\n"},"ma":{"Footnotes":"
Footnotes
\NORTE
\NORTE
1The amount shown does not include the Part B premium you are already paying to the government. Your plan costs, including drug premiums and costs, may differ when you get oneextra helpby the government or if you have Medicaid. For more information, see "Can I get help with my Medicare prescription drug costs?."
\NORTE
Benefits, premiums and/or copayments/coinsurance are subject to change as of January 1 of each year.
\NORTE
\NORTE
2Amounts may vary depending on the level of care or the type of medical care you receive.
\NORTE
\NORTE
3Benefits, features and/or devices may vary by plan/territory. Restrictions and exclusions apply. See the Summary of Benefits (PDF) in the Plan Documents section for details.
\NORTE
\NORTE
4Benefits, features and/or devices may vary by plan/territory. Restrictions and exclusions apply. See the Evidence of Coverage (PDF) in the Plan Documents section for more details.
\NORTE
\NORTE
5This document is the annual change notice for this plan. If you are a current plan member and have switched to a different plan, this document may not apply to you. If you have any questions, please contact customer service at the number on your membership card.
\NORTE
\NORTE
7Coverage Gap Phase:
\NORTE
NOTE: Applies to plans with Prescription Drug coverage only.
\NORTE
\NORTE
Amounts shown do not include taxes or injection fees.
\NORTE
\NORTE
During the coverage gap, amounts shown for brand name drugs include a 70% manufacturer discount. However, this discount is based on the participation of pharmaceutical manufacturers and may not apply to all brand name pharmaceuticals. You pay 25% of the total cost of brand name drugs for each drug tier during the coverage gap.
\NORTE
\NORTE
Drug coinsurance of 25% within the coverage gap is based on an assessment that the drug is defined as generic under Part D rules.
\NORTE
\NORTE
If your drug is not covered under Medicare Part D, you pay the full cost of the drug.
\NORTE
\NORTE
8Optum Mail home delivery:
\NORTE
NOTE: Applies to plans with Prescription Drug coverage only.
\NORTE
\NORTE
Savings Advantage 2023
\NORTE
\NORTE
Savings are applied during the primary insurance period, which begins after your required deductible is paid (if applicable) and ends when the total cost of your drug (paid by UnitedHealthcare, you and others) reaches $4,660.
\NORTE
\NORTE
OptumRx is a subsidiary of UnitedHealthcare Insurance Company. Optum Home Delivery is a service provided by OptumRx Pharmacy. You do not have to use Optum Home Delivery to get at least a 3-month supply of your maintenance medication. If you have not used Optum Home Delivery, you must approve the first prescription order submitted directly to OptumRx by your physician before it can be filled. New prescriptions from the pharmacy should arrive within ten business days of receipt of the completed order, and refill orders should arrive in approximately seven business days. Contact OptumRx anytime at 1-877-266-4832 (TTY 711).
\NORTE
\NORTE
$0 copays may be limited to priority home delivery prescriptions during the initial coverage period and may not apply during the coverage period or catastrophe. Benefits vary by plan/area. Restrictions and exclusions apply.
\NORTE
\NORTE
Disclaimers
\NORTE
\NORTE
Planes PPO:
\NORTE
Preferred Provider Organization (PPO) plans give you the option of maintaining out-of-network providers; However, you generally have a higher copay or coinsurance if you choose to leave the network. Out-of-network/non-contracted providers are not required to treat UnitedHealthcare members, except in emergency situations. Call our customer service number or refer to your Evidence of Coverage for more information, including the applicable copay for out-of-network services.
\NORTE
\NORTE
\NORTE
Planes POS:
\NORTE
Point-of-service (POS) plans give you the option of taking care of out-of-network providers; However, you generally have a higher copay or coinsurance if you choose to leave the network.
\NORTE
\NORTE
AARP Medicare Advantage Walgreens LPPO (H2228-079-000, H2228-084-000):
\NORTE
2022:The AARP Medicare Advantage Walgreens (LPPO) pharmacy network includes limited low-cost pharmacies in the rural ID and OR regions. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.please call usoConsult the directory of online pharmacies.
\NORTE
\NORTE
Coverage provisions and appeal procedures
\NORTE
Find important information about Medicare Advantage coverage decisions and appeals, quality assurance policies, complaints, conditions, and drug restrictions.See the Medicare Advantage (Part C) coverage rules and appeal procedure.
\NORTE
\NORTE
Learn about prescription drug coverage provisions and appeals, prior approval criteria, step therapy criteria, and the 60-day notice of change.Review the rules for coverage of prescription drugs (Part D) and the appeals process.
\NORTE
\NORTE
Look atUnitedHealthcare Prescription Drug Transition Process.
\NORTE
\NORTE
Information for plans with prescription drug coverage
\NORTE
\NORTE
The list of registered drugs was last updated on 03/01/2023.
\NORTE
\NORTE
NOTE: Prescription drugs that are not covered by the plan or cannot be provided under Medicare's standard prescription drug coverage will show as "not covered."
\NORTE
\NORTE
Copayment or coinsurance amounts may change if you have limited income.
\NORTE
\NORTE
Drug costs shown are estimates and may vary depending on the amount, strength and/or dosage of the drug and the pharmacy you use. It may be important to consider the value of Medicare prescription drug insurance beyond your current needs. Enrolling as soon as you're eligible gives you peace of mind should your medication needs become more important in the future. It can also help you avoid the Medicare late registration penalty.
\NORTE
\NORTE
Drugs and prices may vary between pharmacies and are subject to change during the plan year. The prices depend on the quantity supplied in the pharmacy. Quantities may be limited by the pharmacy based on its dispensing policy or by the plan based on quantity limitation requirements; If the prescription exceeds a limit, the copay amounts may be higher.
\NORTE
\NORTE
The prescription, pharmacy and/or provider network may change at any time. If necessary, you will receive a notification.
\NORTE
\NORTE
Not all network pharmacies may be on this list. The inclusion of a pharmacy does not guarantee that the pharmacy will be open, in the same location as listed in this online directory, or included in the network. The pharmacy network may change at any time. If necessary, you will receive a notification. The pharmacies on this list are called "Network Pharmacies" because UnitedHealthcare has agreements with them to provide prescription drugs to plan members. In most cases, your prescriptions are only covered under your plan if they are filled at a network pharmacy or through our mail-order pharmacy service. You do not have to continue to use the same pharmacy to fill your prescriptions and you can switch to any other network pharmacy. Prescriptions may be redeemed at out-of-network pharmacies under certain circumstances, as described in your Evidence of Coverage. To get a complete description of your prescription coverage, including how to fill your prescriptions, please refer to the Evidence of Coverage and your plan's formulary. Contact UnitedHealthcare for more details.
\NORTE
\NORTE
UnitedHealthcare contracts with pharmacies that meet or exceed CMS requirements for pharmacy access in your area.
\NORTE
\NORTE
The Pharmacy Directory is updated on the first Sunday of each month.
\NORTE
\NORTE
NOTE: If you receive Extra Help from Medicare, your copays may be lower or you may not have any copays at all.
\NORTE
\NORTE
Registration Disclaimer Information
\NORTE
\NORTE
Plans are insured by UnitedHealthcare Insurance Company or one of its affiliates, a Medicare Advantage organization with a Medicare contract and a Medicare-approved Part D sponsor. Inclusion in these plans depends on renewal of the plan's contract with Medicare. UnitedHealthcare Insurance Company pays royalties to AARP for the use of its intellectual property. These rates are used for general AARP purposes. AARP and its affiliates are not insurers. You do not need to be an AARP member to register. AARP encourages you to consider your needs when selecting products and does not make specific product or pharmacy recommendations for individuals. UnitedHealthcare contracts directly with Walgreens for this plan; AARP and its affiliates are not parties to this contractual relationship.
\NORTE
\NORTE
Dental (routine/comprehensive):Benefits vary by plan/area. Restrictions and exclusions apply. If your plan offers out-of-network dental care and you see an out-of-network dentist, you may be billed more. The size of the network varies depending on the local market.
\NORTE
\NORTE
Fitbit:Select a device from selected models approved every 2 years. Devices may vary by plan/area. Restrictions and exclusions apply. Fitbit, the Fitbit logo and related marks and logos are trademarks of Google LLC and/or its affiliates.
\NORTE
\NORTE
Flex Card:Benefits and features vary by plan or region. Restrictions and exclusions apply. The Flex Benefit allowance expires at the end of the plan year. The Flex Benefit allowance must be used with dental, vision or hearing aid providers who accept Visa.
\NORTE
\NORTE
Escuchar:Benefits, features and/or devices vary by plan/territory. Restrictions and exclusions may apply. Other screening providers are available in the UnitedHealthcare network. The plan only covers hearing aids from a UnitedHealthcare Hearing network provider.
\NORTE
\NORTE
Red:Network size varies by plan and market. Benefits, features and/or devices vary by plan/territory. Restrictions and exclusions apply.
\NORTE
\NORTE
Over-the-counter (OTC):Benefits and features vary by plan or region. Restrictions and exclusions apply. Grocery, OTC and utility benefits have expiration periods. Call your plan or refer to your Evidence of Coverage (EOC) for more information.
\NORTE
\NORTE
PERSONA:Benefits, features and/or devices vary by plan/territory. Restrictions and exclusions apply. You must have landline and/or mobile phone coverage to use PERS.
\NORTE
\NORTE
Actively renew:Participate in Renew Active®program is voluntary. Consult your doctor before beginning any exercise program. Renew Active includes a standard fitness membership and other offers.
\NORTE
\NORTE
Fitness membership equipment, classes, custom fitness plans, supervisor access, and events may vary by location. Certain online fitness services, discounts, classes, events and offers are provided by affiliates of UnitedHealthcare Insurance Company or other third parties not affiliated with UnitedHealthcare. Participation in these third party services is subject to your acceptance of their respective terms and policies. UnitedHealthcare is not responsible for services or information provided by third parties. The information provided through these services is for informational purposes only and is not a substitute for medical advice. The network of gyms may vary depending on the local market.
\NORTE
\NORTE
Vision:Vision benefits vary by plan and are not available on all plans. Restrictions and exclusions apply. Additional charges may apply for out-of-network items and services.
\NORTE
\NORTE
This information is not a complete description of benefits.Call usfor more information
\NORTE
\NORTE
This information is freely available in other languages. PleaseContactCustomer Service for more information.
\NORTE
\NORTE
This information is available in other languages for free. For more informationContactwith our customer service.
\NORTE
\NORTE
This information is available in other languages for free. For more information pleaseConnectionCustomer service.
\NORTE
\NORTE
Each year, Medicare rates plans based on a 5-star rating system.
\NORTE
\n"},"mapd":{"Footnotes":"
Footnotes
\NORTE
\NORTE
1The amount shown does not include the Part B premium you are already paying to the government. Your plan costs, including drug premiums and costs, may differ when you get oneextra helpby the government or if you have Medicaid. For more information, see "Can I get help with my Medicare prescription drug costs?."
\NORTE
Benefits, premiums and/or copayments/coinsurance are subject to change as of January 1 of each year.
\NORTE
\NORTE
2Amounts may vary depending on the level of care or the type of medical care you receive.
\NORTE
\NORTE
3Benefits, features and/or devices may vary by plan/territory. Restrictions and exclusions apply. See the Summary of Benefits (PDF) in the Plan Documents section for details.
\NORTE
\NORTE
4Benefits, features and/or devices may vary by plan/territory. Restrictions and exclusions apply. See the Evidence of Coverage (PDF) in the Plan Documents section for more details.
\NORTE
\NORTE
5This document is the annual change notice for this plan. If you are a current plan member and have switched to a different plan, this document may not apply to you. If you have any questions, please contact customer service at the number on your membership card.
\NORTE
\NORTE
7Coverage Gap Phase:
\NORTE
NOTE: Applies to plans with Prescription Drug coverage only.
\NORTE
\NORTE
Amounts shown do not include taxes or injection fees.
\NORTE
\NORTE
During the coverage gap, amounts shown for brand name drugs include a 70% manufacturer discount. However, this discount is based on the participation of pharmaceutical manufacturers and may not apply to all brand name pharmaceuticals. You pay 25% of the total cost of brand name drugs for each drug tier during the coverage gap.
\NORTE
\NORTE
Drug coinsurance of 25% within the coverage gap is based on an assessment that the drug is defined as generic under Part D rules.
\NORTE
\NORTE
If your drug is not covered under Medicare Part D, you pay the full cost of the drug.
\NORTE
\NORTE
8Optum Mail home delivery:
\NORTE
NOTE: Applies to plans with Prescription Drug coverage only.
\NORTE
\NORTE
Savings Advantage 2023
\NORTE
\NORTE
Savings are applied during the primary insurance period, which begins after your required deductible is paid (if applicable) and ends when the total cost of your drug (paid by UnitedHealthcare, you and others) reaches $4,660.
\NORTE
\NORTE
OptumRx is a subsidiary of UnitedHealthcare Insurance Company. Optum Home Delivery is a service provided by OptumRx Pharmacy. You do not have to use Optum Home Delivery to get at least a 3-month supply of your maintenance medication. If you have not used Optum Home Delivery, you must approve the first prescription order submitted directly to OptumRx by your physician before it can be filled. New prescriptions from the pharmacy should arrive within ten business days of receipt of the completed order, and refill orders should arrive in approximately seven business days. Contact OptumRx anytime at 1-877-266-4832 (TTY 711).
\NORTE
\NORTE
$0 copays may be limited to priority home delivery prescriptions during the initial coverage period and may not apply during the coverage period or catastrophe. Benefits vary by plan/area. Restrictions and exclusions apply.
\NORTE
\NORTE
Disclaimers
\NORTE
\NORTE
Planes PPO:
\NORTE
Preferred Provider Organization (PPO) plans give you the option of maintaining out-of-network providers; However, you generally have a higher copay or coinsurance if you choose to leave the network. Out-of-network/non-contracted providers are not required to treat UnitedHealthcare members, except in emergency situations. Call our customer service number or refer to your Evidence of Coverage for more information, including the applicable copay for out-of-network services.
\NORTE
\NORTE
\NORTE
Planes POS:
\NORTE
Point-of-service (POS) plans give you the option of taking care of out-of-network providers; However, you generally have a higher copay or coinsurance if you choose to leave the network.
\NORTE
\NORTE
Coverage provisions and appeal procedures
\NORTE
Find important information about Medicare Advantage coverage decisions and appeals, quality assurance policies, complaints, conditions, and drug restrictions.See the Medicare Advantage (Part C) coverage rules and appeal procedure.
\NORTE
\NORTE
Learn about prescription drug coverage provisions and appeals, prior approval criteria, step therapy criteria, and the 60-day notice of change.Review the rules for coverage of prescription drugs (Part D) and the appeals process.
\NORTE
\NORTE
Look atUnitedHealthcare Prescription Drug Transition Process.
\NORTE
\NORTE
Information for plans with prescription drug coverage
\NORTE
\NORTE
The list of registered drugs was last updated on 03/01/2023.
\NORTE
\NORTE
NOTE: Prescription drugs that are not covered by the plan or cannot be provided under Medicare's standard prescription drug coverage will show as "not covered."
\NORTE
\NORTE
Copayment or coinsurance amounts may change if you have limited income.
\NORTE
\NORTE
Drug costs shown are estimates and may vary depending on the amount, strength and/or dosage of the drug and the pharmacy you use. It may be important to consider the value of Medicare prescription drug insurance beyond your current needs. Enrolling as soon as you're eligible gives you peace of mind should your medication needs become more important in the future. It can also help you avoid the Medicare late registration penalty.
\NORTE
\NORTE
Drugs and prices may vary between pharmacies and are subject to change during the plan year. The prices depend on the quantity supplied in the pharmacy. Quantities may be limited by the pharmacy based on its dispensing policy or by the plan based on quantity limitation requirements; If the prescription exceeds a limit, the copay amounts may be higher.
\NORTE
\NORTE
The prescription, pharmacy and/or provider network may change at any time. If necessary, you will receive a notification.
\NORTE
\NORTE
Not all network pharmacies may be on this list. The inclusion of a pharmacy does not guarantee that the pharmacy will be open, in the same location as listed in this online directory, or included in the network. The pharmacy network may change at any time. If necessary, you will receive a notification. The pharmacies on this list are called "Network Pharmacies" because UnitedHealthcare has agreements with them to provide prescription drugs to plan members. In most cases, your prescriptions are only covered under your plan if they are filled at a network pharmacy or through our mail-order pharmacy service. You do not have to continue to use the same pharmacy to fill your prescriptions and you can switch to any other network pharmacy. Prescriptions may be redeemed at out-of-network pharmacies under certain circumstances, as described in your Evidence of Coverage. To get a complete description of your prescription coverage, including how to fill your prescriptions, please refer to the Evidence of Coverage and your plan's formulary. Contact UnitedHealthcare for more details.
\NORTE
\NORTE
UnitedHealthcare contracts with pharmacies that meet or exceed CMS requirements for pharmacy access in your area.
\NORTE
\NORTE
The Pharmacy Directory is updated on the first Sunday of each month.
\NORTE
\NORTE
NOTE: If you receive Extra Help from Medicare, your copays may be lower or you may not have any copays at all.
\NORTE
\NORTE
Registration Disclaimer Information
\NORTE
\NORTE
Plans are insured by UnitedHealthcare Insurance Company or one of its affiliates, a Medicare Advantage organization with a Medicare contract and a Medicare-approved Part D sponsor. Inclusion in these plans depends on renewal of the plan's contract with Medicare. UnitedHealthcare Insurance Company pays royalties to AARP for the use of its intellectual property. These rates are used for general AARP purposes. AARP and its affiliates are not insurers. You do not need to be an AARP member to register. AARP encourages you to consider your needs when selecting products and does not make specific product or pharmacy recommendations for individuals. UnitedHealthcare contracts directly with Walgreens for this plan; AARP and its affiliates are not parties to this contractual relationship.
\NORTE
\NORTE
Dental (routine/comprehensive):Benefits vary by plan/area. Restrictions and exclusions apply. If your plan offers out-of-network dental care and you see an out-of-network dentist, you may be billed more. The size of the network varies depending on the local market.
\NORTE
\NORTE
Fitbit:Select a device from selected models approved every 2 years. Devices may vary by plan/area. Restrictions and exclusions apply. Fitbit, the Fitbit logo and related marks and logos are trademarks of Google LLC and/or its affiliates.
\NORTE
\NORTE
Flex Card:Benefits and features vary by plan or region. Restrictions and exclusions apply. The Flex Benefit allowance expires at the end of the plan year. The Flex Benefit allowance must be used with dental, vision or hearing aid providers who accept Visa.
\NORTE
\NORTE
Escuchar:Benefits, features and/or devices vary by plan/territory. Restrictions and exclusions may apply. Other screening providers are available in the UnitedHealthcare network. The plan only covers hearing aids from a UnitedHealthcare Hearing network provider.
\NORTE
\NORTE
Red:Network size varies by plan and market. Benefits, features and/or devices vary by plan/territory. Restrictions and exclusions apply.
\NORTE
\NORTE
Over-the-counter (OTC):Benefits and features vary by plan or region. Restrictions and exclusions apply. Grocery, OTC and utility benefits have expiration periods. Call your plan or refer to your Evidence of Coverage (EOC) for more information.
\NORTE
\NORTE
PERSONA:Benefits, features and/or devices vary by plan/territory. Restrictions and exclusions apply. You must have landline and/or mobile phone coverage to use PERS.
\NORTE
\NORTE
Actively renew:Participate in Renew Active®program is voluntary. Consult your doctor before beginning any exercise program. Renew Active includes a standard fitness membership and other offers.
\NORTE
\NORTE
Fitness membership equipment, classes, custom fitness plans, supervisor access, and events may vary by location. Certain online fitness services, discounts, classes, events and offers are provided by affiliates of UnitedHealthcare Insurance Company or other third parties not affiliated with UnitedHealthcare. Participation in these third party services is subject to your acceptance of their respective terms and policies. UnitedHealthcare is not responsible for services or information provided by third parties. The information provided through these services is for informational purposes only and is not a substitute for medical advice. The network of gyms may vary depending on the local market.
\NORTE
\NORTE
Vision:Vision benefits vary by plan and are not available on all plans. Restrictions and exclusions apply. Additional charges may apply for out-of-network items and services.
\NORTE
\NORTE
This information is not a complete description of benefits.Call usfor more information
\NORTE
\NORTE
This information is freely available in other languages. PleaseContactCustomer Service for more information.
\NORTE
\NORTE
This information is available in other languages for free. For more informationContactwith our customer service.
\NORTE
\NORTE
This information is available in other languages for free. For more information pleaseConnectionCustomer service.
\NORTE
\NORTE
Each year, Medicare rates plans based on a 5-star rating system.
\NORTE
\n"},"pdp":{"Footnotes":"
Footnotes
\NORTE
\NORTE
1Your plan costs, including drug premiums and costs, may differ when you get oneextra helpby the government or if you have Medicaid. For more information, see"Can I get help with my Medicare prescription drug costs?"
\NORTE
\NORTE
2This document is the annual change notice for this plan. If you are a current plan member and have switched to a different plan, this document may not apply to you. If you have any questions, please contact customer service at the number on your membership card.
\NORTE
\NORTE
3During the coverage gap, amounts shown for brand name drugs include a 70% manufacturer discount. However, this discount is based on the participation of pharmaceutical manufacturers and may not apply to all brand name pharmaceuticals. You pay 25% of the total cost of brand name drugs for each drug tier during the coverage gap.
\NORTE
\NORTE
Drug coinsurance of 25% within the coverage gap is based on an assessment that the drug is defined as generic under Part D rules.
\NORTE
\NORTE
If your drug is not covered under Medicare Part D, you pay the full cost of the drug.
\NORTE
\NORTE
Disclaimers
\NORTE
\NORTE
Planes AARP MedicareRx Walgreens:
\NORTE
\NORTE
The member may use any network pharmacy, but may not receive the same price as Walgreens or Duane Reade, the plan's preferred retail pharmacies. Walgreens pharmacies may not be available in all areas. Duane Reade is only available in NY and NJ. Tier 2 Copay, Tier 3 Coinsurance, and Tier 4 apply after deductible. Savings of $15 or more in the AARPMedicareRx Walgreens plan apply to Tier 1 drugs when filled at a Walgreens or Duane Reade preferred retail pharmacy compared to a standard network pharmacy.
\NORTE
2022:The AARP MedicareRx Walgreens (PDP) pharmacy network includes limited low-cost pharmacies in urban ND; suburban HI, ND, PA and rural AK, AR, HI, IA, ID, KS, MN, MS, MT, NE, OK, OR, PA, SD and WY. There are an extremely limited number of preferred cost-sharing pharmacies in suburban MT and rural ND. The lower cost listed in our plan materials for these pharmacies may not be available at the pharmacy you are using, please call us orConsult the directory of online pharmacies.
\NORTE
2023:The AARPMedicareRx Walgreens (PDP) pharmacy network includes limited low-cost pharmacies in urban ND areas; suburban HI, ND, PA and rural AK, AR, HI, IA, ID, KS, MN, MT, NE, OK, PA, SD and WY. There are an extremely limited number of preferred copay pharmacies in suburban MT and rural ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. To get up-to-date information about our network pharmacies, including if there are cheaper preferred pharmacies in your area, please call us or give us a call.Consult the directory of online pharmacies.
\NORTE
\NORTE
Planes AARP MedicareRx Preferred y AARP MedicareRx Save Plus:
\NORTE
\NORTE
Member may use any network pharmacy, but may not receive preferred retail pricing for pharmacies. Pharmacies in the Preferred Retail Pharmacy Network may not be available in all areas. Copays apply after deductible. Note: The Preferred Retail Pharmacy Network is not available in Guam, American Samoa, the US Virgin Islands, or the Northern Mariana Islands.
\NORTE
\NORTE
The pharmacy network includes limited low-cost pharmacies in rural areas of AK, MT, NE, ND, SD, and WY. There are an extremely limited number of Preferred Rate Pharmacies in suburban MT. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. To get up-to-date information about our network pharmacies, including if there are cheaper preferred pharmacies in your area, please call us or give us a call.Consult the directory of online pharmacies.
\NORTE
\NORTE
NOTE: If you receive Extra Help from Medicare, your copays may be lower or you may not have any copays at all.
\NORTE
\NORTE
Optum Mail home delivery:
\NORTE
\NORTE
Savings Advantage 2023
\NORTE
\NORTE
Savings are applied during the primary insurance period, which begins after your required deductible is paid (if applicable) and ends when the total cost of your drug (paid by UnitedHealthcare, you and others) reaches $4,660.
\NORTE
\NORTE
NOTE: Optum Home Delivery is not available in Guam, American Samoa, the US Virgin Islands, or the Northern Mariana Islands.
\NORTE
\NORTE
More information
\NORTE
\NORTE
The list of registered drugs was last updated on 03/01/2023.
\NORTE
\NORTE
NOTE: Prescription drugs that are not covered by the plan or cannot be provided under Medicare's standard prescription drug coverage are shown as “not covered” in the chart.
\NORTE
\NORTE
Copayment or coinsurance amounts may change if necessarya limited income.
\NORTE
\NORTE
Drug costs shown are estimates and may vary depending on the amount, strength and/or dosage of the drug and the pharmacy you use. It may be important to consider the value of Medicare prescription drug insurance beyond your current needs. Enrolling as soon as you're eligible gives you peace of mind should your medication needs become more important in the future. It can also help you avoid the Medicare late registration penalty.
\NORTE
\NORTE
The prescription, pharmacy and/or provider network may change at any time. If necessary, you will receive a notification.
\NORTE
\NORTE
The Pharmacy Directory is updated on the first Sunday of each month.
\NORTE
\NORTE
Not all pharmacies may appear in this directory. The inclusion of a pharmacy does not guarantee that the pharmacy will be open, in the same location as listed in this online directory, or included in the network. The pharmacy network may change at any time. If necessary, you will receive a notification. The pharmacies on this list are called "Network Pharmacies" because UnitedHealthcare has agreements with them to provide prescription drugs to plan members. In most cases, your prescriptions are only covered under your plan if they are filled at a network pharmacy or through our mail-order pharmacy service. You do not have to continue to use the same pharmacy to fill your prescriptions and you can switch to any other network pharmacy. Prescriptions may be redeemed at out-of-network pharmacies under certain circumstances, as described in your Evidence of Coverage. To get a complete description of your prescription coverage, including how to fill your prescriptions, please refer to the Evidence of Coverage and your plan's formulary. PleaseContactUnitedHealthcare for more details.
\NORTE
\NORTE
UnitedHealthcare contracts with pharmacies that meet or exceed CMS requirements for pharmacy access in your area.
\NORTE
\NORTE
Learn about prescription drug coverage provisions and appeals, prior approval criteria, step therapy criteria, and the 60-day notice of change.Review the Rules for Prescription Drug Coverage (Part D) and the Appeals Process.
\NORTE
\NORTE
Look atUnitedHealthcare Prescription Drug Transition Process.
\NORTE
\NORTE
Registration Disclaimer Information
\NORTE
\NORTE
Plans are insured by UnitedHealthcare Insurance Company or one of its affiliates, a Medicare-approved Part D sponsor. Enrollment in the plan depends on renewal of the plan's contract with Medicare. UnitedHealthcare Insurance Company pays royalties to AARP for the use of its intellectual property. These rates are used for general AARP purposes. AARP and its affiliates are not insurers. You do not need to be an AARP member to register. AARP encourages you to consider your needs when selecting products and does not make specific product or pharmacy recommendations for individuals. AARP MedicareRx Walgreens Plans (PDP): UnitedHealthcare contracts directly with Walgreens for this plan; AARP and its affiliates are not parties to this contractual relationship.
\NORTE
\NORTE
This information is not a complete description of benefits.Call usfor more information
\NORTE
\NORTE
This information is freely available in other languages. PleaseContactCustomer Service for more information.
\NORTE
\NORTE
This information is available in other languages for free. For more informationContactwith our customer service.
\NORTE
\NORTE
\NORTE
This information is available in other languages for free. For more information pleaseConnectionCustomer service.
\NORTE
Each year, Medicare rates plans based on a 5-star rating system.
\NORTE
\NORTE
\n"}},"accordionContent":{"master":{},"discover_the_benefits":{"accordionName":"Discover the benefits"},"doctor_visits":{"accordionContent":"
Find out if your doctors are in this plan's network, as well as copays and referral requirements.
\n","accordionName":"Visitas al médico"},"prescription_drugbenefits":{"accordionContent":"
Learn more about this plan's prescription drug coverage and costs. Enter your prescriptions to see how much they would cost with this plan.
\n","accordionName":"Prescription Drug Benefits"},"plan_documents":{"accordionContent":"
Important documents that give you the details you need about this plan's coverage and benefits, prescription drugs, enrollment, providers, and more.
\n","accordionName":"Planokumente"},"general_plan_costs":{"accordionContent":"
See how much you're paying for this plan, including the premium, deductible, and maximum deductible.
\n","accordionName":"Generalplankosten"},"dental_coverage":{"accordionContent":"
Learn more about this plan's dental coverage options, costs and networks for your dentist.
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Check out other benefits and programs offered by this plan that are not offered in Original Medicare. For complete plan details, seeEvidence of CoverageoSummary of Benefitsin the Plan Documents section.
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Learn more about what you pay, what this plan covers, and how we can help you find the right plan.
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Check the benefits, costs and copayments of this plan. For complete plan details, seeEvidence of CoverageoSummary of Benefitsin the Plan Documents section.
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What is HMOPOS?Point of Service (POS) plans, a type of HMO plan, allow you to receive certain services from doctors or hospitals that are not included in the plan's network, usually at a higher copayment or coinsurance.
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What is an HMO?Medicare Health Maintenance Organization (HMO) plans cover the care you receive through a network of local doctors and hospitals who coordinate your care.
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What is PPO?PPO (Preferred Provider Organization) plans allow you to see providers located within or outside of the plan's network. For services you get out of network, you generally have higher copay and coinsurance costs.
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What is HMOPOS?Point of Service (POS) plans, a type of HMO plan, allow you to receive certain services from doctors or hospitals that are not included in the plan's network, usually at a higher copayment or coinsurance.
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Plan 1 de Medicare Advantage de AARP (HMO-POS)
Monthly Premium: $0
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- Monthly Premium
- ps0
- $0
- primary care provider
- ps0Additional payment
- $0Additional payment
- Out-of-Pocket Maximum
- ps6.900
- 6.900 $
- Estimated annual drug costs
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General plan costs
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Cost | what you pay | |
---|---|---|
Monthly PremiumMonthly Premium 1 $0$0 | $0 | |
Annual medical deductibleAnnual medical deductible
Annual medical deductibleA fixed, preset amount you must pay for health care costs before your insurance company or Medicare begins to pay. Please refer to your Evidence of Coverage for details. X Close Popup | not removable | |
Out-of-Pocket MaximumOut-of-Pocket Maximum
Out-of-Pocket MaximumThis is the maximum amount of money you will have to pay out-of-pocket during a calendar year for cost-sharing (copayments and coinsurance) for certain covered services. Not all copayment or coinsurance amounts you pay count toward the annual copayment maximum. Please refer to the plan's Evidence of Coverage for more information. X Close Popup | 6.900 $ |
doctor visits
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Prescription Drug Benefits
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dental care
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Medical benefits information
Check the benefits, costs and copayments of this plan. For complete plan details, seeEvidence of CoverageoSummary of Benefitsin the Plan Documents section.
Additional benefits and programs
Check out other benefits and programs offered by this plan that are not offered in Original Medicare. For complete plan details, seeEvidence of CoverageoSummary of Benefitsin the Plan Documents section.
planning document
Important documents that give you the details you need about this plan's coverage and benefits, prescription drugs, enrollment, providers, and more.
Footnotes and Disclaimers
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