PERS: Medicare Eligible

Frequently Asked Questions

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

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Prescription Drug Coverage

Learn about your prescription drug benefits.

Understand prescription drug coverage options

See if my medication is covered

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

See additional plan coverage and download plan documents

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Medicare Eligible

Plan Benefits and Cost

Who do I contact with additional questions?

For general questions prior to enrollment, call 1-844-884-1850
5 a.m. - 8 p.m. Pacific, 7 days a week

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