UnitedHealthcare Catalyst SM A family of plan options that promotes healthy behavior and provides meaningful coverage You want to offer meaningful health care coverage that balances features and affordability. Catalyst brings you a fresh approach to provide the plan best for you and your employees. What makes Catalyst SM different? • U nlike other plans, Catalyst covers healthrelated costs as part of a “pre-deductible” benefit. That means the costs don’t trigger the employee-paid deductible. that 72% of members spend less than $1,000 on medical expenses annually. This means many of our members’ health care needs will be met when they use their pre-deductible benefit. • W ith Catalyst, employees and their families can take care of many of their annual health issues, such as routine office visits, or emergency health issues, without having to pay the full cost for each service. This helps promote healthy behavior. • T he member pays a copayment or coinsurance at the time care is received. UnitedHealthcare will pay remaining provider costs using the pre-deductible allowance. The pre-deductible benefit will continue until all allowance dollars have been spent. • T his pre-deductible benefit covers initial medical services – typically up to $1,000 a year per person1 – at either copayment or coinsurance benefit level. Our research shows • B eyond the pre-deductible allowance, Catalyst continues to provide coverage subject to deductible and coinsurance. Dollar amounts vary by plan design. Each family member has their own pre-deductible allowance. 1 Form #: UHCEW490965-000 How Catalyst works – sample plan design2 • Member has up to $1,000 for healthrelated services • After member copayment or coinsurance is paid, UnitedHealthcare pays for the remaining cost of care up to the predeductible allowance Deductible • After using up the pre-deductible allowance, member pays 100% of the eligible expenses until the maximum deductible amount is reached Pre-deductible Out-of-pocket limit • Once the deductible amount has been satisfied, member pays 20% coinsurance • After member’s out-of-pocket maximum is reached, UnitedHealthcare pays 100% of covered services Coinsurance Preventive care covered at 100% The pre-deductible allowance coverage varies based on which version of Catalyst the employee has. Pre deductible allowance, deductible amount, and coinsurance percent vary based on plan design. 2 Does this sound familiar? You want to avoid the separate administration and additional funding requirements of health reimbursement and health savings accounts. You haven’t provided health care coverage before for part-time and lower-wage employees. You want to offer meaningful coverage at a lower price point. You want to offer a plan with higher deductibles, but want to provide more flexible coverage than a typical high-deductible plan design offers. You currently offer a health reimbursement account but find that employees are depleting those accounts and then leaving the company. Additional savings to encourage better health With Catalyst, employees can save typically between 10 and 50 percent on purchases such as gym memberships and weight loss tools. Contact your UnitedHealthcare representative for more information and to confirm that Catalyst is available in your market. If one or more of these situations describes your needs, consider Catalyst for your solution. The UnitedHealth Allies health discount program is administered by HealthAllies®, Inc., a discount medical plan organization located at 505 N. Brand Blvd., Suite 850, Glendale, CA, 91203, 1-800-860-8773. The health discount program is NOT insurance. The health discount program provides discounts for certain health products and services. The health discount program does not make payments directly to the providers of health products and services. The program member is obligated to pay for all health products and services but will receive a discount from those providers who have contracted with the discount plan organization. The health discount program is offered to existing members of certain products underwritten or provided by UnitedHealthcare Insurance Company or its affiliates to provide specific discounts and to encourage participation in wellness programs. Health care professional availability for certain services may be dependent on licensure, scope of practice restrictions or other requirements in the state. UnitedHealthcare does not endorse or guarantee health products/services available through the discount program. This program may not be available in all states or for all groups. Components subject to change. For informational purposes only. NurseLineSM nurses cannot diagnose problems or recommend specific treatment and are not a substitute for your doctor’s care. NurseLine services are not an insurance program and may be discontinued at any time. For a complete description of the UnitedHealth Premium® Designation program, including details on the methodology used, geographic availability, program limitations and medical specialties participating, please see myuhc.com®. Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. Administrative services provided by UnitedHealthcare Insurance Company, or United HealthCare Services, Inc. or their affiliates. © 2010 United HealthCare Services, Inc. 100-10110 10/10 Employer Fully Insured Sell Sheet UHCEW490965-000
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