Overview
Your medical plan options include a range of coverage levels and costs, so you can determine what’s best for your needs. These plans are administered by United Healthcare. You can enroll as a new hire, during Open Enrollment, or if you have a qualifying life event. To enroll, log in to OKTA to access UKG.
Key features
All of our medical plans provide:
Comprehensive, affordable coverage
for a wide range of health care services.
Free in-network preventive care
with services such as annual physicals, recommended immunizations, and routine screenings all 100% covered.
Prescription drug coverage
provided by OptumRx.
Financial protection
through annual out-of-pocket maximums that limit how much you’ll pay each year.
2024 medical plans
How much does MarketAxess medical coverage cost?
MarketAxess pays the majority of the cost of your medical coverage. You pay the remaining amount through pre-tax premiums from your paycheck. The amount you pay will depend on which plan you choose, your salary band, and whether you cover just yourself or family members, too. To see your costs for each plan, log in to OKTA to access UKG.
Plan Comparison
Use this interactive side-by-side plan comparison to understand key differences between the plans. For complete plan details, see the benefit summaries located in the Documents section of this page.
| HDHP with HSA | PPO Plan | EPO Plan | |
|---|---|---|---|
| UHC network | |||
| Network name | UHC Choice Plus Network | UHC Choice Plus Network | UHC Choice Network |
| HSA features | |||
| HSA-eligible | Yes | No | No |
| Company contribution to HSA | $650 for employee only coverage or $1,300 if you cover dependents | None | None |
| Annual deductible (individual/family*) | |||
| In-network | $2,000/$4,000 | $250/$500 | $500/$1,000 |
| Out-of-network | $4,000/$8,000 | $1,500/$3,000 | N/A |
| Coinsurance | |||
| In-network | None | You pay 20%, plan plays 80% | You pay 10%, plan plays 90% |
| Out-of-network | You pay 30%, plan plays 70% | You pay 40%, plan plays 60% | N/A |
| Annual out-of-pocket maximum (individual/family*) | |||
| In-network | $4,000/$8,000 | $1,500/$3,000 | $2,500/$5,000 |
| Out-of-network | $8,000/$16,000 | $4,000/$8,000 | N/A |
| Health care visits: Your costs | |||
| Preventive care (in-network) | You pay nothing | You pay nothing | You pay nothing |
| Preventive care (out-of-network) | 30% after deductible | 40% after deductible | Not covered |
| Primary care (in-network) | Deductible then $25 copay | $25 copay | $25 copay |
| Primary care (out-of-network) | 30% after deductible | 40% after deductible | Not covered |
| Specialist (in-network) | Deductible then $50 copay | $40 copay | $40 copay |
| Specialist (out-of-network) | 30% after deductible | 40% after deductible | Not covered |
| Telehealth | Deductible then $25 copay | $25 copay | $25 copay |
| Behavioral health services – outpatient (in-network) | Deductible then $50 copay | $40 copay | $40 copay |
| Behavioral health services – outpatient (out-of-network) | 30% after deductible | 40% after deductible | Not covered |
| Behavioral health services – inpatient (in-network) | Deductible then $250 copay per day, up to a maximum of $1,250 per calendar year | 20% after deductible | 10% after deductible |
| Behavioral health services – inpatient (out-of-network) | 30% after deductible | 40% after deductible | Not covered |
| Outpatient surgery (in-network) | Deductible then $250 copay per service | 20% after deductible | 10% after deductible |
| Outpatient surgery (out-of-network) | 30% after deductible | 40% after deductible | Not covered |
| Complex imaging** (in-network) | No charge after deductible | 20% after deductible | 10% after deductible |
| Complex imaging** (out-of-network) | 30% after deductible | 40% after deductible | Not covered |
| Inpatient hospital stay (in-network) | Deductible then $250 copay per day, up to a maximum of $1,250 per admission | 20% after deductible | 10% after deductible |
| Inpatient hospital stay (out-of-network) | 30% after deductible | 40% after deductible | Not covered |
| Urgent care (in-network) | Deductible then $50 copay | $40 copay | $50 copay |
| Urgent care (out-of-network) | 30% after deductible | 40% after deductible | Not covered |
| Emergency room*** (in- network) | Deductible then $200 copay | $100 copay | $100 copay |
| Emergency room*** (out-of-network) | Deductible then $200 copay | $100 copay | $100 copay |
| Prescriptions – 30-day supply at retail pharmacy: Your costs**** | |||
| Tier 1 | $15 copay after deductible | $10 copay | $15 copay |
| Tier 2 | $35 copay after deductible | $25 copay | $35 copay |
| Tier 3 | $75 copay after deductible | $50 copay | $75 copay |
| Prescriptions – 90-day supply via mail order: Your costs**** | |||
| Tier 1 | $37.50 copay after deductible | $25 copay | $37.50 copay |
| Tier 2 | $87.50 copay after deductible | $62.50 copay | $87.50 copay |
| Tier 3 | $187.50 copay after deductible | $125 copay | $187.50 copay |
* Family also includes employee + spouse and employee + child(ren).
** Includes CT/PET scans, MRIs and MRAs, and ultrasounds.
*** Notification is required if admitted to hospital.
**** If you don’t use a participating network pharmacy, you may have to pay the full retail price for your prescriptions. Sign in to your myUHC account to see in-network pharmacies for your plan, or use UHC’s pharmacy search tool without logging in.
Find your best match
Use the Medical Plan Cost Estimator to find out which plan may be best for you. You can instantly calculate your estimated cost of participating in each plan and how much you can save by contributing to an HSA or FSA. Try it now!
Behavioral health support
Use Virtual Visits to see a psychiatrist or licensed therapist any time of day or night. You can also access behavioral health care through your medical plan — sign in to your account at myuhc.com, then select Find Care > Medical Directory > People to find in-network providers that meet your criteria. You’ll also find behavioral health support through the confidential Employee Assistance Program (EAP).
Medical Premiums
2024 per-paycheck medical plan premiums
| HDHP with HSA | PPO Plan | EPO Plan | |
|---|---|---|---|
| Salary under $100,000 | |||
| Employee Only | $39.00 | $97.00 | $39.00 |
| Employee + Spouse | $78.00 | $199.00 | $78.00 |
| Employee + Child(ren) | $65.00 | $167.00 | $65.00 |
| Family | $114.00 | $290.00 | $114.00 |
| Salary $100,000 to $149,999 | |||
| Employee Only | $59.00 | $122.00 | $59.00 |
| Employee + Spouse | $117.00 | $257.00 | $117.00 |
| Employee + Child(ren) | $97.00 | $212.00 | $97.00 |
| Family | $172.00 | $370.00 | $172.00 |
| Salary over $150,000 | |||
| Employee Only | $78.00 | $135.00 | $78.00 |
| Employee + Spouse | $158.00 | $282.00 | $158.00 |
| Employee + Child(ren) | $133.00 | $238.00 | $133.00 |
| Family | $233.00 | $414.00 | $233.00 |
HDHP with HSA
The High Deductible Health Plan (HDHP) has lower paycheck premiums, a higher deductible, and a tax-free Health Savings Account (HSA) that helps you save money and plan ahead for future medical expenses. This combination gives you more control over your money and rewards you for making healthy, cost-conscious choices.
With this plan, you need to meet the deductible before the plan begins to pay (except for in-network preventive care, which is free). To help cover your costs, you have your tax-free HSA money, which includes contributions from MarketAxess in full in the beginning of each year. In 2024, you will receive:
- $650 for employee only enrollment
- $1,300 for enrollment of employee and other dependents
With this plan, you can see any provider, but you will pay less when you stay in network.
How the HDHP with HSA works
You pay the plan premiums from your paycheck to have coverage. When you receive in-network preventive care, you pay nothing — it’s covered in full! If you need non-preventive care, it works like this:
Use your HSA to save money and plan ahead!
Contributing to your HSA is a great way to budget for deductibles and other out-of-pocket expenses while also saving money — your HSA contributions are tax-free!*
Keep in mind:
- The HDHP costs less from your paycheck than the PPO Plan, so you may have extra money to put in your HSA.
- You can only spend HSA money already deposited into your account. MarketAxess deposits $650/$1,300 into your HSA at the beginning of the year. If you don’t have enough money in your HSA when you need it, you can pay another way and reimburse yourself later to take full advantage of your HSA’s tax savings.
- You will never forfeit any money left in your HSA — it rolls over each year. To save for your health care costs in retirement or prepare for future expenses, set aside a little extra each paycheck to grow your balance.
- You can change your HSA contribution amount throughout the year, if needed.
- You can use the funds in your HSA to pay for qualified medical expenses for your spouse or dependents, even if they are not covered by a MarketAxess medical plan.
*HSA contributions are not subject to federal income tax, but are currently subject to state income tax in CA and NJ. Consult with your tax advisor to understand the potential tax implications of enrolling in an HSA. Money in an HSA can be withdrawn tax-free as long as it is used to pay for qualified health-related expenses. If money is used for ineligible expenses, you will pay ordinary income tax on the amount withdrawn, plus a 20% penalty tax if you withdraw the money before age 65.
PPO Plan
The PPO Plan has lower out-of-pocket costs in exchange for the highest premiums of all the plans, making your spending more predictable. It charges a flat copay for most doctor’s office visits and prescriptions. For other health services, you’ll pay a percentage of the cost (coinsurance), with the plan paying the majority. You can choose to see any provider, but you’ll pay less by staying in network.
How the PPO Plan works
You pay the plan premiums from your paycheck to have coverage. When you receive in-network preventive care, you pay nothing — it’s covered in full! If you need non-preventive care, it works like this:
Save money with an FSA!
Take advantage of tax-free savings for health care payments with a Health Care Flexible Spending Account (FSA). However, plan your FSA contributions carefully: you can only carry over up to $660 of unused money in your FSA to the next year; you will forfeit any remaining amount above $660.
EPO Plan
The EPO Plan is similar to the PPO Plan, with its low out-of-pocket costs and predictable copays for doctor visits, urgent care, and prescriptions. It also has the same paycheck premiums as the HDHP. However, the EPO Plan provides coverage only when you receive care from providers within United Healthcare’s network.
How the EPO Plan works
You pay the plan premiums from your paycheck to have coverage. When you receive in-network preventive care, you pay nothing — it’s covered in full! If you need non-preventive care, it works like this:
Save money with an FSA!
Take advantage of tax-free savings for health care payments with a Health Care Flexible Spending Account (FSA). However, plan your FSA contributions carefully: you can only carry over up to $660 of unused money in your FSA to the next year; you will forfeit any remaining amount above $660.
Prescription Drugs
When you enroll in a MarketAxess medical plan, you automatically receive prescription drug benefits through OptumRx.
Drug tiers
The cost of your prescription drugs under each medical plan depends on the tier of the medication — Tier 1, Tier 2, or Tier 3. You can see how drugs are covered by looking at your plan’s Prescription Drug List (PDL), also called a formulary. This list indicates the overall value of each drug based on its effectiveness, safety, cost, and the availability of alternative medications to treat the same or similar medical condition(s).
Keep in mind that the PDL may change as a result of regular reviews and updates. To access the current PDL, log in to your United Healthcare account.
Pay less for your prescriptions
Ask your doctor about generic medications.
They’re commonly as effective as brand-name medications, but typically cost 80-85% less.
Use the mail order service.
Save time and money on long-term medications — such as a medication for high cholesterol, high blood pressure, or diabetes — with the convenient, cost-saving mail order service through OptumRx.
Go online to save time and money.
Log in to your myUHC account to find the best price for your medication. You can see a list of covered drugs, estimate your costs, compare pricing and options, find participating pharmacies to save money, and manage your medications.
Why use mail order?
- Free shipping on prescriptions.
- Reduced cost for a three-month supply.
- Convenient, automatic refills.
- No waiting in line at the pharmacy.
Log in to your myUHC account to sign up or call the number on the back of your member ID card. Alternatively, your doctor can send an electronic prescription to OptumRx. Note that prescriptions for controlled substances, such as opioids, can only be ordered via e-prescribe.
Prescription programs
Your pharmacy benefits include several programs aimed at ensuring your safety and making sure you receive the most clinically appropriate and cost-effective medication.
Prescription tools
Log in to your myUHC account to manage your prescriptions, order refills, sign up for home delivery, and more. Access your benefits from anywhere by downloading the UHC app on the App Store or Google Play.
Find a Doctor
Using in-network providers saves you money. It also helps give you peace of mind that you’ll receive quality care, since providers are thoroughly vetted by UHC and must meet specific national standards.
Here’s how to find doctors in your medical plan network.
United Healthcare
Visit United Healthcare's website at myuhc.com. Then, you can:
Sign in to your account for personalized search results based on your plan
- Click Sign In.
- Select Find Care > Medical Directory > People, then select the type of care you’re looking for. For example, if you’re looking for a primary care doctor, select Primary Care > All Primary Care Physicians. Only doctors in your network are visible when you’re signed in.
- Continue following the prompts to enter your search criteria.
Or, search without signing in by clicking “Find a Provider”
- Follow the prompts to search either the Medical Directory or Behavioral Health Directory.
- When prompted to choose a type of plan, select “Employer and Individual Plans.”
- When asked for the plan name, choose “Choice” to search for EPO Plan providers, or “Choice Plus” to search for HDHP and PPO Plan providers.
- You can then enter your search criteria, including your location.
Don’t have a personal doctor? You should. Here’s why.
- Better health. Yearly health screenings can reduce your risk for many serious conditions. Preventive care is free, so there’s no excuse to skip it.
- Greater savings. Having a doctor you can call can help you avoid costly trips to the emergency room.
- Peace of mind. A personal doctor can get to know you and your health history, provide advice you can trust, and help coordinate your care.
Telehealth
When you enroll in a MarketAxess medical plan, you also receive 24/7 access to Virtual Visits. Virtual Visits are an easy, affordable option when you need non-emergency or behavioral health care right away.
Through phone or video consultations, you can see a doctor from the comfort of your home or wherever you are. Doctors can diagnose, treat, and prescribe medication for many common conditions when needed. The cost of a Virtual Visit varies by medical plan, and could range from $0 to $49 per visit, which is typically less than going to an urgent care center.
Types of Virtual Visits
- 24/7 virtual visits for same-day, urgent care visits for a wide variety of health issues
- Virtual primary care for regular health visits and checkups with a primary care doctor
- Virtual therapy for visits with a psychiatrist or therapist from the comfort of home
- Virtual specialty care for your specific care needs, such as migraines or back, joint, and muscle care
Get started
Log in to your myUHC account to start a Virtual Visit. You can also learn more and see answers to frequently asked questions about Virtual Visits.
Telehealth is a great option when:
- You need a short-term prescription to treat conditions such as the flu, fever, migraines, sinus infections, pink eye, sore throat, bronchitis, or allergies.
- You can’t get to your doctor because you’re traveling.
- You need care after hours (nights, weekends, holidays).
2nd.MD
Getting a second medical opinion has never been easier! If you’re facing a new diagnosis, managing a chronic condition, or considering a possible surgery, 2nd.MD can connect you with skilled nurses and board-certified doctors across the country for an expert medical consultation via phone or video. 2nd.MD provides the advice you need before major health events or decisions.
You have access to more than 900 physicians representing all specialties and subspecialties, who can help you:
- Learn about a new or chronic diagnosis and treatment options.
- Discover breakthrough treatments and trials specific to your condition that may not be known by a local provider.
- Understand if a recommended surgery is the best option for you and find alternatives.
2nd.MD is available to MarketAxess employees who are enrolled in a UHC medical plan. For more information, call 1-866-269-3534 or visit 2nd.MD.
Mount Sinai Health Center
MarketAxess has made a special investment in the health and wellbeing of its employees by purchasing memberships to The Health Center at Hudson Yards for its New York-based employees. You have access to a state of the art, members-only practice featuring a collaborative team of some of the city’s top physicians and specialists from the Mount Sinai Health System. For employees visiting the New York office who become ill during your visit, arrangements can be made to provide access to the Health Center.
First-class features
You receive an elevated level of service for maximum convenience:
- Care navigation assistance
- Same-day appointments
- In-network providers
- No wait times
- Extended time with providers
- Evening and weekend hours
- 24/7 support
- Home and office prescription delivery
- Health coaching
- Online membership portal
Types of care
The Health Center at Hudson Yards provides:
- Primary care
- Behavioral health
- Urgent care
- Physical therapy
- Women’s health
- Cardiology
- Nutrition counseling
- Labs and X-rays
- Dermatology
Getting started
How do I sign up for membership to The Health Center?
To activate your membership, you must register your Health Center at Hudson Yards member portal account.
- To register your portal account, visit mychart.mountsinai.org/hchy to access via your web browser or,
- download the MyChart iOS or Android app.
If registering from the downloaded app, search for 'Health Center at Hudson Yards' to add it as a new organization.
Then, select 'Activate Employer Membership' and register your account by following the guided prompts. Once registered, you will be able to log in to your new member portal and have full access to its features and functionality.
How do I schedule an appointment?
Appointments for urgent or primary care, physical therapy, cardiology, and dermatology can be self-scheduled through Health Center Hudson Yards member portal. To schedule a behavioral health or nutrition counseling visit, please contact a Personal Health Navigator by calling 646-819-5100 or emailing support@healthcenterhusdonyards.com.
How much do The Health Center services cost?
All health care services at The Health Center will be billed to your medical plan and are subject to the agreed-upon rates between your plan and Mount Sinai — the same as when you receive care elsewhere in the community. The charge will be subject to your plan’s cost-sharing provisions such as deductibles, coinsurance, and copays. Mount Sinai providers are in-network under your MarketAxess medical plan. If you are enrolled in a different medical plan, Mount Sinai participates in all major medical plan networks.
Tools & Resources
Your medical plan offers convenient online features to help you take full advantage of your benefits and make your life easier.
myuhc.com
When it comes to managing your health plan, your myUHC account lets you see what’s covered, estimate costs, and more. To get the most from your plan, each covered family member over 18 should create their own account. Then, use it to manage your coverage and costs:
| Coverage | Costs |
|
|
Set up your account today
- Go to myUHC account and click “Register.”
- Have your ID card handy and follow the step-by-step instructions.
Get the app
Access your medical benefits from anywhere by downloading the United Healthcare app on the App Store or Google Play. You can:
- Find nearby care options in your network.
- See your claim details and view progress toward your deductible.
- View and share your health plan ID card.
- Video chat with a doctor without leaving the app.
Advocate services
UHC provides you and your family with confidential, one-on-one help from specially trained advocates who can help you navigate the health care system and answer your questions. Advocates are backed by a team of professionals skilled in clinical care, emotional health, pharmacy, special needs, health care costs and medical plan benefits. They’re here to provide you with the support you need when you need it, all at no additional cost to you. Whether it’s deciding the right course of treatment, understanding care options, or resolving a billing issue, an advocate can help no matter what the issue — saving time, money, and worry.
How can an advocate help you?
UHC advocates are your one-stop resource for:
- Benefits and claims
- Provider search
- Pharmacy
- Health savings
- Wellbeing
- Emotional and behavioral health
- Clinical and complex health care support
- And more
Reach out today
For personalized assistance, just call the number on your UHC member ID card.
UnitedHealth Premium® providers
The UnitedHealth Premium program evaluates physicians in various specialties using evidence-based medicine and national standards to help you find high-quality, cost-efficient care. The Premium designation makes it easy for you to find doctors who meet this criteria — just search for providers on myuhc.com and look for the blue hearts next to a physician's name. Visit unitedhealthpremium.com to learn more.