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Medicare Eligible

Plan Benefits and Cost

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Benefits and costs UnitedHealthcare® Group Medicare Advantage (PPO)

Annual medical deductible

$0

Annual out-of-pocket maximum

$2,500

Office and clinic visits

$15 copay for primary care

$20 copay for specialist visit

Hospital services (inpatient)

$100 copay per day for days 1-3

$0 copay for days 4 and beyond

Hospital services (outpatient)

$125 copay

Prescription drug coverage

Retail up to a 31 day supply

Tier 1 Generic: 40% coinsurance up to $250>

Tier 2 Preferred Brand: 40% coinsurance up to $250

Tier 3 Non-Preferred Brand: 40% coinsurance up to $250

Tier 4 Specialty: 40% coinsurance up to $250

See additional plan coverage

Learn More

How do I find a provider?

UnitedHealthcare® Group Medicare Advantage Retiree Plans are Preferred Provider Organization (PPO) plans. As a member of a PPO plan, you have lots of flexibility in choosing a provider.  You can choose from a national network of contracted doctors and hospitals or you can use any doctor or hospital outside the network as long as they participate in Medicare and accept the plan.  And remember, in-network or out-of-network, you pay the same!

Search UnitedHealthcare's network of providers

Search Medicare.gov's list of providers

Do I have prescription drug coverage?

See if your plan offers prescription drug coverage and learn about your options.

Understand prescription drug coverage options

Frequently Asked Questions

Obtain answers to commonly asked questions related to Medicare, your plan, and UnitedHealthcare® by clicking here.

Who do I contact with additional questions?

For general benefit questions prior to enrollment, call 1-844-884-1850, 6 a.m. – 8 p.m. PT, Monday - Friday. TTY users, call 711.

Who do I contact with additional questions?

For general questions prior to enrollment, call 1-844-884-1850
6 a.m. - 8 p.m. PT, Monday - Friday

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