Your plan
Schedule of Benefits · Amerus Summit Health Plans

AMERUS UNITED PPO

A real deal $0 deductible. Top tier coverage on a top tier United PPO network.
$0
Individual deductible $0 family
Out-of-pocket max$3,500 individual
$7,000 family
NetworkUnited PPO · nationwide

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At the point of care

What you'll actually pay
when you use it.

no deductible to chew through first.
Free
No cost to you
  • Preventive careAnnual wellness, screenings, vaccines
See the full free list →
$40
Primary care
  • Office visitsYour doctor, in the United PPO network
  • The same copay every timeNo deductible to meet first
$60
Specialists
  • Specialist visitsAcross the United PPO network
  • No coinsuranceYou pay the copay, not a percentage of the bill
$500
Emergency room
  • Emergency room visitA $500 copay, then the 30% share
  • Urgent care is $75Not an emergency, but it can't wait
flat copays. no deductible. read it in a minute.
How this PPO works

Access to 97% of all doctors and hospitals in the country, with names such as Johns Hopkins, Mayo Clinic, MD Anderson, UCLA, and over 6,000 other hospitals.

You can go outside the network too: a separate out-of-network deductible and a 50% share apply there, so the copays on this page are in-network prices.

High-cost services

Don't sweat the big stuff.

70% coverage right away,
100% coverage after your $3,500 max out of pocket.

Hospitalization Inpatient hospital stays.
Outpatient facility Same-day procedures and facility care.
Diagnostic labs Bloodwork and laboratory testing.
X-rays Standard diagnostic X-rays.

In network, and subject to plan terms, limitations, exclusions and carrier policies. Pre-certification requirements apply to certain services.

Prescription coverage

Simple, flat copays
for all your drugs.

four tiers. four numbers.
$0
Generic drugs
  • No copayGeneric equivalents on the plan's drug list
$35
Preferred brands
  • Flat copayBrand drugs on the plan's preferred list
$75
Non-preferred brands
  • Flat copayBrand drugs outside the preferred list
$200
Specialty drugs
  • Flat copaySpecialty medications
Before you fill

Copays apply to covered prescriptions filled at a participating pharmacy. The copays above are retail, 30-day prices; mail-order copays can differ. Prescription benefits are subject to the plan formulary, plan terms, limitations, exclusions and carrier policies.

Monthly rates

Straightforward pricing,
No-surprises coverage.

one rate. every age.
Individual $699.95 per month
Individual + spouse $1,549.95 per month
Individual + children $1,449.95 per month
Family $2,149.95 per month
Before you enroll

Rates are quoted monthly. A one-time $99.00 enrollment charge applies with your first month. Rates remain subject to eligibility, underwriting, plan changes and final approval.

For your records

The Summary of Benefits and Coverage, in writing.

Every copay, every covered service and every limit, in the carrier's own words. Open it, keep it, bring it to your doctor's office. If anything here and the plan documents disagree, the plan documents win.

Do your research

Go ahead, look us up.

1,400+
★★★★★
happy clients
Google reviews, 4.9 average. From real people. Read them →
A+
since 2018
BBB accredited business. Vetted, licensed, on the record.
No bots.
promise.
You call, we answer. Call the team →
What happens next

Three steps, and the plan is yours.

1Call the team

One call, (817) 205-6257. Ask anything, no pressure.

2Enroll in about 15 minutes

The team walks you through it, right on the phone.

3You're covered

And never on your own. The team sticks with you after you enroll, for every question, every claim, every step.

Quick answers

Asked all the time.

Can I keep my doctor?

This is a PPO on the nationwide UnitedHealthcare network, so you choose your own doctors and hospitals. Out-of-network benefits may be reduced, so the team will check your doctor, your hospital and your pharmacy by name before you enroll.

When does coverage start?

Fast. But start dates come with real deadlines, and they vary. The sooner you call, the sooner you're covered.

What does the $0 deductible mean?

There is nothing to pay down before your copays start. You pay the copay, the plan pays its share, and the $3,500 individual and $7,000 family out-of-pocket maximum is the ceiling for the year.

ready when you are

Questions about the Amerus United PPO?
The team picks up.