GW PPO Plan

The GW PPO Plan

The GW PPO Plan is designed to give you freedom and flexibility. You have the ability to visit your doctor of choice. When using a participating provider, you receive greater benefits, while coverage is also available for doctors and facilities that do not participate in the UnitedHealthcare (UHC) network. The national network is always at your fingertips! There’s no requirement to select a Primary Care Physician (PCP) or to obtain referrals for specialty care; you simply select your healthcare provider of choice and benefits will be determined based on the status of the provider selected.

Please remember that most office visits with a participating provider are covered in full after a $30 copayment (or $50 copayment for a specialist). Most out-of-network services are covered at 60 percent of allowable charges after deductible.

In addition to comprehensive benefits, the GW PPO offers:

• Acupuncture
• Applied Behavior Analysis (ABA) coverage
• Copayments for PCP/specialty care ($30/$50)
• Gender Dysphoria coverage
• Hair prosthetic (up to $350 per year)
• Hearing aids and testing for adults and children
• In-network cochlear implant benefit
• In-network deductibles - $750 per individual, $1,500 per family
• In-network fertility benefits
• The freedom to use out-of-network providers