MEDICAL & PRESCRIPTION DRUGS

Elect a medical plan administered by Oxford United Healthcare

Patient Care Medical Group is thrilled to be able to offer additional medical benefit options to employees for the January 1, 2024 – December 31, 2024 plan year. Your NEW Carrier is Oxford UHC for your Medical and Prescription Drug plan.

WHO IS ELIGIBLE?

Employees and their dependents (spouse and children) are eligible on the 1st day of hire. You have 30 days from your date of hire to enroll you and your dependents in PCMG's Benefits Program. If you miss this window, you will have to wait for the next Open Enrollment cycle.

PLAN DESIGNS

GOLD PLAN

ELIGIBILITY: Date of Hire

This plan has a $0 in-network deductible and provides the highest level of benefits to PCMG employees.

This plan DOES NOT HAVE Out-of-Network Coverage

Summary of Benefits Coverage

SILVER PLAN

ELIGIBILITY: Date of Hire

This plan has a $1,000 in-network deductible and is a great choice for employees who may utilize their insurance coverage more often and wish to spend less out of pocket.

This plan DOES NOT HAVE Out-of-Network Coverage

Summary of Benefits Coverage

OUT-OF-NETWORK PLAN

ELIGIBILITY: Date of Hire

This plan is a great choice for employees who may not utilize coverage as often. However, it is important to note the increased employee responsibility as there is a larger deductible than the other two options.

If Out-of-Network coverage is important, this is the right plan for you.

This plan DOES HAVE Out-of-Network Coverage

Summary of Benefits Coverage

Plan Design Comparison

The table below provides a comparison of the three (3) Medical Plan Design being offered by PCMG

TO LEARN MORE ABOUT PATIENT CARE MEDICAL GROUP'S MEDICAL PLAN

For questions and additional information, please contact/visit PCMG's Human Resources Department or the Graham Company Service Line. More information can also be found on the United Healthcare's website.

United Healthcare Website

HOW TO FIND AN OXFORD FREEDOM NETWORK PROVIDER

Search with or without an Oxford username and password.

  1. Visit myuhc.com
  2. Click Find a Provider in the Find a Doctor section
  3. On the next page, click Medical Directory > Employer and Individual Plans > Oxford Health Plans > Freedom
  4. Enter any additional criteria and click Search
  5. Narrow your search by using one of the filters. You can filter by distance from your selected location.

Remember, you pay less out of pocket when you get health services from providers that are in-network for your United Healthcare health plan, even when you have out-of-network benefits.

LIVE OUTSIDE OF THE OXFORD NETWORK?

Search with or without an Oxford username and password.

  1. Visit myuhc.com
  2. Click Find a Provider in the Find a Doctor section
  3. On the next page, click Medical Directory > Employer and Individual Plans > Choice Plus
  4. Enter any additional criteria and click Search
  5. Narrow your search by using one of the filters. You can filter by distance from your selected location.

Remember, you pay less out of pocket when you get health services from providers that are in-network for your United Healthcare health plan, even when you have out-of-network benefits.

OXFORD UHC MEMBER RESOURCES

Oxford UHC offers an array of tools and services to help members maximize their benefits. Some examples of these tools/services are listed below:

  • United Healthcare App
  • Virtual Visits
  • Wellness and Rewards Programs
  • Mental Health & Emotional Support Programs
  • Health Support Programs

Please click below to view the full list of tools and services offered by UHC.

LIST OF TOOLS AND SERVICES

TELEMEDICINE

Access to healthcare is now even easier with United Healthcare's Telehealth

When your primary doctor isn't available, UHC's Telehealth is available 24/7/365 for treatment of acute conditions.

Virtual Visits

Talk to a health care provider from your computer, tablet or smartphone.

What is a virtual visit? It may be a term you’re hearing more often. That’s because the use of virtual visits, also known as telehealth, has expanded recently, offering people more ways to connect with a health care provider from home or work. During a virtual visit, you use digital technologies, like your smartphone, tablet or computer, to talk with a provider. You can get treatment options and even prescriptions for medications, if needed.

UnitedHealthcare offers members options for virtual visits with local providers or by using UnitedHealthcare’s preferred national providers. For benefits coverage information, please sign in to your health plan account. Let’s go over some of the basics about virtual visits and how they work.

More About Teleheath

Are virtual visits covered?

Virtual visits may be covered by your health insurance in a similar way to an office visit with your doctor. Depending on your benefit coverage, you may be able schedule a virtual visit with a local provider or have a virtual visit for primary care, therapy, specialty care or 24/7 with a national provider for urgent care or when your provider is not available. Sign in to your health plan account or call the number on your member ID card to check your benefits for virtual visit coverage. Below are some options that may be available, based on your health plan.

Virtual care may include in-network virtual visits for medical, mental health, physical therapy, occupational therapy, speech therapy, chiropractic, home health, vision, hearing and dental services.

Dental & Vision

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