1 Benefits, features and/or devices vary by plan/area. Limitations and exclusions apply. $0 copay and member rewards are not available with all plans. $0 copay applies only to PCP visits with a network PCP. Additional charges may apply to specialist services or for laboratory or other services ordered by a PCP. Rewards are limited to speciﬁed activities and are subject to Rewards Program rules and restrictions. Additional terms and conditions apply. See plan for details.
2 $0 copays may be restricted to preferred home delivery prescriptions during the initial coverage phase and may not apply during the coverage gap or catastrophic stage. Benefits vary by plan/area. Limitations and exclusions apply. Network size varies by plan and by market.
3 $0 cost-share for in-network dental care, specified services only. If your plan offers out of network dental coverage and you see an out-of-network dentist you might be billed more, even for services listed as $0 copay. Benefits, features and/or devices vary by plan/area. Limitations and exclusions apply. Network size varies by plan and market.
4 Vision beneﬁts vary by plan and are not available with all plans. Additional charges may apply for out-of-network items and services. Yearly routine eye exam and $100-400 allowance for contacts or designer frames, with standard (single, bi-focal, tri-focal or standard Tier 1 progressive) lenses covered in full either yearly or every two years. Limitations and exclusions apply.
5 Benefits, features and/or devices vary by plan/area. Limitations and exclusions apply.
6 Based on UnitedHealthcare’s national provider network report (May 2022). Network size varies by plan and by market.
7 Network size varies by plan and market.
8 2023: You will pay a maximum of $35 for each 1-month supply of Part D covered insulin drug through all coverage stages.
2022: You will pay a maximum of $35 for a 1-month supply of Part D select insulin drugs during the Deductible, Initial Coverage and Coverage Gap or "Donut Hole" stages of your benefit. You will pay 5% of the cost of your insulin in the Catastrophic Coverage stage. This cost-sharing does not apply to members who pay a lower copay through Medicare's Help program.
9 OTC and Healthy Food benefits have expiration timeframes. Call the plan or refer to your Evidence of Coverage (EOC) for more information.
10 Based on May 2022 CMS and NAIC enrollment data.
11 Nurse Hotline not for use in emergencies, for informational purposes only.