At a glance:
Medicare beneficiaries can obtain prescription drug coverage through a UnitedHealthcare Medicare plan in one of two ways.
The first is with a Medicare prescription drug plan (PDP), also known as a Medicare Part D plan. Medicare Part D plans can provide coverage solely for prescription medications.
The second way to obtain Medicare prescription drug coverage from UnitedHealthcare is through a Medicare Advantage (Medicare Part C) plan that offers prescription drug benefits.
Not all plans are available in all areas, and you can reach out to a licensed insurance agent to find out more about the plans available where you live by calling TTY Users: 711 24 hours a day, 7 days a week.
The benefits offered by UnitedHealthcare Medicare Advantage plans will vary from plan to plan, including whether prescription drugs are covered, how they are covered and what out-of-pocket costs may be included.
If you enroll in a UnitedHealthcare Medicare Advantage plan with prescription drug coverage, you could potentially save money by using OptumRx® for home delivery of medications.2
OptumRx® doesn’t charge for standard delivery of prescriptions to any address in the U.S. and U.S. territories. If you choose to use OptumRx®, you also have access to pharmacists who are available by phone to answer your questions at any time, day or night.
UnitedHealthcare offers four different types of Medicare Advantage plans.
Medicare Part D prescription drug plans from UnitedHealthcare offer coverage for many commonly used generic and name brand drugs. With a UnitedHealthcare Part D plan, you may be able to save money by filling your prescriptions at a plan-preferred retail pharmacy.
UnitedHealthcare offers several different Medicare Part D plan options:
The specific benefits and out-of-pocket costs may vary from plan to plan, as well as what drugs are covered. Be sure to check with your plan to find out more.
Some UnitedHealthcare Part D prescription drug plans allow you to potentially save even more money out of pocket with access to OptumRx® for home delivery of your prescriptions.2
To learn about the Medicare prescription drug coverage included in any UnitedHealthcare Medicare plans that are available in your area, speak with a licensed insurance agent by calling TTY Users: 711 24 hours a day, 7 days a week.
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1 As of Dec. 31, 2018. UnitedHealth Group. Annual Report on Form 10-K for period ended Dec. 31, 2018. Retrieved from www.unitedhealthgroup.com/content/dam/UHG/PDF/investors/2018/UNH-Q4-2018-Form-10-K.pdf.
2 OptumRx home delivery is not available for the AARP MedicareRx Preferred (PDP) plan in the following territories: Guam, American Samoa, U.S. Virgin Islands or Northern Mariana Islands. Copays apply after deductible.
OptumRx is an affiliate of UnitedHealthcare Insurance Company. You are not required to use OptumRx® to obtain a 90-day supply of your maintenance medication. If you have not used OptumRx home delivery, you must approve the first prescription order sent directly from your doctor to OptumRx before it can be filled. New prescriptions from OptumRx should arrive within ten business days from the date the completed order is received, and refill orders should arrive in about seven business days. Contact OptumRx anytime at 1-877-266-4832 (TTY 711). $0 copay may be restricted to particular tiers, preferred medications, or mail order prescriptions during the initial coverage phase and may not apply during the coverage gap or catastrophic stage.
3 According to internal data from TZ Insurance Solutions in 2018.
The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company.
A Private Fee- for-Service plan is not Medicare supplement insurance. Providers who do not contract with our plan are not required to see you except in an emergency.
Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare.
Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.
You must continue to pay your Medicare Part B premium.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premium and/or copayments/coinsurance may change on January 1 of each year.
MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC is a licensed and certified representative of A Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any plan depends on contract renewal.
TZ Insurance Solutions LLC and the licensed sales agents that may call you are not connected with or endorsed by the U.S. Government or the federal Medicare program. This website does not contain a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call (877) 486-2048), 24 hours a day / 7 days a week or consult www.medicare.gov.
Not all plans or products are available in all markets. Additional plans may be available in your service area.
Last Updated: 06/15/2019