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4 based on 80 Reviews. For more information on United Healthcare Medicare, please call the number below to speak with a healthcare specialist: 1-800-810-1437 TTY 711. With a wide variety of plan types and coverage options, United Healthcare is a major insurance carrier in the United States, offering multiple Medicare Advantage plans.
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UnitedHealthcare Medicare Advantage Assure (PPO) H0271-004 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by UnitedHealthcare available to residents in Illinois. This plan includes additional Medicare prescription drug (Part-D) coverage. The UnitedHealthcare Medicare Advantage Assure (PPO) has a monthly premium of $25.40 and has an in-network Maximum Out-of-Pocket limit of $7,550 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $7,550 out of pocket. This can be a extremely nice safety net.
Please see your health care provider or go to an in-network pharmacy to get your flu shot. When your Medicaid vaccination claim is processed, a $10 Walmart gift card will be mailed to the address you have on file with AHCCCS. For more information contact Member Services at 1-800-348-4058. Your employer pays the portion of your health care costs not paid by you. UMR is a UnitedHealthcare company. ©2021 United HealthCare Services, Inc. Careers - Opens in a new window. Your privacy is important to us! At UMR, we are very sensitive to privacy issues. To better understand the procedures and protocols we follow to help to ensure. A deductible is an amount you pay for healthcare before your insurance starts to pay. If you’ve met your deductible, you’ll only owe your copay at the time of your urgent care visit. The typical copay at urgent care is between $25 and $75, though this depends on your insurance. UnitedHealthcare Medicare Advantage Choice (Regional PPO) R2604-001 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by UnitedHealthcare available to residents in South Carolina and Georgia. This plan includes additional Medicare prescription drug (Part-D) coverage. The UnitedHealthcare Medicare Advantage Choice (Regional PPO) has a monthly premium of $49.00 and has an in-network.
UnitedHealthcare Medicare Advantage Assure (PPO) is a Local PPO. A preferred provider organization (PPO) is a Medicare plan that has created contracts with a network of 'preferred' providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.
UnitedHealthcare works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for UnitedHealthcare Medicare Advantage Assure (PPO) you still retain Original Medicare. Content pack - europa universalis iv: emperor download for mac. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from UnitedHealthcare and not Original Medicare. With Medicare Advantage Plans you are always covered for urgently needed and emergency care. Plus you receive all of the benefits of Original Medicare from UnitedHealthcare except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.
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2021 UnitedHealthcare Medicare Advantage Plan Costs
| Name: | |
|---|---|
| Plan ID: | H0271-004 |
| Provider: | UnitedHealthcare |
| Year: | 2021 |
| Type: | Local PPO |
| Monthly Premium C+D: | $25.40 |
| Part C Premium: | $0 |
| MOOP: | $7,550 |
| Part D (Drug) Premium: | $25.40 |
| Part D Supplemental Premium | $0 |
| Total Part D Premium: | $25.40 |
| Drug Deductible: | $445.0 |
| Tiers with No Deductible: | 0 |
| Gap Coverage: | No |
| Benchmark: | below the regional benchmark |
| Type of Medicare Health: | Defined Standard Benefit |
| Drug Benefit Type: | Basic |
| Similar Plan: | H0271-007 |
UnitedHealthcare Medicare Advantage Assure (PPO) Part-C Premium
UnitedHealthcare plan charges a $0 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.
H0271-004 Part-D Deductible and Premium
UnitedHealthcare Medicare Advantage Assure (PPO) has a monthly drug premium of $25.40 and a $445.0 drug deductible. This UnitedHealthcare plan offers a $25.40 Part D Basic Premium that is below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0 this Premium covers any enhanced plan benefits offered by UnitedHealthcare above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $25.40. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.
UnitedHealthcare Gap Coverage
In 2021 once you and your plan provider have spent $4130 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA 'donut hole') You will be required to pay 25% for prescription drugs unless your plan offers additional coverage. This UnitedHealthcare plan does not offer additional coverage through the gap.
Premium Assistance
The Low Income Subsidy (LIS) helps people with Medicare pay for prescription drugs, and lowers the costs of Medicare prescription drug coverage. Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The UnitedHealthcare Medicare Advantage Assure (PPO) medicare insurance offers a $0 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $6.30 for 75% low income subsidy $12.70 for 50% and $19.00 for 25%.
| Full LIS Premium: | $0 |
|---|---|
| 75% LIS Premium: | $6.30 |
| 50% LIS Premium: | $12.70 |
| 25% LIS Premium: | $19.00 |
H0271-004 Formulary or Drug Coverage
UnitedHealthcare Medicare Advantage Assure (PPO) formulary is divided into tiers or levels of coverage based on usage and according to the medication costs. Each tier will have a defined copay that you must pay to receive the drug. Drugs in lower tiers will usually cost less than those in higher tiers.By reviewing different Medicare Drug formularies, you can pick a Medicare Advantage plan that covers your medications. Additionally, you can choose a plan that has your drugs listed at a lower price.
2021 UnitedHealthcare Medicare Advantage Assure (PPO) Summary of Benefits
Additional Benefits
| No |
|---|
Comprehensive Dental
| Diagnostic services | $0 copay |
|---|---|
| Diagnostic services | $0 copay (Out-of-Network) |
| Endodontics | $0 copay (Out-of-Network) |
| Endodontics | $0 copay |
| Extractions | $0 copay |
| Extractions | $0 copay (Out-of-Network) |
| Non-routine services | $0 copay (Out-of-Network) |
| Non-routine services | $0 copay |
| Periodontics | $0 copay |
| Periodontics | $0 copay (Out-of-Network) |
| Prosthodontics, other oral/maxillofacial surgery, other services | $0 copay |
| Prosthodontics, other oral/maxillofacial surgery, other services | $0 copay (Out-of-Network) |
| Restorative services | $0 copay |
| Restorative services | $0 copay (Out-of-Network) |
Deductible
| $0 |
|---|
Diagnostic Tests and Procedures
| Diagnostic radiology services (e.g., MRI) | 0-20% coinsurance |
|---|---|
| Diagnostic radiology services (e.g., MRI) | 40% coinsurance (Out-of-Network) |
| Diagnostic tests and procedures | 20% coinsurance |
| Diagnostic tests and procedures | 40% coinsurance (Out-of-Network) |
| Lab services | $0 copay |
| Lab services | $0 copay (Out-of-Network) |
| Outpatient x-rays | 40% coinsurance (Out-of-Network) |
| Outpatient x-rays | 20% coinsurance |
Doctor Visits
| Primary | 20% coinsurance per visit |
|---|---|
| Primary | 40% coinsurance per visit (Out-of-Network) |
| Specialist | 40% coinsurance per visit (Out-of-Network) |
| Specialist | 20% coinsurance per visit |
Emergency care/Urgent Care
| Emergency | $90 copay per visit (always covered) |
|---|---|
| Urgent care | $65 copay per visit (always covered) |
Foot Care (podiatry services)
| Foot exams and treatment | 20% coinsurance |
|---|---|
| Foot exams and treatment | 40% coinsurance (Out-of-Network) |
| Routine foot care | $0 copay |
| Routine foot care | 40% coinsurance (Out-of-Network) |
Ground Ambulance
| 20% coinsurance |
|---|
| 20% coinsurance (Out-of-Network) |
Hearing
| Fitting/evaluation | Not covered |
|---|---|
| Hearing aids | $0 copay |
| Hearing aids | $0 copay (Out-of-Network) |
| Hearing exam | 20% coinsurance |
| Hearing exam | 40% coinsurance (Out-of-Network) |
Inpatient Hospital Coverage
| $275 per day for days 1 through 6 $0 per day for days 7 through 90 $0 per day for days 91 and beyond |
|---|
| 40% per stay (Out-of-Network) |
United Healthcare Copay For Urgent Care
Medical Equipment/Supplies
| Diabetes supplies | $0 copay per item |
|---|---|
| Diabetes supplies | 40% coinsurance per item (Out-of-Network) |
| Durable medical equipment (e.g., wheelchairs, oxygen) | 20% coinsurance per item |
| Durable medical equipment (e.g., wheelchairs, oxygen) | 50% coinsurance per item (Out-of-Network) |
| Prosthetics (e.g., braces, artificial limbs) | 20% coinsurance per item |
| Prosthetics (e.g., braces, artificial limbs) | 50% coinsurance per item (Out-of-Network) |
Medicare Part B Drugs
| Chemotherapy | 20% coinsurance |
|---|---|
| Chemotherapy | 40% coinsurance (Out-of-Network) |
| Other Part B drugs | 40% coinsurance (Out-of-Network) |
| Other Part B drugs | 20% coinsurance |
Mental Health Services
| Inpatient hospital - psychiatric | 40% per stay (Out-of-Network) |
|---|---|
| Inpatient hospital - psychiatric | $275 per day for days 1 through 6 $0 per day for days 7 through 90 |
| Outpatient group therapy visit | 40% coinsurance (Out-of-Network) |
| Outpatient group therapy visit | 20% coinsurance |
| Outpatient group therapy visit with a psychiatrist | 20% coinsurance |
| Outpatient group therapy visit with a psychiatrist | 40% coinsurance (Out-of-Network) |
| Outpatient individual therapy visit | 40% coinsurance (Out-of-Network) |
| Outpatient individual therapy visit | 20% coinsurance |
| Outpatient individual therapy visit with a psychiatrist | 20% coinsurance |
| Outpatient individual therapy visit with a psychiatrist | 40% coinsurance (Out-of-Network) |
MOOP
| $11,300 In and Out-of-network $7,550 In-network |
|---|
Option
| No |
|---|
United Healthcare Urgent Care Copay
Optional supplemental benefits
| No |
|---|
Outpatient Hospital Coverage
| 0-20% coinsurance per visit |
|---|
| 40% coinsurance per visit (Out-of-Network) |
Preventive Care
| $0 copay |
|---|
| 0-40% coinsurance (Out-of-Network) |
Preventive Dental
| Cleaning | $0 copay |
|---|---|
| Cleaning | $0 copay (Out-of-Network) |
| Dental x-ray(s) | $0 copay |
| Dental x-ray(s) | $0 copay (Out-of-Network) |
| Fluoride treatment | $0 copay |
| Fluoride treatment | $0 copay (Out-of-Network) |
| Oral exam | $0 copay |
| Oral exam | $0 copay (Out-of-Network) |
Rehabilitation Services
| Occupational therapy visit | 40% coinsurance (Out-of-Network) |
|---|---|
| Occupational therapy visit | 20% coinsurance |
| Physical therapy and speech and language therapy visit | 20% coinsurance |
| Physical therapy and speech and language therapy visit | 40% coinsurance (Out-of-Network) |
Skilled Nursing Facility
| 40% per stay (Out-of-Network) |
|---|
| Coming soon |
Transportation
United Healthcare Er Copay
| 75% coinsurance (Out-of-Network) |
|---|
| $0 copay |
Vision
| Contact lenses | $0 copay (Out-of-Network) |
|---|---|
| Contact lenses | $0 copay |
| Eyeglass frames | Not covered |
| Eyeglass lenses | Not covered |
| Eyeglasses (frames and lenses) | $0 copay (Out-of-Network) |
| Eyeglasses (frames and lenses) | $0 copay |
| Other | Not covered |
| Routine eye exam | $0 copay |
| Routine eye exam | 40% coinsurance (Out-of-Network) |
| Upgrades | Not covered |
Wellness Programs (e.g. fitness nursing hotline)
| Covered |
|---|
Ready to Enroll?
Or Call
1-855-778-4180
Mon-Sat 8am-11pm EST
Sun 9am-6pm EST
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Coverage Area for UnitedHealthcare Medicare Advantage Assure (PPO)
(Click county to compare all available Advantage plans)
| State: | Illinois |
|---|---|
| County: | Boone,Bureau,Carroll,Cook,DeKalb, DuPage,Henderson,Henry,Jo Daviess, Kane,Kankakee,Kendall,Knox, Lake,Lee,Marshall,McHenry, McLean,Mercer,Ogle,Peoria, Putnam,Rock Island,Stark,Stephenson, Tazewell,Warren,Whiteside,Will, Winnebago,Woodford, |
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Source: CMS.
Data as of September 9, 2020.
Notes: Data are subject to change as contracts are finalized. For 2021, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.Includes 2021 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.
United Health Care (AARP) announced today they were waiving the cost share on Medicare Advantage plans. The following is the announcement:
Member’s health is our priority. Recently, we shared news that UnitedHealth Group is taking additional action to directly support people affected by the COVID-19 pandemic by providing over $1.5 billion of additional support for our customers. We wanted to share more details with you.
To help member’s get the care they need, we are waiving cost-share (copays, coinsurance and deductibles) for our Medicare Advantage plan members as follows. Members will have a $0 copay for primary care provider (PCP) and specialist physician services, as well as other covered services (listed below) between May 11, 2020 until at least September 30, 2020. By lowering our PCP and specialist copays to $0, along with our telehealth cost-share waiver, we hope to help make it easier for member’s to access care.
Services included
The following services, if covered by a member’s plan, are eligible for a $0 copay under the cost share waiver, but do not include diagnostic tests and certain other services.
- Primary care provider (PCP) office visits
- Specialist physician office visits
- Physician assistant or nurse practitioner office visits
- Medicare-covered chiropractic and acupuncture services
- Podiatry services and routine eye and hearing exams
- Physical therapy, occupational therapy and speech therapy
- Cardiac and pulmonary rehabilitation services
- Outpatient mental health and substance abuse visits
- Opioid treatment services
The $0 copay applies to services from a network provider and out-of-network services covered by the plan.
Member cost share is not waived for the following services, unless they are related to COVID-19 testing or treatments:
- Lab and Diagnostic tests (radiological and non-radiological)
- Part B and Part D drugs
- Durable Medical Equipment, Prosthetics, Orthotics and Supplies
- Renal Dialysis
- Other services not covered by your plan
Copays, Coinsurance and deductibles for services in the following settings are not waived. Members will be responsible for their share of the cost under their benefit:
United Healthcare Emergency Room
- Inpatient hospital and Outpatient surgery or observation services
- Skilled Nursing Facilities
- Emergency, Urgent and Ambulance services
Eligible Members
The cost-share waiver applies to all UnitedHealthcare Medicare Advantage members, including members of Special Needs Plans (SNP) and UnitedHealthcare Group Medicare Advantage plans.
United Healthcare Urgent Care Providers
This information is posted on our UnitedHealthcare COVID-19 Health and Wellness page for members. Thank you for being a partner in care to our members during this time.