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Medical Plans and Prescription Coverage

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You have access to three different medical plan options from UHC. The prescription drug benefit for each of the UHC plans is administered by Rightway Healthcare. If you reside in California, you will have access to Kaiser HMO as well.

On this page you can find information about:

  • Medical Coverage
  • Kaiser Medical Coverage
  • Rightway Healthcare Pharmacy Benefit
  • Additional Pharmacy Resources
  • Medical Plan 1 and Health Savings Account (HSA)
  • Health Care Flexible Spending Account
  • Virtual Visits
  • Optum Behavioral Health Virtual Visits

UnitedHealthcare Medical Coverage Options

The UnitedHealthcare network includes over 900,000 health care professionals. To locate a UnitedHealthcare network medical provider, visit UnitedHealthcare  or call UnitedHealthcare at (844) 210-5428. You can also download the UnitedHealthcare mobile app  to view and share your health plan ID card, estimate treatment costs, video chat with a doctor and more!

Before scheduling an appointment or receiving services, please check with the provider and your health plan to confirm that the provider is participating, that the service is covered, and the costs that you may be charged for the service.

You can access the medical plan SBCs by clicking on the link below:

  • Medical Plan 1
  • Medical Plan 2
  • Medical Plan 3

The table below reflects your share of the cost.

Medical Plan Comparison Chart

  Medical Plan 1 (HSA-eligible) Medical Plan 2 (PPO) Medical Plan 3 (EPO)
Premiums Lowest Higher Highest
Deductible $1,700 employee-only/$3,400 family $500 employee-only/$1000 family $400 employee-only/$800 family
Coinsurance Plan pays 80% for network benefits Plan pays 80% for network benefits Plan pays 90% for network benefits only
Out-of-pocket $4,000 employee-only/$7,350 family $5,000 employee-only/$10,000 family $5,000 employee-only/$10,000 family
Copay You pay 20% after deductible $20 primary care physician/$40 specialist $20 primary care physician/$40 specialist
HSA Contribution NXP will contribute $500 for employee-only coverage or $1,000 for family coverage. Limited Use Health Care FSA available Enrollment in this plan prevents you from being eligible to participate in the HSA. Health Care FSA available Enrollment in this plan prevents you from being eligible to participate in the HSA. Health Care FSA available

In addition to the UnitedHealthcare medical and Rightway Healthcare pharmacy options, California employees have access to Kaiser HMO (South California Kaiser  or North California Kaiser ) if they reside within Kaiser’s network service area. Kaiser health care providers exclusively serve Kaiser plan members. As a plan member you can select any Kaiser doctor.

Additional Resources

Expecting a baby?

Sign up for UnitedHealthcare new Maternity support program Maven. For additional information click here.

Cancer Support Program

The UnitedHealthcare Cancer Support Program (CSP) provides compassionate guidance and answers for you or a family member who’s faced with cancer. More information can be found here  or by visiting myuhc.phs.com/cancerprograms .

Smoking Cessation

Quit for Life, for United Healthcare members, lets you work with a certified coach for one-on-one . Additional information can be found here .

Kaiser medical plan members can enroll in wellness coaching to help quit smoking. Additional information can be found here .

Kaiser Medical Coverage

HMO HMO
Selected Coverage Network Out-of-Network
Plan type Health maintenance organization (HMO) available only to California employees in the Kaiser network. Network coverage only, except in emergencies. Health maintenance organization (HMO) available only to California employees in the Kaiser network. Network coverage only, except in emergencies.
Network name Kaiser Permanente Traditional Plan Kaiser Permanente Traditional Plan
Deductible $0 Employee-only/$0 Family No coverage
Coinsurance You pay $0 No coverage
Out-of-pocket maximum $1,500 Employee-only/$3,000 Family No coverage
Preventive care Covered 100% No coverage
HSA available No. Health Care FSA available No. Health Care FSA available
Virtual Visits Not available Not available
Primary care physician visit You pay $35 No coverage
Specialist Visit You pay $35 No coverage
Maternity (hospitalization) 100% covered after $500 hospital copay No coverage
Hospital admission You pay $500 copay No coverage
Inpatient surgery You pay $0 after $500 hospital copay No coverage
Outpatient surgery $150 copay per procedure No coverage
Emergency room visit $150 copay, then $0; copay waived if admitted $150 copay, then $0; copay waived if admitted
  • Kaiser (NCal)
  • Kaiser (SCal)

Rightway Healthcare Pharmacy Benefit

With Rightway, you have direct access to licensed pharmacists and pharmacy technicians who help you save time and money. From finding the lowest medication prices to transferring prescriptions to a different pharmacy, Rightway handles the details so you donʼt have to.

The Rightway pharmacy team is here to:

  • Explain your prescription drug coverage.
  • Compare medication prices and find lower-cost options.
  • Contact your provider to obtain prior authorization.
  • Coordinate mail-order and specialty prescriptions.
  • Answer questions about medications and side effects.

How to get started with Rightway. Your Rightway coverage begins at the start of your plan year. When filling prescriptions, simply present your member ID card so your pharmacy can process your benefit information.

To access self-service tools and support, visit joinrightway.com/rx  or download the secure Rightway app from the App Store or Google Play. Once you activate your account, you can view your coverage details and ID card, search drug prices, chat with the pharmacy team on demand, and much more.

Medical Plan 1 Medical Plan 2 Medical Plan 3 Kaiser (CA only)
Generic medications Generic medications Generic medications Generic medications
30-day supply (short-term) Generic: Preventive prescriptions 100% covered; you pay 20% after deductible for all others Generic: You pay $5 Generic: You pay $5 Generic: You pay $10
90-day supply (100-day for Kaiser) or maintenance medications Generic: You pay 20% after deductible Generic: You pay $10 Generic: You pay $10 Generic: You pay $20
Preferred brand-name medications Preferred brand-name medications Preferred brand-name medications Preferred brand-name medications
30-day supply (short-term) Preferred: You pay 20% after deductible Preferred: You pay 30% ($75 max) Preferred: You pay 30% ($75 max) Preferred: You pay $30
90-day supply (100-day for Kaiser) or maintenance medications Preferred: You pay 20% after deductible Preferred: You pay 30% ($175 max) Preferred: You pay 30% ($175 max) Preferred: You pay $60
Non-preferred brand-name medications Non-preferred brand-name medications Non-preferred brand-name medications Non-preferred brand-name medications
30-day supply (short-term) Non-preferred: You pay 20% after deductible Non-preferred: You pay 50% ($100 max) Non-preferred: You pay 50% ($100 max) Non-preferred: You pay $30
90-day supply (100-day for Kaiser) or maintenance medications Non-preferred: You pay 20% after deductible Non-preferred: You pay 50% ($250 max) Non-preferred: You pay 50% ($250 max) Non-preferred: You pay $60

* California employees have access to Kaiser HMO if they reside within Kaiser’s network service area

Additional Pharmacy Resources

Rightway Healthcare is our new pharmacy provider.

  • How can I reach someone at Rightway?
    • Call and speak with a Rightway pharmacist regarding your medication questions at (833) 502-8179.
  • Will my mail-order prescription automatically move from CVS/Caremark to Rightway?
    • No, Mail order prescriptions do not move automatically from CVS/Caremark to Rightway. Rightway uses Walgreens Mail Service. It’s a manual setup. Please follow the process below:
      1. Register with Walgreens Mail Service at WalgreensMailService.com or call 888 273 6100.
      2. Ask your prescriber to send a new electronic prescription to “Walgreens Mail Service” (not a retail Walgreens store).
      3. Please note that auto refills don’t carry over, so you’ll need to opt back in after you’re set up.
      4. Important: You are not required to use mail order for continuous use medications. You can also choose to fill a 90 day supply at any retail pharmacy of your choice (for example, CVS, Walgreens, Costco).
  • Rightway FAQs
  • Care complete Weight Management for GLP-1 Users
  • Rightway Diabetes Overview
  • Walgreen’s Mail Order Service Guide
  • Specialty Pharmacy Overview
  • Rightway Quick Start Guide

Medical Plan 1 and Health Savings Account

If you’re looking for a way to save on taxes or want to save for your health care at retirement, this plan might be just what you need. Medical Plan 1 is an HSA-eligible plan. It covers the same medical services as Medical Plan 2 and Medical Plan 3 (including network preventive care at 100 percent) and offers the same quality care and access to UnitedHealthcare’s national provider network. You can see any network provider you choose.

What makes Medical Plan 1 different is that NXP deposits money into your HSA with Fidelity to help you pay for your medical expenses, including your deductible and coinsurance amounts. Employees enrolled in Employee-only coverage will receive $500 and those who enroll dependents will receive $1,000 in NXP contributions (or a prorated amount, depending on when you were hired).

How Medical Plan 1 (HSA-eligible) works

  • Step 1

    Your Deductible

    You pay for all services, including prescriptions, until you meet your deductible (with the exception of preventive care, which is covered at 100% when performed in the network).

    Pay with your HSA or Pay another way.

  • Step 2

    Your Coinsurance

    After you reach the deductible, you share the costs with the plan. You can use your HSA to help pay your share.

    Your plan pays 80% of network care + You pay 20% of network care.

  • Step 3

    Your Out-of-pocket Maximum

    When you reach the limit, you are done paying. The plan will pay 100% of covered network services for the rest of the plan year.

    You are done paying.

Preventive care is covered 100 percent when you use a UnitedHealthcare provider.

Access your HSA account and learn more at Fidelity NetBenefits .

Health Care Flexible Spending Account

You can sign up to contribute to the Health Care Flexible Spending Account to put money aside on a pre-tax basis to use towards eligible medical, dental, and vision expenses . You can sign up for the Health Care FSA while enrolled in any of the offered medical plans. You cannot contribute to a Health Savings Account and a Health Care Flexible Spending Account at the same time.

Flexible Spending Account (FSA) Quick Start Guide

Virtual Visits

If you enroll in one of our 3 offered UnitedHealthcare medical plans, you will have access to doctors by video 24/7 through UnitedHealthcare’s Virtual Visit Program. No additional accounts to set up or apps to download. Just log in at UnitedHealthcare .

Virtual Visit doctors can diagnose your symptoms and prescribe medicine, if needed, for everyday medical conditions like:

  • Allergies
  • Rashes
  • Eye infections
  • Sore throats
  • Flu
  • Stomach aches
  • Headaches/migraines
  • And more

The costs for the Virtual Visit program by plan is below.

Medical Plan 1 = (HSA-eligible) Medical Plan 2 (PPO) Medical Plan 3 (EPO)
Cost $54 until deductible is met $10 Copay $10 Copay

Other virtual visit providers covered under United Healthcare include Teladoc , Amwell  and Doctor on Demand .

Optum Behavioral Health Virtual Visits

Behavioral Health Virtual Visits provide quick and easy access to behavioral health professionals from your mobile device, tablet or computer.

The value of Behavioral Health Virtual Visits:

  • You can connect with a provider from the comfort of home
  • Convenient appointment times accommodates busy schedules
  • They’re part of your behavioral health benefit through UnitedHealthcare. Costs and coverage may vary – please check your plan’s SBCs and the FAQs below for details

Use a Behavioral Health Virtual Visit for needs such as:

  • Depression
  • Anxiety
  • ADD/ADHD
  • Addiction
  • Mental Health Disorders and Counseling

To schedule a Behavioral Health Virtual Visit:

  1. Visit UnitedHealthcare  and sign in or register for an account
  2. Find a doctor. Click Find a Doctor > Mental Health Directory > People > Provider Type > Mental Health Providers
  3. Refine your search. Refine search as needed, and choose a provider with the “Mental health provider” designation
  4. Call the provider to set up a time

Optum Behavioral Health Virtual Visits FAQs

Are Optum Behavioral Health Virtual Visits the same as UnitedHealthcare Virtual Visits?

No. UnitedHealthcare’s Virtual Visits model lets members seek medical care virtually for acute conditions. Benefit plans include a specific UHC Virtual Visit benefit. Teladoc, AmWell, and Doctor on Demand are the three national virtual-only provider groups contracted for UHC Virtual Visit. UHC Virtual Visits drives affordability, providing members with a convenient alternative to emergency room or urgent care facilities for treatment of acute medical conditions. Optum Behavioral Health positions virtual capabilities as a modality, allowing all network providers to offer virtual visits as an option. There is no separate benefit. Optum’s model drives access to care.

Do Optum Behavioral Health Virtual Visits have a lower co-pay or co-insurance than in-person visits?

No. For behavioral health, virtual visits are subject to the same out-of-pocket as an in-office visit (behavioral health outpatient office visit). This benefit model ensures that the member has the same out-of-pocket costs whether they see their therapist and/or psychiatrist in-office, virtually or both throughout the course of care.

For NXP Copay Plans 2 and 3, the Behavioral Health Virtual Visit copay is $20. For Medical Plan 1, the allowed amount could vary depending on the provider’s contracted rate and will be applied to the member’s deductible.

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