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.

Anthem Co-Pay (EPO)

You may want to consider this plan if you know you will stay in-network and are looking to pay lower premiums. You don’t need to choose a primary care physician and you don’t need referrals to see a specialist. EPO plans are in-network only. It’s important to know who participates in the network because if you visit an out-of-network provider, you’ll pay all costs (unless in an emergency).

Anthem PPO

You may want to consider this plan if you want the flexibility of seeing doctors both in and out-of-network. However, this plan does require higher out-of-pocket costs — including premiums — compared to the Co-Pay (EPO) Plan.

Kaiser HMO (CA only)

Available to CA employees only, the Kaiser HMO plan requires you to designate a primary care doctor who manages your care and refers you to specialists. This plan features co-pays for most services and some services, such as lab and x-rays, are offered with no out-of-pocket cost. This plan includes coverage for in-network services at Kaiser facilities only.

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
None
None
Annual Out-of-Pocket Maximum
$1,500 per member
$3,000 per family
$3,00 per member
$9,000 per family
$800 per member
$2,400 per family
$1,500 per member
$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
$100 co-pay
/admission
Inpatient Hospitalization
10% coinsurance
30% coinsurance*
$200 co-pay
/admission
$100 co-pay
/admission
Outpatient Surgery
10% coinsurance
30% coinsurance*
No co-pay
$30/
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 2024 Monthly Cost for Coverage**
Your 2024 Monthly Cost for Coverage**
Your 2024 Monthly Cost for Coverage**
Your 2024 Monthly Cost for Coverage**
Your 2024 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.

Have questions about your benefits?

Contact the UMG Benefits Service Center at (888) 526-2794 from Monday to Friday 8 am – 5 pm PT.