The PPO Plan offers access to a broad network of providers nationwide. This traditionally-structured plan has the highest monthly premium among medical plan options and includes an annual deductible, along with copayments and coinsurance for medical services and prescription drugs, until the annual out-of-pocket maximum is reached.

Plan Availability

The PPO Plan is available regardless of location. 

For more information on eligibility for benefits coverage, including covering dependents, see Benefit Eligibility & Program Structure.

How Much You Pay for Coverage

Costs

Monthly Cost

Premiums

Monthly employee premium cost* for active employees:

  • Self only: $216 
  • Self and spouse: $526 
  • Self and child(ren): $500 
  • Self, spouse and child(ren): $847 

*Premiums for faculty on a nine-month contract paid over nine months are different. For more information, visit Premiums for 9-month faculty paid over 9 months

Amount Owed Before Insurance Pays

Deductible*

The PPO Plan has two annual deductibles: one for medical and a second for prescription drug costs. 

  • Medical deductible:  
    • In-network: $800/self; $2,400/family 
    • Out-of-network: $1,600/self; $4,800/family
  • Rx deductible:  
    • Retail: $75/person 
    • Mail-order: $0/person 

Individual deductibles must be satisfied per person for all individuals covered until the family deductible is met.  

Max You Pay Annually

Out-of-Pocket Limit

The PPO Plan has two annual out-of-pocket limits: one for medical and a second for prescription drug costs. 

  • Medical out-of-pocket limit:  
    • In-network: $3,750/self; $7,500/family
    • Out-of-network**: $11,250 or more/self; $22,500 or more/family
  • Rx out-of-pocket limit:  
    • $6,850/self; $13,700/family

Once the annual out-of-pocket limit is met, the plan pays 100% of covered services for the rest of the year. 

Covered Services 

You may choose to visit either in-network or out-of-network physicians and other providers. Your costs will be discounted, however, when you select in-network providers. You pay the total of the discounted price until the deductible is met. 

See Plan Contacts & Provider Directories

Service 

In-Network Cost 

Out-of-Network Cost** 

Preventive Care 

$0 

40% or more after deductible 

Primary Care 

$25 copay/visit 

40% or more after deductible 

Specialist Care 

$40 copay/visit 

40% or more after deductible 

Urgent Care 

$100 copay/visit 

$100 copay/visit or more 

Lab & X-Ray 

20% after deductible 

40% or more after deductible 

Outpatient Care 

20% after deductible 

40% or more after deductible 

Inpatient Care  
(includes maternity delivery) 

20% after deductible 

40% or more after deductible 

Durable Medical Equipment 

20% after deductible 

40% or more after deductible 

Emergency Room 

$250 copay/visit after deductible 

$250 copay/visit or more after deductible 

Ambulance 

20% after deductible 

20% or more after deductible 

**Refer to the Summary Plan Description (SPD) for additional details on allowable and eligible expenses when using an out-of-network provider. 

Prescription Drugs 

The cost of prescription drugs is discounted in-network based on the University’s negotiated rate. You pay the total of the discounted price until the deductible is met. For out-of-network claims, members pay the difference between the non-participating and participating pharmacy charge 

Specialty medications are managed and processed through ArchimedesRx. For retail drugs, 90-day fills or refill at Mizzou pharmacies are the same cost as mail-order.

Prescription Type 

Network 

Formulary Generic 

Formulary Brand 

Non-Formulary Brand 

Retail, non-maintenance 

In-Network 
(greater of) 

$10 copay or 20% coinsurance 

$30 copay or 25% coinsurance 

$50 copay or 50% coinsurance 

Out-of-Network 

$30 copay or 50% network costs or more after deductible 

$30 copay or 50% network costs or more after deductible 

$30 copay or 50% network costs or more after deductible 

Retail, Maintenance 

In-Network 
(greater of) 

$15 copay or 25% coinsurance 

$40 copay or 30% coinsurance 

$60 copay or 55% coinsurance 

Out-of-Network 

$30 copay or 50% network costs or more after deductible 

$30 copay or 50% network costs or more after deductible 

$30 copay or 50% network costs or more after deductible 

Mail 

In-Network 
(greater of) 

$20 copay or 20% coinsurance 

$60 copay or 25% coinsurance 

$100 copay or 50% coinsurance 

Out-of-Network 

$30 copay or 50% network costs or more after deductible 

$30 copay or 50% network costs or more after deductible 

$30 copay or 50% network costs or more after deductible 

Flexible Spending Accounts (FSA) to Help You Save

Consider Account Options

Pay for Medical, Dental & Vision Costs

Health Care FSA

Set aside pre-tax dollars to help cover medical, dental and vision expenses for you and your dependents, even if those dependents don’t have university insurance. Reduce taxable income up to IRS limits while making routine healthcare costs easier to manage. 

Cover Child & Adult Dependent Care

Dependent Care FSA

Pay for eligible childcare or adult dependent care during the workday with pre-tax dollars, helping you balance work and family. IRS limits apply, and this account can save you money while ensuring your dependents get the care they need.

Close up of doctor in a lab coat holding a clip board and pen, stethoscope around their neck.

Making the Most of Your Coverage

Whether you’re learning about University insurance or already enrolled in a medical plan, you can use these resources to find out more about the breadth of your coverage. 

Learn about enrolling or making plan changes and how to make the most of your insurance day-to-day, plus explore how coverage applies to specific health needs to get the support you need when you need it.

Notice of Nondiscrimination

If you speak another language, assistance services, free of charge, are available to you. 
Call UnitedHealthcare at 1-844-634-1237 for translation assistance.

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