UNITEDHEALTHCARE CHOICE SILVER EPO 15/100 DY-MF
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,070.66
Employee/Child(ren)
$1,760.95
PLAN HIGHLIGHTS
- PCP: $15 Adult, $0 Child | Specialist: Designated Network $50, non-DN $100
- Deductible, Coinsurance: $7,000/$14,000, 25%
- Max OOP: $9,200/$18,400
- Rx: $10/$50/$100 after $100/member Rx deductible (n/a Tier 1)
UNITEDHEALTHCARE CHOICE SILVER HSA 3200 DY-LN PR
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,104.76
Employee/Child(ren)
$1,789.94
PLAN HIGHLIGHTS
- PCP/Specialist: Deductible then 20% coinsurance
- Deductible, Coinsurance: $3,200/$6,400, 20%
- Max OOP: $8,000/$16,000
- Rx: Deductible then $15/$35/$75
UNITEDHEALTHCARE CHOICE SILVER HSA 2750 DY-L7
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,168.62
Employee/Child(ren)
$1,844.22
PLAN HIGHLIGHTS
- PCP/Specialist: Deductible then $30/$50
- Deductible, Coinsurance: $2,750/$5,500, 0%
- Max OOP: $7,500/$15,000
- Rx: Deductible then $10/$40/$60
UNITEDHEALTHCARE CHOICE SILVER EPO 30/75 DY-LL
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,046.05
Employee/Child(ren)
$1,740.03
PLAN HIGHLIGHTS
- PCP/Specialist: $30/$75
- Deductible, Coinsurance: $4,250/$8,500, 50%
- Max OOP: $9,100/$18,200
- Rx: $15/$65/50% up to $800; after $100/member Rx deductible (n/a Tier 1)
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.