Medicare Advantage Plans
Smart decisions begin with finding the right information. The resources on this page are designed to help you make good health care choices.
Plan Information and Forms
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AARP® MedicareComplete® insured through UnitedHealthcare premium payment forms and information
How to pay your premium
Electronic Funds Transfer (EFT) Form (PDF)
Social Security Deduction Form (PDF)
AARP MedicareComplete insured through UnitedHealthcare with Part D Prescription Coverage forms and information
OptumRx Preferred Mail Service Pharmacy
Prescription Mail Order Form - Preferred Mail Service Pharmacy through OptumRx (PDF)
Prescription grievances, coverage determinations and appeals
How to appoint a representative
Authorization to Share Personal Information Form (PDF)
- Complete this form to give others access to your account. Choose someone you trust such as a spouse, family member, caregiver or friend to access or help you manage your health plan.
MAPD Prescription Drug Plan - Direct Member Reimbursement Form (PDF)
Medication Prior Authorization Request Form (PDF)
Medicare Part D Coverage Determination Request Form (PDF) - (for use by members and providers)
Redetermination Request Form (PDF)
Medication Therapy Management (MTM) Program
Prescription drug transition process
Find out how to get financial help with prescription drugs
AARP MedicareComplete insured through UnitedHealthcare enrollment form
To get an AARP MedicareComplete plan enrollment form (PDF), go to View plans and pricing and enter your ZIP code. Choose one of the available plans in your area and view the plan details. You'll find the form you need in the Helpful Resources section.
Other resources and plan information:
Summary of Benefits and Evidence of Coverage - Go to View plans and pricing and enter your ZIP code. Choose one of the available plans in your area and view the plan details. You'll find the form you need in the Helpful Resources section.
Appeals and grievances
Commitment to quality (PDF)
UnitedHealthcare Medicare Advantage Coverage Summaries
Disenrollment form (PDF)
Member rights and responsibilities
Potential for Contract Termination (PDF)
Recursos en Español (Resources in Spanish)
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