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Employer ID: CTWD0188

User Name: First 6 letters of last name and last 4 digits of SSN

Password: Last 4 digits of your SSN

 

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The City of Woodstock provides employees with two medical plan options through UMR. The rising cost of health care is making it harder for some people to find affordable medical benefits. Our goal is to offer affordable benefit options that ensure you have access to high-quality services.

You have two deductible plans to choose from:

  • The first option has a deductible expense of $500 for employee only coverage, $1,000 for employee plus spouse coverage or employee plus child coverage, and $1,500 for family coverage.
  • The second option has a deductible expense of $1,500 for employee only coverage, $3,000 for employee plus spouse coverage or employee plus child coverage, and $4,500 for family coverage.

Once you have incurred an out-of-pocket of either $500 or $1,500 (per covered member) the City will cover all remaining eligible in-network medical expenses.

The UMR Choice Plus POS is a traditional health plan. Employees pay a $25 - $35 office visit copay for in-network doctor visits participating in the UHC Choice Plus POS Network. Employees can also access care from a UMR/UHC Premium Designated Provider. This program recognizes doctors who meet standards for quality and cost efficiency. By utilizing these premium doctors, you will also receive a $10 discount on your PCP and Specialist office visit copays. Certain other services are covered after the deductible is reached. This plan allows you to visit any in-network provider without a referral.

If you use out-of-network providers, you may have to file your benefit claims yourself or pay for services and wait to be reimbursed by UMR.

The information contained in this presentation is an overview of your benefits. If you have specific questions regarding a provider or procedure, please call UMR Customer Service at the number listed on the back of your ID Card. If you do not have an ID card, please call 1-800-826-9781 or refer to the Medical & Rx SPD.

Premium - $500 POS Plan Benefits

 

In-Network

Out-of-Network

Deductible (Calendar Year)

   

Single

$500

$6,000

Family

$1,500

$18,000

Lifetime Maximum

Unlimited

Unlimited

Coinsurance (Plan/Member)

100% / 0%

60% / 40%

Max Out-of-Pocket (Including Deductible)

   

Single

$500

$14,000

Family

$1,500

$42,000

Hospital Facility Services

   

Inpatient

Deductible and $250 Copay

Plan Pays 60% after Deductible

Outpatient

Deductible and $250 Copay

Plan Pays 60% after Deductible

Emergency Room

$150 Copay

$150 Copay

Physician Office Visits

   

Primary Care

$25 Copay / $15 with Premium Designation

Plan Pays 60% after Deductible

Specialist

$35 Copay / $25 with Premium Designation

Plan Pays 60% after Deductible

Prescription Drug Coverage*

   

Tier 1 Drugs

$15 Copay

Plan Pays 60% after Deductible

Tier 2 Drugs

$30 Copay

Plan Pays 60% after Deductible

Tier 3 Drugs

$60 Copay

Plan Pays 60% after Deductible

Mail Order

$15/$60/$120

Not Covered

* Please refer to the benefit summary for Rx Tier descriptions

Basic - $1,500 POS Plan Benefits

 

In-Network

Out-of-Network

Deductible (Calendar Year)

   

Single

$1,500

$6,000

Family

$4,500

$18,000

Lifetime Maximum

Unlimited

Unlimited

Coinsurance (Plan/Member)

100% / 0%

60% / 40%

Max Out-of-Pocket (Including Deductible)

   

Single

$1,500

$14,000

Family

$4,500

$42,000

Hospital Facility Services

   

Inpatient

Deductible and $250 Copay

Plan Pays 60% after Deductible

Outpatient

Deductible and $250 Copay

Plan Pays 60% after Deductible

Emergency Room

$150 Copay

$150 Copay

Physician Office Visits

   

Primary Care

$25 Copay / $15 with Premium Designation

Plan Pays 60% after Deductible

Specialist

$35 Copay / $25 with Premium Designation

Plan Pays 60% after Deductible

Prescription Drug Coverage*

   

Tier 1 Drugs

$15 Copay

Plan Pays 60% after Deductible

Tier 2 Drugs

$30 Copay

Plan Pays 60% after Deductible

Tier 3 Drugs

$60 Copay

Plan Pays 60% after Deductible

Mail Order

$15/$60/$120

Not Covered

* Please refer to the benefit summary for Rx Tier descriptions

 

Finding Providers

How do you find a Choice Plus POS in-network provider?

It’s easy! There are several ways:

  1. Contact your provider and ask:
    “Do you participate in the UHC Choice Plus POS network”

  2. Contact UMR at the number provided on your ID card
  3. Via the internet at www.umr.com