Cover Page

Page numbers referenced within this brochure apply only to the printed brochure

UnitedHealthcare Insurance Company, Inc.

www.uhcfeds.com
Customer Service: 877-835-9861

2024



IMPORTANT:
  • Rates
  • Changes for 2024
  • Summary of Benefits
Choice Open Access  - Health Maintenance Organization

The plan's health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See page (Applies to printed brochure only) for details. This plan is accredited. See page (Applies to printed brochure only).

Serving: West (Arizona - Phoenix and Tucson, Colorado, Nevada, Oregon and Washington); Southeast (Alabama, Arkansas, Florida, Louisiana, Mississippi, North Carolina and Tennessee); Central (Iowa and  Kentucky) and Northeast (District of Columbia, Maryland, Pennsylvania and Virginia)

Enrollment in this plan is limited. You must live or work in our Geographic service area to enroll. See page 13 for requirements.

Enrollment codes in AL, AR, FL, LA, MS, NC and TN:

KK1 Self Only, KK3 Self Plus One, KK2 Self and Family

Enrollment codes in IA and KY:

LJ1 Self Only, LJ3 Self Plus One, LJ2 Self and Family

Enrollment codes in DC, MD, PA, and VA:

LR1 Self Only, LR3 Self Plus One, LR2 Self and Family

Enrollment codes in AZ (Phoenix and Tucson), CO, NV, OR and WA:

KT1 Self Only, KT3 Self Plus One, KT2 Self and Family

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