Ancestry considers you part of our family. That’s why we offer several medical plans featuring a range of coverage levels and costs, so you have the flexibility to choose the best plan for you and your family. Keep in mind that certain medical plans give you the option to contribute to a Health Savings Account (HSA), a tax-advantaged account that can help you save money.
| $500 Deductible | $1,500 Deductible with HSA | $2,500 Deductible with HSA | |
|---|---|---|---|
| Provider Network | Options PPO Network (Utah) Choice Plus PPO Network (outside of Utah) |
Options PPO Network (Utah) Choice Plus PPO Network (outside of Utah) |
Options PPO Network (Utah) Choice Plus PPO Network (outside of Utah) |
| HSA Eligible | No | Yes | Yes |
| Individual/ Family HSA Funding by Ancestry | None | $750/ $1,500 | $1,250/ $2,500 |
| Preventive Doctor's Visit | Covered at 100% in-network* | Covered at 100% in-network* | Covered at 100% in-network* |
In-Network
| $500 Deductible | $1,500 Deductible with HSA | $2,500 Deductible with HSA | |
|---|---|---|---|
| Individual/ Family Deductible | $500/ $1,000 | $1,500/ $3,000 | $2,500/ $5,000 |
| Individual/ Family Out-of-Pocket Max | $2,000/ $4,000 | $3,000/ $6,000 | $4,500/ $6,850 |
| Plan Coinsurance | 80% | 80% | 70% |
| Office Visit (Primary Care/Specialist) | $20 Primary care physician/$40 specialist* | 20% after deductible | 30% after deductible |
Retail Prescriptions
| $500 Deductible | $1,500 Deductible with HSA | $2,500 Deductible with HSA | |
|---|---|---|---|
| Generic (Tier 1) | $10 copay* | 20% after deductible | 30% after deductible |
| Preferred Brand Name (Tier 2) | $30 copay* | 20% after deductible | 30% after deductible |
| Non-Preferred Brand Name (Tier 3) | $60 copay* | 20% after deductible | 30% after deductible |
Mail Order Prescriptions
| $500 Deductible | $1,500 Deductible with HSA | $2,500 Deductible with HSA | |
|---|---|---|---|
| Generic (Tier 1) | $25 copay* | 20% after deductible | 30% after deductible |
| Preferred Brand Name (Tier 2) | $75 copay* | 20% after deductible | 30% after deductible |
| Non-Preferred Brand Name (Tier 3) | $150 copay* | 20% after deductible | 30% after deductible |
*Does not count toward annual deductible.
Learn more about the benefits of the mail order service and how the mail order service works.
UnitedHealthcare Monthly Costs
See what both you and Ancestry contribute each month for the medical plans.
For more information:
- Core Preventive Drug List for High-Deductible Health Plans 2018
- UHC Options 500 Plan Summary of Benefits and Coverage 2019—Utah
- UHC Options 1500 Plan Summary of Benefits and Coverage 2019—Utah
- UHC Options 2500 Plan Summary of Benefits and Coverage 2019—Utah
- UHC Choice Plus 500 Plan Summary of Benefits and Coverage 2019—outside of Utah
- UHC Choice Plus 1500 Plan Summary of Benefits and Coverage 2019—outside of Utah
- UHC Choice Plus 2500 Plan Summary of Benefits and Coverage 2019—outside of Utah