Transitional Plan
Low Cost, High Quality Care
The Transitional EPO Plan from CDPHP Universal Benefits, Inc. (CDPHP UBI) provides you with comprehensive in-network coverage, affordably priced.
- Office visit copayments as low as $20.
- Affordable annual deductibles start at only $500 and do not apply to doctor visits, urgent care, physical therapy, lab, X-ray, and many other routine, office-based services.
- 100 percent coverage with no out-of-pocket expenses after you reach a coinsurance maximum.
Helping You Stay Healthy
- No cost for the following preventive health care services:
- Routine annual physicals for adults and children.
- Associated laboratory tests and other ancillary services associated with annual physicals.
- Annual mammograms, cytology screenings, prostate cancer screenings, and most immunizations.
- Allergy injections.
- Large network of preferred vendors where imaging and diagnostic laboratory services are covered in full.
Hospital-Based Facility Services
- Hospital stays and most hospital outpatient services are the only services subject to the deductible and coinsurance.
- Once you meet the deductible, CDPHP covers 80 percent of your hospital stay, including all ancillary services.
- Physician services during hospitalization are covered in full but subject to the deductible.
Security, Affordability, Choices
The Transitional PPO Plan from CDPHP Universal Benefits, Inc. (CDPHP UBI) provides you with affordably priced in-network care and access to out-of-network services.
- Copayments as low as $20 for visits to participating physicians.
- Affordable annual deductibles start at only $500 and do not apply to in-network office-based services.
- 100 percent coverage with no out-of-pocket expenses after you reach a coinsurance maximum.*
Helping You Stay Healthy
- No cost for the following preventive health care services provided in-network:
- Routine annual physicals for adults and children.
- Associated laboratory tests and other ancillary services associated with annual physicals.
- Annual mammograms, cytology screenings, prostate cancer screenings, and most immunizations.
- Allergy injections.
- Access to no-cost imaging and diagnostic laboratory services within a large network of preferred vendors.
Hospital-Based Facility Services
- Hospital stays and most hospital outpatient services are the only services subject to the deductible and coinsurance.
- Once you meet the deductible, CDPHP covers 80 percent of your hospital stay, including all ancillary services.*
- Physician services during hospitalization are covered in full but subject to the deductible.*
*When using the out-of-network benefits, you are also responsible for the difference between non-participating provider charges and an allowed amount, even after the coinsurance maximum has been met.
The Transitional EPO is underwritten by CDPHP UBI. This summary offers highlights but does not detail all benefits, limitations, or exclusions. It is not a contract and may be subject to change. For more detailed information, a Membership Certificate is available upon request.
