Medical Plan

The Pinnacle craft medical plan offers comprehensive medical coverage, the choice of in-network health care providers and free preventive care. You’ll also have access to tools to help you and your family manage the complex health care world. 

About the Medical Plan

The medical plan offers comprehensive coverage, the choice of in-network health care providers and free preventive care. 

  • You can enroll yourself and your family in the Pinnacle medical plan or decline coverage.
  • Changes can be made within the first 31 days you are eligible for coverage, during open enrollment or because of a qualified status change. 
  • Coverage Details 
  • Premiums

Once you enroll and receive your ID card, register at myuhc.com, where you can: 

  • Find a provider 
  • Access claims and spending details 
  • Review coverage and benefits 
  • Replace an ID card 


2nd.MD

2nd.MD is a free and fast way to get a second opinion from a board-certified specialist via phone or video. Get access to elite specialists for questions about:

  • Diseases and chronic conditions
  • Surgeries or procedures
  • Medications and treatment plans


Advocate4Me

This service offers an advanced level of support, connecting you directly with an advocate or nurse to help you with health-related decisions. Advocates can help you: 

  • Tackle complex medical needs, easing the burden on you and your family 
  • Resolve claims issues and other challenges 
  • Make informed decisions about your care that could save you money


Alex Medicare

  • You and your loved ones have access to personalized, interactive support that helps you understand the complexities of Medicare.
  • ALEX Medicare will ask a few questions about health care needs, then serve up unbiased, comprehensive Medicare education and information.
  • Let ALEX Medicare walk you through all the ins and outs of Medicare, including what you’re eligible for, how much it will cost and how to enroll.


Preventive Care

Scheduling regular preventive care can help you and your family stay healthier.  

  • Pinnacle’s health plan provides 100% coverage for certain preventive health care services.  
  • You pay nothing, provided you get your care from a health plan network provider. 
  • Preventive care includes annual wellness exams, cancer screenings, vaccines, well-woman visits and much more.  
  • See the guidelines below for a complete list. 


Prescription Drug Plan

When you enroll in the Pinnacle medical plan, prescription drug coverage is included.

  • Prescription drug coverage offers flexibility and choice in determining the right medication for you. 
  • The prescription drug list should be used when you and your doctor are discussing your medication needs. 
  • Review the prescription list below for specific information about drug coverage.
  • 2026 Rates and Coverage Details