Look for the green-colored pricing as you shop for plans to see your potential cost savings shown by the crossed out dollar amount.
Learn More about Extra HelpThe information provided in this document may be subject to change over time and may become outdated. For the most current and up-to-date information, please refer to our website at UHC.com/medicare.
new former $0
combined in and out-of-network
combined in and out-of-network
Covered for urgent and emergency care only
Find out about this plan’s copays for primary care providers and specialists.
to talk with a network telehealth provider online through live audio and video.
1 per year
for covered services
for covered services
See this plan's benefits, costs and copays. For full plan details, see the Evidence of Coverage or Summary of Benefits under the Plan Documents section.
per stay for unlimited days
per stay for unlimited days
per day: days 1-100
per day: days 1-100
per visit (
$0 copay
when outside of the United States)
per visit (
$0 copay
when outside of the United States)
for ground or air
Learn about this plan's costs for prescription drug coverage.
if you qualify for Extra Help
for Tier 1
$615for Tiers 2-5 if you do not qualify for Extra Help
Standard network
Standard network
Standard network
Standard network
Standard network
Standard network
Learn about this plan’s dental coverage options and costs.
For more details on Medicaid coverage, see the Summary of Benefits under the Plan Documents section
See more of the benefits and programs offered by this plan that are not provided under Original Medicare.
1 per year
combined visits in and out-of-network
for standard prescription lenses
$150 allowanceevery year for 1 pair of lenses/frames or contacts.
1 per year
combined visits in and out-of-network
up to 2 hearing aids every 2 years
per month for OTC products and wellness support, plus healthy food and utilities for members with a qualifying condition such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol. Buy first aid supplies, pain relievers, fruits, meat and more or pay home utilities like electricity or internet. Get wellness support including in-home services, select fitness items and more.
per month for OTC products and wellness support, plus healthy food and utilities for members with a qualifying condition such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol. Buy first aid supplies, pain relievers, fruits, meat and more or pay home utilities like electricity or internet. Get wellness support including in-home services, select fitness items and more.
in rewards every year for getting an annual wellness visit, being physically active, connecting with others and more.
in rewards every year for getting an annual wellness visit, being physically active, connecting with others and more.
For more details on Medicaid coverage, see the Summary of Benefits under the Plan Documents section
For more details on Medicaid coverage, see the Summary of Benefits under the Plan Documents section
4 visits per year
combined visits in and out-of-network
for 28 home-delivered meals immediately after an inpatient hospitalization or skilled nursing facility (SNF) stay.
Important documents that provide the details you need about this plan's coverage and benefits, prescription drugs, enrollment, providers and more.
Enrollment Disclaimer Information:
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies. For Medicare Advantage and/or Prescription Drug Plans: A Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. For Dual Special Needs Plans: A Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan's contract renewal with Medicare.
AARP-related Disclaimer:
UnitedHealthcare Insurance Company pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. You do not need to be an AARP member to enroll in a Medicare Advantage or Prescription Drug Plan. AARP encourages you to consider your needs when selecting products and does not make specific product recommendations for individuals. AARP does not employ or endorse agents, producers or brokers.
Extra Help:
If you are receiving Extra Help from Medicare, your copays may be lower or you may have no copays.
Featured Benefits:
- Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.
- Optum HouseCalls may not be available in all areas.
- OTC, food, and/or utility benefits have expiration timeframes. Review your Evidence of Coverage (EOC) for more information. The healthy food and utilities benefit is a special supplemental benefit only available to chronically ill enrolles with a qualifying condition, such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol, and who also meet all applicable plan coverage criteria. There may be other qualified chronic conditions not listed.
- The Giveback benefit is a reduction in your Medicare Part B premium.
- A 50% coinsurance applies to covered dental comprehensive services. If your plan offers out-of-network dental coverage and you see an out-of-network dentist, you might be billed more. Network size varies by local market.
- Reward offerings may vary by plan. Reward program Terms of Service apply.
- If your plan offers out-of-network dental coverage and you see an out-of-network dentist, you might be billed more. Network size varies by local market.
- Routine transportation not for use in emergencies. A trip is one-way and roundtrip is two trips.
- Annual routine eye exam and an allowance for contacts or one pair of frames, with standard (single, bi-focal, tri-focal or standard progressive) lenses covered in full every one or two years. Review your Evidence of Coverage (EOC) for more information.
- CareFlex benefit credits can only be used by members of AARP Medicare Advantage CareFlex plans for cost-shares for certain Medicare Parts A and B covered items and services. CareFlex credits are loaded on a Visa debit card. Unused credits will rollover each quarter and expire Dec. 31. Credits not redeemable for cash.
- The fitness benefit and gym network varies by plan/area and participating locations may change. The fitness benefit includes a standard fitness membership at participating locations. Not all plans offer access to premium locations. Consult your doctor prior to beginning an exercise program or making changes to your lifestyle or health care routine.
- The plan only covers hearing aids from a UnitedHealthcare Hearing network provider. Other hearing exam providers are available in the UnitedHealthcare network.
Out-of-network:
Out-of-network/non-contracted providers are under no obligation to treat members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
The Medicare Prescription Payment Plan:
If you have high out-of-pocket costs for your covered Part D prescription drugs each year, you may want to participate in the Medicare Prescription Payment Plan. This payment plan spreads your out-of-pocket prescription drug costs over the remainder of the calendar year. Learn more about the Medicare Prescription Payment Plan.
Out-of-network:
Out-of-network/non-contracted providers are under no obligation to treat members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
State-Level Medicaid, D-SNP Disclaimer:
D-SNP and C-SNP: The values shown in-network represent a range based upon the amount of the Medicare Parts A and B plan cost sharing covered by the state. Depending on your Medicaid eligibility, your Medicaid program may have cost sharing. For complete information, and for costs for those without Medicare Parts A and B plan cost sharing covered by the state, and applicable Medicaid cost sharing, please refer to your Summary of Benefits or Evidence of Coverage. Limitations, exclusions, and restrictions may apply.
Other Languages:
This information is available for free in other languages. Please contact Customer Service for additional information.
Esta información está disponible sin costo en otros idiomas. Para obtener más información comuníquese con nuestro Servicio al Cliente.
本資訊可以其他語言免費提供。如需更多資訊,請聯絡客戶服務部。
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