCP / SPC: 20% after deductible	10% after deductible
Virtual Care / Telemedicine	Acute/Wellness: Covered 100% PCP / Specialist: $25 / $40	30% after deductible	20% after deductible	10% after deductible
Urgent Care	$50	30% after deductible	20% after deductible	10% after deductible
Emergency Room	$175	30% after deductible	20% after deductible	10% after deductible
Inpatient Hospital	20% after deductible	30% after deductible	20% after deductible	10% after deductible

 

Pharmacy Plan: 2024 Express Scripts Formulary List & Exclusions

 

Employees Residing in California: Kaiser HMO

Employees Residing in Hawaii: 

*** Updated info, including links below, will be available early November

• HMSA HMO
• HMSA PPO
• HMSA CompMED

For a side-by-side comparison of these plans, click HERE.

 

 

2023 Benefit Summaries:

2023 Benefit Summaries are available at the links below. The 2023 VNA medical plan At a Glance is located HERE for your reference.

 

• High Deductible Health Plans:

  • HSA Silver Summary:  BCBSIL HDHP Silver   UHC HDHP Silver
  • HSA Gold Summary:  BCBSIL HDHP Gold    UHC HDHP Gold 

• Low Deductible Health Plans:

  • BCBS: BCBSIL PPO   BCBSIL EPO 
  • UHC: UHC PPO   UHC EPO

• Milwaukee Union Employees:

  • Summary for Milwaukee EPO

• Gum Springs Union Employees:

  • Summary for Gum Springs PPO

 

Pharmacy Plan: 2023 Express Scripts Formulary List & Exclusions

 

Employees Residing in California: Kaiser HMO

 

Employees Residing in Hawaii:

• HMSA HMO

• HMSA PPO

• HMSA CompMED

For a side-by-side comparison of these plans, click HERE.