Medical Plan Options
UMG offers multiple medical plan options to fit your needs. All medical plans provide in-network preventive care at no cost to you. You will see the plans available to you when you log into the benefits portal.
Learn more about UMG’s plans:
Have questions on your benefits?
Contact the UMG
Benefit Service Center
at (888) 526-2794
from 8 am – 5 pm PT.
Medical plan comparison
Anthem PPO
Anthem PPO
Anthem Co-Pay
Kaiser HMO
Plan Features
In-Network
Out-of-Network
In Network Only
In Network Only
Annual Deductible
None
$750 per member
$2,000 per family
$2,000 per family
None
None
Annual Out-of-Pocket Maximum
$1,500 per member
$3,000 per family
$3,000 per family
$3,000 per member
$9,000 per family
$9,000 per family
$800 per member
$2,400 per family
$2,400 per family
$1,500 per member
$3,000 per family
$3,000 per family
Lifetime Maximum
Unlimited
Unlimited
Unlimited
Unlimited
Preventive Care
No co-pay
30% coinsurance*
No co-pay
No co-pay
Primary Care
$20 co-pay
30% coinsurance*
$20 co-pay
$15 co-pay
Telehealth
No co-pay (LiveHealth Online)
Not covered
No co-pay (LiveHealth Online)
No co-pay (Kaiser Video Visit)
Specialist
$40 co-pay
30% coinsurance*
$30 co-pay
$30 co-pay
Urgent Care
$20 co-pay
30% coinsurance*
$20 co-pay
$15 co-pay
Emergency Room
$100/visit (waived if admitted)
$100/visit (waived if admitted)
$100/visit (waived if admitted)
$100/visit (waived if admitted)
Mental/Behavioral Health (Outpatient)
No co-pay
30% coinsurance*
No co-pay
$15 co-pay
Mental/Behavioral Health (Inpatient)
10% coinsurance
30% coinsurance*
$200 co-pay
/admission
/admission
$100 co-pay
/admission
/admission
Inpatient Hospitalization
10% coinsurance
30% coinsurance*
$200 co-pay
/admission
/admission
$100 co-pay
/admission
/admission
Outpatient Surgery
10% coinsurance
30% coinsurance*
No co-pay
$30/
procedure
procedure
Infertility Services
10% coinsurance (lifetime maximum of $30,000/member)
30% coinsurance* (lifetime maximum of $30,000/member)
No co-pay (lifetime maximum of $30,000/member)
Please review the SPD for specific services and coverage.
Lab & X-Ray
10% coinsurance
30% coinsurance*
No co-pay
No co-pay
Anthem PPO
Anthem PPO
Anthem Co-Pay
Kaiser HMO
Your 2025 Monthly Cost for Coverage**
Your 2025 Monthly Cost for Coverage**
Your 2025 Monthly Cost for Coverage**
Your 2025 Monthly Cost for Coverage**
Your 2025 Monthly Cost for Coverage**
Employee Only
$163
$163
$113
$137
Employee + Spouse
$355
$355
$250
$282
Employee + Children
$333
$333
$233
$237
Employee + Family
$469
$469
$328
$344
*30% coinsurance of plan allowed charges; out-of-network providers may balance bill for additional fees.
**Pre-tax payroll deduction.
**Pre-tax payroll deduction.
Have questions about your benefits?
Contact the UMG Benefits Service Center at (888) 526-2794 from Monday to Friday 8 am – 5 pm PT.