About the PPO Plan
The Preferred Provider Organization (PPO) plans allow you to direct your own care. If you receive care from a physician
who is a member of the network, a greater percentage of the entire cost will be paid by the insurance plan. However,
you are not limited to the physicians within the network and you may self-refer to specialists. If you obtain services
using a non-network provider, please note that you will be responsible for the difference between the covered amount
and the actual charges, and you may be responsible for filing claims.
PPO plan options include:
UMR/UHC CA Select Plus PPO 80/50, $500
Pharmacy Benefits
United Healthcare pharmacy network is through Express Advantage Network (EAN)
You will pay standard copays if you fill your prescription at an EAN Pharmacy (EAN Pharmacies include Rite Aid, Costco, Kmart, Vons, Haggen, Safeway, SuperValue, WinnDixie, Walmart, and many independent pharmacies). Visit express-scripts.com for a complete list of EAN pharmacies.
You will pay standard copays plus $5/prescription if you fill your prescription at a non-EAN Pharmacy (Non-EAN Pharmacies include CVS, Walgreens, and certain independent pharmacies).
To save money and time, consider using the mail order pharmacy to fill your maintenance medications.
Members enrolled in the UHC plans will receive a separate Express card via mail. This card is intended for use at retail pharmacies.
For more information about your prescription plan through United Healthcare, log in at express-scripts.com or call Member Services toll free at (800) 918-8011
Need Help Finding a Provider?
Carrum Health
Carrum Health is a special surgery benefit available to employees and family members enrolled in CSVEBA PPO plans. Members must meet their deductible if they’re on a high-deductible plan, but copays and coinsurance are waived.
Covered surgeries include heart surgery, total joint replacements, neck and back (spine) and other orthopedic/musculoskeletal surgeries for shoulders, elbows, wrist/hands, hips, knees, ankles/feet. Note: this is not an exhaustive list of covered procedures. Please contact Carrum Health at (888) 855-7806 to ensure your procedure will be covered.
Carrum doctors have more experience performing procedures and lower complication rates than 90% of providers. The Carrum team does all of the planning, preparation, and paperwork so you can focus on what matters — your health.
Depending on your medical plan and the type of care you need, you may first need to meet your deductible, but otherwise most, if not all, costs are often covered. Second opinions are provided at no cost to members, and do not require payment of any deducible. To see how much you may need to pay, complete your Carrum Health profile or connect with our care team today. Sometimes, to get the best care possible, you may need to travel to a specialized hospital or care center. Fortunately, in these instances, travel expenses like airfare, hotel fees, and even meals are often covered for you and a companion, depending on the care you need. Your Carrum Care Specialist will even make all of your travel arrangements, so all you have to do is focus on yourself. To find out exactly what the benefit covers for your specific situation, connect with our care team today.
Wellness for United Healthcare
Your United HealthCare UMR-PPO plan comes with healthy resources, many of which are free to UHC members. Other programs and courses are available at a special rate. These healthy extras can help you stay informed about healthier lifestyles — mind, body, and spirit.
Rally on myuhc.com
Rally is a user-friendly online experience that will engage you in a new way by using technology, gaming and social media to help you understand, learn and find support on your health journey. It will help you eat better, move more, and complete activities to help improve your health. With Rally, we make it easier for you to get motivated to live a healthier life.
Health Discount Programs
The United Healthcare discount program helps you and your family typically save 10 percent to 50 percent on many health and wellness purchases not included in your standard health benefit plan. Even if you already have medical, dental and vision coverage, as an enrolled health plan member, you may save even more money by using health discount program for fitness centers, weight management, alternative care, and more.
Health Pregnancy Programs
We want to help ensure you have a smooth pregnancy, delivery and a healthy baby. That’s why we created the Healthy Pregnancy Program. By seeing your doctor regularly, and by enrolling in our Healthy Pregnancy Program, you’ll have built-in support through every stage of your pregnancy.
Healthy Mind Healthy Body eNewsletter
Healthy Mind Healthy Body is an award-winning newsletter, providing health and wellness news in a monthly email format. You will receive brief updates on relevant and timely health topics, links to additional health resources, as well as an “Ask the Doctor” segment.
Kindbody: A Fertility, Family-Building, and Menopause Benefit
CUSD employees and spouses/domestic partners enrolled in a United Healthcare HMO health plan receive free coverage under Kindbody. Benefits include:
Up to one full KindCycle including in vitro fertilization (IVF), intrauterine insemination (IUI) with fertility medication through KindbodyRx
Conception, fertility, and male assessments to help you learn more about your fertility
Six sessions of virtual holistic health services; support includes menopause, mental well-being, nutrition, doula/birth coaches, lactation support, back-to-work care, and more
Dedicated Kindbody Care Navigation Team
Access to Kindbody’s menopause program offering specialty providers who will support women experiencing menopause; services include lifestyle assessment, hormone testing, and virtual holistic sessions
Access to Kindbody’s full suite of services and network of partner clinics
Access to Kindbody’s library of resources, videos, events, and support groups
A personalized patient portal
Getting Started
Create a free account online.
Confirm your eligibility using:
Access code: KINDCSVEBA and
Your Unique User ID as follows:
Employee: First Name + Last Name + -E + last four digit of your social security number (Example: JaneDoe-E1234)
Spouse/domestic partner: First Name + Last Name + -D + last four digit of the spouse/domestic partner’s social security number (Example: JonDoe-D5678)
Contact Information
UMR/UHC CA Select Plus PPO 80/50, $500
Phone: (800) 826-9781
Website: https://www.umr.com/
Carrum Health
Phone: (888) 855-7806
Website: https://info.carrumhealth.com/csveba