UnitedHealthcare

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 yourself 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.

Watch the videos below to understand more about the Health Savings Account (HSA) to determine if one of the HDHP medical plan options may be right for you.

How HDHP with HSA works
HDHP vs Traditional PPO
Comparing HSA and FSA

Provider Network
HSA Eligible
Individual / Family HSA Funding by Ancestry
Preventive Doctor's Visit
$500 Deductible
Options PPO Network (Utah)
Choice Plus PPO Network (outside of Utah)
No
None
Covered at 100%
in-network*
$1,600 Deductible with HSA
Options PPO Network (Utah)
Choice Plus PPO Network (outside of Utah)
Yes
$800 / $1,600
Covered at 100%
in-network*
$2,500 Deductible with HSA
Options PPO Network (Utah)
Choice Plus PPO Network (outside of Utah)
Yes
$1,250 / $2,500
Covered at 100%
in-network*

In-Network

Individual / Family Deductible
Individual / Family Out-of-Pocket Max
Plan Coinsurance
Office Visit (Primary Care / Specialist)
$500 Deductible
$500 / $1,000
$2,000 / $4,000
80%
$20 primary care physician / $40 specialist*
$1,600 Deductible with HSA
$1,600 / $3,200
$3,200 / $6,400
80%
20% after deductible
$2,500 Deductible with HSA
$2,500 / $5,000
$4,500 / $6,850
70%
30% after deductible

Retail Prescriptions

Generic (Tier 1)
Preferred Brand Name (Tier 2)
Non-Preferred Brand Name (Tier 3)
$500 Deductible
$10 copay*
$30 copay*
$60 copay*
$1,600 Deductible with HSA
20% after deductible
20% after deductible
20% after deductible
$2,500 Deductible with HSA
30% after deductible
30% after deductible
30% after deductible

Mail Order Prescriptions

Generic (Tier 1)
Preferred Brand Name (Tier 2)
Non-Preferred Brand Name (Tier 3)
$500 Deductible
$25 copay*
$75 copay*
$150 copay*
$1,600 Deductible with HSA
20% after deductible
20% after deductible
20% after deductible
$2,500 Deductible with HSA
30% after deductible
30% after deductible
30% after deductible
* Plan deductible does not apply.

Learn more about UHC benefits.

UnitedHealthcare Monthly Costs

See what both you and Ancestry contribute each month for the medical plans.

For more information, see the Plan Documents and Required Notices.

Wellness Program

The Wellness Program helps UnitedHealthcare members identify and minimize their health risks. Learn more about the Wellness Program. Learn how to access Rally.

Questions?

UnitedHealthcare

Medical
Plan/Group Number: 743256
Phone: 1-844-333-8019
Website

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