Your costs at a glance
| HAP HMO Medicare-eligible | HAP HMO Non-Medicare | |
|---|---|---|
| Monthly contribution |
$0 single |
$0 single/$0 family |
| Deductible* |
$250 single/$525 family |
$250 single/$525 family |
| Coinsurance |
No coinsurance |
No coinsurance |
| Telehealth |
$15 copay |
$15 copay |
| Primary care office visit |
$15 copay with no limit on visits |
$15 copay with no limit on visits |
| Specialist office visit** |
$25 copay with no limit on visits |
$25 copay with no limit on visits |
| Emergency care visit |
$50 copay |
$125 copay |
| Urgent care visit |
$15 copay |
$40 copay |
| Laboratory and pathology |
Covered |
Covered |
| Radiology |
Covered after deductible |
Covered after deductible |
| Inpatient hospital services |
Covered after deductible | Covered after deductible |
| Outpatient surgery |
Covered after deductible | Covered after deductible |
| Skilled nursing |
Covered after deductible/Unlimited days | Covered after deductible/Unlimited days |
| Physical therapy |
Covered after deductible | Covered after deductible |
| Chiropractic services |
$20 copay |
Not available |
*Deductibles don't apply to protected UAW Trust members.
**"Protected" member specialist office visit copay is $15.
For a complete benefit summary, visit hap.org/uawrmbt.
Avoid surprise costs
- You’re covered for an annual preventive visit. View your benefit summaries to find out costs for your specific plan. This can include a review of your medical and social history related to your health. You doctor and you should also discuss preventive services such as screenings recommended for you, shots and referrals for other care, if needed.
- However, if your doctor or other health care provider performs additional tests or services during the same visit that aren’t covered under these preventive benefits, you may have to pay a copay and deductible, if applicable.
Knowing where to go for care can save you money
It’s important to know the difference between urgent and emergency conditions to make sure you get the right care at the right time. This can save you out-of-pocket expenses and ensure you’re treated quickly based on your condition. In most cases it will cost you less out-of-pocket to visit an affiliated urgent care center than an emergency room. Need help determining where to go for what? Check out our helpful tool.
Understanding deductibles
A deductible is a fixed amount of money you have to pay annually before HAP begins paying its portion of your medical costs.
Generally, prescription drugs and medical services covered by a copay do not count toward the deductible. All other covered services without copays count toward the deductible.
A health insurance deductible works similar to auto insurance. Let’s say you are involved in an accident. First, you have to pay your deductible amount, and then your insurance company pays for the rest for the repair work. Health insurance deductibles work the same way.