UMR & OptumRx
The company offers two medical plan options, allowing you to choose the plan that best meets your needs.
- Preferred Provider Organization (PPO)
- Consumer-Driven Health Plan (CDHP)
Both plans use the same provider networks; however, the plans pay for care differently and offer different ways to save for health care expenses. It is important to understand the differences when making decisions on your medical coverage.
Both medical plans include:
- Comprehensive medical coverage through UMR, using the UnitedHealthcare Choice Plus Network
- Prescription coverage through OptumRx
- 100% coverage for qualified in-network preventive health care services
- Coverage for telehealth services through Teladoc
- 100% coverage for those on the PPO plan, not subject to deductible
- subject to deductible and then 100% coverage for those on the CDHP plan
- Tools and resources to support your health and well-being
Learn More
Hancock Whitney reserves the right to request proof of eligibility for dependents who are covered under your plan. Proof of eligibility may include an adoption or birth certificate, marriage license or affidavit of domestic partnership.
PPO Highlights
- Lower deductible and out-of-pocket maximum than the CDHP, but higher payroll contributions.
- You pay copays for in-network doctor’s office visits and regular prescriptions before the deductible applies.
- You pay the full cost of non-preventive health care services until you meet the annual deductible.
- Once you meet the deductible, you pay a coinsurance of 20% for in-network and 40% for qualifying, out-of-network health care expenses.
- Once your deductibles, copays and coinsurance add up to the out-of-pocket maximum, the plan pays the full cost of all qualified health care services for the rest of the year.
- You can enroll in the health care flexible spending account (FSA) to pay for out-of-pocket eligible health care expenses.
Transparency in Coverage
Health plan price transparency helps you know the cost of a covered item or service before receiving care, so you can shop for the health care that best meets your needs. For more details on this rule, click here.
Through UnitedHealthcare, UMR creates and publishes the Machine-Readable Files on behalf of Hancock Whitney Corporation.
CDHP Highlights
- Lower payroll contributions than the PPO plan, but higher deductible and out-of-pocket maximum.
- You receive a company contribution to your health savings account (HSA) of $500 for individual coverage or $1,000 for family coverage if enrolled by January 1. You can contribute additional amounts into your HSA (up to the annual IRS limit) when combined with the company contribution to pay for eligible health care expenses.
- You pay out-of-pocket for non-preventive health care services and prescription expenses until you reach the annual deductible.
- Once you meet the deductible, you pay coinsurance of 20% for in-network and 40% for qualifying, out-of-network health care expenses.
- Once your deductibles and coinsurance add up to the out-of-pocket maximum, the plan pays the full cost of all qualified health care services for the rest of the year.
Medical Plan Summaries
PPO
Key Medical Benefits | In-Network | Out-of-Network |
---|---|---|
Deductible (Individual / Family) | $750 / $1,500 | $1,500 / $3,000 |
Out-of-Pocket Max. (Individual / Family) | $4,500 / $12,700 | Unlimited |
Coinsurance | 20% | 40% |
Physician Services | ||
Preventive Care (includes virtual visit) | Plan pays 100%; deductible waived | Not covered |
Physician Office Visit (includes virtual visit) | $25 copay per visit; deductible waived | You pay 40% after deductible |
Specialist Office Visit | $40 copay per visit; deductible waived | You pay 40% after deductible |
Teledoc telemedicine visit | Plan pays 100%; deductible waived | |
Basic & Major Lab & Radiology | You pay 20% after deductible | You pay 40% after deductible |
Hospital Services | ||
Ambulance | You pay 20% after deductible | |
Emergency Room | $100 copay (waived if admitted within 24 hours); you pay 20% after deductible | |
Inpatient Hospital | $250 copay, then you pay 20% after deductible | $250 copay, then you pay 40% after deductible |
Outpatient Surgery | You pay 20% after deductible | You pay 40% after deductible |
Urgent Care | You pay 20% after deductible | You pay 40% after deductible |
Prescriptions (Generic / Brand / Non-Formulary / Specialty) | ||
Annual Deductible | $150 per person (waived for generics) | |
30-day Retail | $15 / $30 / $50 / $75 | If you use a non-network pharmacy, you are responsible for payment upfront. You may be reimbursed based on the lowest contracted amount, minus any applicable deductible or copayment amount. |
90-day Mail Order | $37.50 / $75 / $125 / N/A |
CDHP
Key Medical Benefits | In-Network | Out-of-Network |
---|---|---|
Deductible (Individual / Family) | $2,000 / $4,000 | $4,000 / $8,000 |
Out-of-Pocket Max. (Individual / Family) | $4,500 / $9,000 | Unlimited |
Coinsurance | 20% | 40% |
Physician Services | ||
Preventive Care | Plan pays 100% | Not covered |
Physician Office Visit (includes virtual visit) | You pay 20% after deductible | You pay 40% after deductible |
Specialist Office Visit (includes virtual visit) | You pay 20% after deductible | You pay 40% after deductible |
Teladoc telemedicine visit | Plan pays 100% after deductible has been met | |
Basic & Major Lab & Radiology | You pay 20% after deductible | You pay 40% after deductible |
Hospital Services | ||
Ambulance | You pay 20% after deductible | |
Emergency Room | You pay 20% after deductible | |
Inpatient Hospital | You pay 20% after deductible | You pay 40% after deductible |
Outpatient Surgery | You pay 20% after deductible | You pay 40% after deductible |
Urgent Care | You pay 20% after deductible | You pay 40% after deductible |
Prescriptions (Generic / Brand / Non-Formulary / Specialty) | ||
Annual Deductible | Included in medical deductible | |
30-day Retail | You pay 20% after deductible | If you use a non-network pharmacy, you are responsible for payment upfront. You may be reimbursed based on the lowest contracted amount, minus any applicable deductible or copayment amount. |
90-day Mail Order | You pay 20% after deductible |
Compare the Plans
PPO | CDHP | |||
---|---|---|---|---|
Key Medical Benefits | In-Network | Out-of-Network | In-Network | Out-of-Network |
Deductible (Individual / Family) | $750 / $1,500 | $1,500 / $3,000 | $2,000 / $4,000 | $4,000 / $8,000 |
Out-of-Pocket Max. (Individual / Family) | $4,500 / $12,700 | Unlimited | $4,500 / $9,000 | Unlimited |
Coinsurance | 20% | 40% | 20% | 40% |
Physician Services | ||||
Preventive Care | Plan pays 100%; deductible waived | Not covered | Plan pays 100% | Not covered |
Physician Office Visit (includes virtual visit) | $25 copay per visit; deductible waived | You pay 40% after deductible | You pay 20% after deductible | You pay 40% after deductible |
Specialist Office Visit (includes virtual visit) | $40 copay per visit; deductible waived | You pay 40% after deductible | You pay 20% after deductible | You pay 40% after deductible |
Teledoc telemedicine visit | $25 copay per visit; deductible waived | You pay 40% after deductible | 100% paid after deductible | Not covered |
Outpatient Diagnostic (lab/x-ray/complex imaging) | You pay 20% after deductible | You pay 40% after deductible | You pay 20% after deductible | You pay 40% after deductible |
Hospital Services | ||||
Ambulance | You pay 20% after deductible | You pay 20% after deductible | ||
Emergency Room | $100 copay (waived if admitted within 24 hours); you pay 20% after deductible | You pay 20% after deductible | ||
Inpatient Hospital | $250 copay, then you pay 20% after deductible | $250 copay, then you pay 40% after deductible | You pay 20% after deductible | You pay 40% after deductible |
Outpatient Surgery | You pay 20% after deductible | You pay 40% after deductible | You pay 20% after deductible | You pay 40% after deductible |
Urgent Care | You pay 20% after deductible | You pay 40% after deductible | You pay 20% after deductible | You pay 40% after deductible |
Prescriptions (Generic / Brand / Non-Formulary / Specialty) | ||||
Annual Deductible | $150 per person (waived for generics) | Included in Medical deductible | ||
30-day Retail | $15 / $30 / $50 / $75 | If you use a non-network pharmacy, you are responsible for payment upfront. You may be reimbursed based on the lowest contracted amount, minus any applicable deductible or copayment amount. | You pay 20% after deductible | If you use a non-network pharmacy, you are responsible for payment upfront. You may be reimbursed based on the lowest contracted amount, minus any applicable deductible or copayment amount. |
90-day Mail Order | $37.50 / $75 / $125 / N/A | You pay 20% after deductible |