UnitedHealthcare Medicare Advantage Plans

UnitedHealthcare offers Medicare Advantage plans that combine the benefits offered by Medicare Part A and Part B (also called Original Medicare) into one simple plan.

Many Medicare Advantage plans (also called Medicare Part C) offer additional benefits that Medicare Part A and Part B don’t cover.

These additional benefits can include:

  • Coverage for prescription drugs
  • Vision care
  • Hearing care
  • Fitness and wellness programs

According to the Kaiser Family Foundation, 24 percent of all Medicare Advantage plan beneficiaries in 2017 were members of a Medicare Advantage plan from UnitedHealthcare.1

What Do UnitedHealthcare Medicare Advantage Plans Cover?

Not all UnitedHealthcare Medicare Advantage plans are available in all locations, and plan programs and service availability can vary by plan and service area.

If you enroll in a UnitedHealthcare Medicare Advantage plan, you can receive a wide range of preventive services for a $0 copay when you visit your primary care provider.

Some of these covered preventive services include:

  • Alcohol misuse screening and counseling
  • Bone mass measurement (for those at high risk)
  • Mammograms
  • Cardiovascular screening
  • Hepatitis B immunization and Hepatitis C screening
  • Colorectal cancer screening
  • Diabetes screening
  • Pneumococcal shot
  • Prostate-specific antigen (POSA) test
  • Counseling to stop smoking
  • Flu shots

These are just a few of the preventive services covered by your UnitedHealthcare Medicare Advantage plan.

Depending on your plan and location, you may also have access to:

  • Disease management programs
  • Health management programs
  • Alternative care services
  • Fitness program
  • Seasonal flu shot information
  • NurseLinesm

UnitedHealthcare Offers Several Types of Medicare Advantage Plans

UnitedHealthcare offers several different types of Medicare Advantage plans. These plans include, but aren’t limited to:

  • AARP MedicareComplete (HMO)
  • AARP MedicareComplete Access (HMO)
  • AARP MedicareComplete Choice (PPO)
  • AARP MedicareComplete Focus (HMO)
  • AARP MedicareComplete Focus (PPO)
  • AARP MedicareComplete SecureHorizons (HMO)
  • AARP MedicareComplete Value (HMO)
  • AARP MedicareComplete Plus Plan 1 (HMO-POS)
  • AARP MedicareComplete Plus Plan 2 (HMO-POS)

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.

Health Maintenance Organization (HMO)

A UnitedHealthcare Medicare HMO plan features a network of local health care providers who work to coordinate your care. You typically are required to get medical services from providers within your plan network, except for in cases of urgent care, emergency care or renal dialysis that is out of your plan network.

An HMO plan may also require you to get a referral before seeing a specialist, depending on your plan.

Point-of-Service (POS)

A UnitedHealthcare Medicare POS plan is similar to an HMO, but it offers you the flexibility to visit health care providers for certain services outside of the plan’s network. In most cases, your out-of-pocket costs for medical care will be higher if you see a provider outside of the plan network.

A POS plan may also require you to get a referral before seeing a specialist, depending on your plan.

Preferred Provider Organization (PPO)

With a UnitedHealthcare Medicare PPO plan, you can see providers in and out of your plan network for all services that are covered by the plan. If you see a provider outside of the plan network, your out-of-pocket costs will typically be higher.

A PPO plan does not require you to get a referral before seeing a specialist.

UnitedHealthcare Offers Several Types of Medicare Special Needs Plans

Medicare Special Needs Plans (SNP) are special Medicare Advantage plans that can offer some additional benefits to help support an eligible beneficiary’s specific health or budget needs.

With each type of Medicare SNP plan from UnitedHealthcare, you are generally required to receive care and medical services from providers in your plan network. Some plans allow you to receive out-of-network care, but it may come with higher out-of-pocket costs.

UnitedHealthcare offers several different types of Medicare SNP plans:

  • Dual Eligible Plans
  • Institutional Plans
  • Institutional-Equivalent Plans
  • Chronic Condition Plans

Not all plans are available in all areas.

Dual Eligible Plans

These plans are intended for people who get both Medicare and Medicaid.

Institutional Plans

These plans are intended for Medicare beneficiaries who live in skilled nursing facilities.

Institutional-Equivalent Plans

These plans are intended for Medicare beneficiaries who live in assisted living communities and who need the same types of care as people who live in skilled nursing facilities.

Chronic Condition Plans

These plans are intended for Medicare beneficiaries who have certain severe or disabling chronic conditions.

Enrolling in a UnitedHealthcare Medicare Advantage Plan

UnitedHealthcare Medicare Advantage plans can give you a way to receive all of your health care coverage under one comprehensive plan.

Learn more about UnitedHealthcare Medicare Advantage plan options and find plans that may be available in your area. Call TTY Users: 711 24 hours a day, 7 days a week to speak with a licensed insurance agent and to find a Medicare plan from UnitedHealthcare that may be right for you.

 

More UnitedHealthcare Articles

 

1 Jacobson, Gretchen; Damico, Anthony; Neuman, Tricia; Gold, Marsha. Medicare Advantage 2017 Spotlight: Enrollment Market Update. (Jun. 06, 2017). Kaiser Family Foundation. Retrieved from https://www.kff.org/medicare/issue-brief/medicare-advantage-2017-spotlight-enrollment-market-update.

Copyright © 2018 TZ Insurance Solutions LLC. All rights reserved.

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: 09/11/2018

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