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Medical Plan

OneOncology offers you medical plan options that provide comprehensive medical and prescription drug coverage. Read on to better understand the differences between our plans and key features.

Choose From Four Different Plans:

All utilize UMR, a UnitedHealthcare affiliated company for medical coverage and SmithRx for pharmacy coverage. All plans also have a concierge health care service provider called Quantum.

Plan Names :

  • PPO (Preferred Provider Organization)
  • EPO (Exclusive Provider Organization)
  • HDHP (High Deductible Health Plan) Buy-Up
  • HDHP (High Deductible Health Plan) Base

Medical Network:

  • UHC Choice Plus
  • UHC Select Plus for California employees

Domestic Network: Where available, OneOncology has a network of their own providers and facilities. You can receive richer benefits if you utilize one of these providers for certain services.

Pharmacy Formulary: Essential

Medical Coverage/Healthcare Concierge: Quantum

(877) 559-2155
8:30 a.m. – 10 p.m. ET (Mon-Fri)

Pharmacy Benefits Manager (PBM): SmithRx

  • Go to smithrx.com
  • Click “Login”
  • On the bottom left , click “Create an account”
(844) 454-5201
9 a.m. – 8 p.m. ET (7 days a week)
Prefer an app? Download MyQHealth – Care Coordinator

Prefer an app? Download MyQHealth – Care Coordinator

oneoncology.myqhcare.com

Please see below for more details regarding the in-network benefits offered by each plan. Domestic network benefits are available on all plans. Providers in the domestic network are still consider in-network providers, but the deductibles and out-of-pocket maximums are lower than other in-network providers and certain services have reduced co-pays. See your specific plan summaries for more details within the resources section.

KEY MEDICAL BENEFITSPPOEPOHDHP BUY-UPHDHP BASEIn NetworkIn NetworkIn NetworkIn NetworkDeductible (per calendar year)Individual / Family$1,000 / $2,000$2,000 / $4,000$3,000 / $6,000$4,000 / $8,000Out-of-Pocket Maximum (per calendar year)Individual / Family$3,000 / $6,000$5,000 / $10,000$6,000 / $12,000$6,750 / $13,500CoinsuranceIn-network20%10%20%20%Covered ServicesOffice Visits $25 / $50$25 / $50Deductible/CoinsuranceDeductible/CoinsuranceRoutine Preventive Care100%100%100%100%Retail Health Clinic$25$25Deductible/CoinsuranceDeductible/CoinsuranceUrgent Care Facility$100$100Deductible/CoinsuranceDeductible/CoinsuranceEmergency Room$300$300Deductible/CoinsuranceDeductible/CoinsuranceInpatient Hospital StayDeductible/CoinsuranceDeductible/CoinsuranceDeductible/CoinsuranceDeductible/CoinsurancePrescription Drugs (Tier 1 / Tier 2 / Tier 3)Retail (30-day supply)$10 / $30 / $60 $10 / $45 / $90Deductible/CoinsuranceDeductible/CoinsuranceMail Order (90-day supply)$30 / $90 / $180 $30 / $135 / $270Deductible/CoinsuranceDeductible/CoinsuranceSpecialty$60$200Deductible/CoinsuranceDeductible/Coinsurance

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of OneOncology. To review the Machine-Readable Files, please click on the URL provided: https://transparency-in-coverage.uhc.com/

FAQs

Quick Answers to Common Questions

How do I find a network provider?

Medical providers can be found by visiting oneoncology.myqhcare.com or by contacting Quantum via phone (1-877-559-2155), messaging center or mobile app.

    Will I receive ID cards?

    Medical ID cards will be provided. You can also download an ID card at oneoncology.myqhcare.com .

      Do I have to choose a primary care physician (PCP)?

      No. The medical plan does not require you to choose a PCP, however, it is recommended to have one main physician who is familiar with your medical history and general health.

        Links & Resources

        Browse additional resources below

        Savings/Spending Accounts

        Savings/Spending Accounts

        Find a Provider

        Find a Provider

        Resources

        Resources

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