Medical Insurance - UMR

www.umr.com or 866.729.6934

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Group #76-150028

Provider Network Tier I – Central Maine Healthcare PPO

Provider Network Tier II – United Healthcare

Basic coverage outline:

  • Deductible options - $500 or $1500
  • Preventative/Wellness Exams - 100% covered
  • Primary Care - $20 copay
  • Specialists - $40 copay
  • Urgent Care - $50 copay
  • Emergency - $150 copay

Prescription Coverage

  • CMH Pharmacy 30 day supply - $4/$15/$35
  • Outside Pharmacy 30 day supply - $10/$30/$50

Premiums

$500 Deductible Plan

Coverage Semi-Monthly Cost  - 2017
Employee Only $98
Employee & Child(ren) $165
Employee & Spouse $278
Employee & Family $278

$1500 Deductible Plan

Coverage Semi-Monthly Cost  - 2017
Employee Only $76
Employee & Child(ren) $135
Employee & Spouse $203
Employee & Family $203

*Premium costs are before discounts for wellness or tobacco cessation enrollments

Please review the Enrollment Booklet for 2017 for a full description of the medical plan coverage.  Download the  2016 Enrollment Booklet if you have questions about the current plan.

View EPIC Member Brochure here

View Nurseline PDF here