Plans starting in November or December. January or later.
Plans starting in November or December. January or later.
|  |  |  | ||||
|---|---|---|---|---|---|---|
|  | 
                                                                            $165.40
                                                                         Monthly premium 
                                                                                $165.40
                                                                             Monthly premium  Submitted | 
                                                                            $109.40
                                                                         Monthly premium 
                                                                                $109.40
                                                                             Monthly premium  Submitted | ||||
| Care Type | AARP Medicare Rx Preferred from UHC (PDP) | AARP Medicare Rx Saver from UHC (PDP) | ||
|---|---|---|---|---|
| Annual prescription deductible | 
                                                $0 | 
                                                $615 | 
| Tier 1: Preferred Generic Drugs | 
                                                                    Preferred Network | 
                                                                    Preferred Network | ||
|---|---|---|---|---|
| Tier 2: Generic Drugs | 
                                                                    Preferred network | 
                                                                    Preferred network | ||
| Tier 3: Preferred Brand Drugs | 
                                                                    Preferred network | 
                                                                    Preferred network | ||
| Tier 3: Insulin | 
                                                                    Preferred network | 
                                                                    Preferred network | ||
| Tier 4: Non-Preferred Drugs | 
                                                                    Preferred network | 
                                                                    Preferred network | ||
| Tier 5: Specialty Drugs | 
                                                                    Preferred network | 
                                                                    Preferred network | 
| Tier 1: Preferred Generic Drugs | 
                                                                    $0 | 
                                                                    $6 | ||
|---|---|---|---|---|
| Tier 2: Generic Drugs | 
                                                                    $0 | 
                                                                    $21 | ||
| Tier 3: Preferred Brand Drugs | 
                                                                    15% | 
                                                                    17% | ||
| Tier 3: Insulin | 
                                                                    Up to  | 
                                                                    Up to  | ||
| See Extra Help section | See Extra Help section | 
| Brand Drugs | 
                                                                    Up to  | 
                                                                    Up to  | ||
|---|---|---|---|---|
| Generic Drugs | 
                                                                    Up to  | 
                                                                    Up to  | 
| Brand Drugs | 
                                                                        $12.65 | 
                                                                        $12.65 | ||
|---|---|---|---|---|
| Generic Drugs | 
                                                                        $5.10 | 
                                                                        $5.10 | 
| Brand Drugs | 
                                                                        $4.90 | 
                                                                        $4.90 | ||
|---|---|---|---|---|
| Generic Drugs | 
                                                                        $1.60 | 
                                                                        $1.60 | 
| Brand Drugs | 
                                                                        $0 | 
                                                                        $0 | ||
|---|---|---|---|---|
| Generic Drugs | 
                                                                        $0 | 
                                                                        $0 | 
| AARP Medicare Rx Preferred from UHC (PDP) | AARP Medicare Rx Saver from UHC (PDP) | |||
|---|---|---|---|---|
| Summary of Benefits |  |  | ||
| Evidence of Coverage |  |  | ||
| Benefit Highlights |  |  | 
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.
Limited Access:
AARP® Medicare Rx Preferred from UHC (PDP)’s and AARP® Medicare Rx Saver from UHC (PDP)’s pharmacy network includes limited lower-cost pharmacies in rural MT, NE, ND, SD and WY. There are an extremely limited number of preferred cost share pharmacies in suburban MT. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call us or consult the online pharmacy directory.
Extra Help: 
    
If you are receiving Extra Help from Medicare, your copays may be lower or you may have no copays.
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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