UNITEDHEALTHCARE CHOICE PLATINUM EPO 15/25 DY-LR
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,915.22
Employee/Child(ren)
$2,478.83
PLAN HIGHLIGHTS
- PCP/Specialist: $15/$25
- Deductible, Coinsurance: $0/$0, 0%
- Max OOP: $5,500/$11,000
- Rx: $5/$25/$50
UNITEDHEALTHCARE CHOICE PLATINUM EPO 10/25 DY-LJ
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,903.31
Employee/Child(ren)
$2,468.71
PLAN HIGHLIGHTS
- PCP/Specialist: $10/$25
- Deductible, Coinsurance: $0/$0, 0%
- Max OOP: $7,000/$14,000
- Rx: $5/$30/$60 after $50/member Rx deductible (n/a Tier 1)
UNITEDHEALTHCARE CHOICE PLATINUM EPO 10/80 DY-MB
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,763.96
Employee/Child(ren)
$2,350.26
PLAN HIGHLIGHTS
- PCP: $10 Adult, $0 Child | Specialist: Designated Network $40, non-DN $80
- Deductible, Coinsurance: $0/$0, 20%
- Max OOP: $3,700/$7,400
- Rx: $5/$40/$80
Carrier rates are subject to NYS Department of Financial Services approval and final verification at enrollment.
All plans above include $5.95 for HealthPass Program Benefits (non-carrier/agent services) and a 2.9% billing and administrative fee.