H3379-051-000 4.5 out of 5 stars (2024 plan year)
Plan DetailsValues
Monthly plan premium$0.00
Medical deductible$0
Out-of-network maximum out-of-pocketN/A
In-network maximum out-of-pocket$8,300
Combined maximum out-of-pocketN/A
Drug deductible$395 (excludes Tiers 1 and 2)
Initial coverage limit$5,030
Catastrophic coverage limit$8,000

Service TypeDetails
Additional ServicesCopayment for Fitness Benefit: $0.00
Copayment for Nursing Hotline: $0.00
Meal BenefitCopayment for Meal Benefit: $0.00
Prior Authorization Required: Yes
Ambulance ServicesGround Ambulance Copayment: $275.00
Air Ambulance Copayment: $275.00
Authorization required for non-emergency Medicare-covered ambulance services. Emergency does not require authorization.
Chiropractic ServicesCopayment for Medicare-covered Chiropractic Services: $15.00
Prior Authorization Required: Yes
Dental ServicesCoinsurance for Medicare-covered Benefits: 20%
Diabetes Supplies and ServicesCopayment for Medicare-covered Diabetic Supplies: $0.00
Coinsurance for Diabetic Therapeutic Shoes: 20%
Prior Authorization Required: Yes
Diagnostic Tests, Lab and Radiology ServicesCopayment for Diagnostic Procedures/Tests: $45.00
Copayment for Lab Services: $0.00
Copayment for Diagnostic Radiological Services: $0.00 to $170.00
Coinsurance for Therapeutic Radiological Services: 20%
Copayment for X-Ray Services: $25.00
Prior Authorization Required: Yes
Doctor Office VisitsCopayment for Primary Care Office Visit: $0.00
Doctor Specialty VisitCopayment for Physician Specialist Office Visit: $0.00 to $55.00
Prior Authorization Required: Yes
Durable Medical EquipmentCoinsurance for Medicare-covered Equipment: 20%
Prior Authorization Required: Yes
Emergency CareCopayment for Emergency Care: $100.00
Waived if Admitted Within 24 Hours: Yes
Worldwide CoverageCopayment for Worldwide Emergency Coverage: $0.00
Copayment for Worldwide Emergency Transportation: $0.00
Hearing ServicesCopayment for Hearing Exams: $0.00
Maximum Visits Per Year: 1
Copayment for Hearing Aids: $99.00 to $1,249.00
Maximum Hearing Aids Per Year: 2
Prior Authorization Required: Yes
Home Health CareCopayment for Home Health Services: $0.00
Prior Authorization Required: Yes
Optional BenefitsDental Platinum Rider: See Summary of Benefits
Outpatient Mental Health CareCopayment for Individual Sessions: $0.00 to $25.00
Copayment for Group Sessions: $15.00
Prior Authorization Required: Yes
Outpatient Prescription DrugsCoinsurance for Part B Chemotherapy Drugs: 0% to 20%
Coinsurance for Other Part B Drugs: 0% to 20%
Prior Authorization Required: Yes
Outpatient Rehabilitation ServicesCopayment for Cardiac Rehabilitation Services: $0.00
Copayment for Intensive Cardiac Rehabilitation: $0.00
Copayment for Pulmonary Rehabilitation Services: $0.00
Prior Authorization Required: Yes
Copayment for Occupational Therapy Services: $0.00 to $20.00
Copayment for Physical Therapy: $0.00 to $20.00
Prior Authorization Required: Yes
Outpatient Services/SurgeryCopayment for Outpatient Hospital Services: $0.00 to $395.00
Copayment for Outpatient Observation Services: $395.00
Copayment for Ambulatory Surgical Center Services: $0.00 to $350.00
Prior Authorization Required: Yes
Outpatient Substance AbuseCopayment for Individual Sessions: $0.00 to $25.00
Copayment for Group Sessions: $15.00
Prior Authorization Required: Yes
Podiatry ServicesCopayment for Medicare-Covered Services: $55.00
Copayment for Routine Foot Care: $55.00
Maximum Visits Per Year: 6
Prior Authorization Required: Yes
Preventive Services$0.00 copay for Medicare Covered Preventive Services:
- Abdominal aortic aneurysm screening
- Alcohol misuse screenings & counseling
- Bone mass measurements
- Cardiovascular disease screenings
- Cervical & vaginal cancer screening
- Colorectal cancer screenings
- Depression screenings
- Diabetes screenings
- Glaucoma tests
- Hepatitis B (HBV) infection screening
- HIV screening
- Lung cancer screening
- Mammograms (screening)
- Nutrition therapy services
- Obesity screenings & counseling
- One-time Welcome to Medicare preventive visit
- Prostate cancer screenings
- Sexually transmitted infections screening
- COVID-19 shots
- Flu shots
- Hepatitis B shots
- Pneumococcal shots
- Tobacco use cessation
- Yearly "Wellness" visit
Prosthetic DevicesCoinsurance for Prosthetic Devices: 20%
Coinsurance for Medical Supplies: 20%
Prior Authorization Required: Yes
Renal DialysisCoinsurance for Dialysis Services: 20%
Prior Authorization Required: Yes
Urgently Needed CareCopayment for Urgent Care: $0.00 to $40.00
Worldwide CoverageCopayment for Worldwide Urgent Coverage: $0.00
Vision ServicesCopayment for Medicare Covered Eye Exams: $0.00
Maximum Routine Eye Exams per Year: 1
Copayment for Eyewear: $0.00
Maximum Plan Benefit for Non-Medicare Covered Eyewear: $250.00
Flexible ExtrasUCard provides access to network providers, pharmacies, fitness locations, and more. Members can shop with UCard for OTC benefits or rewards.

Service TypeDetails
Additional ServicesCopayment for Fitness Benefit: $0.00
Copayment for Nursing Hotline: $0.00
Meal BenefitCopayment for Meal Benefit: $0.00
Prior Authorization Required: Yes
Ambulance ServicesGround Ambulance Copayment: $275.00
Air Ambulance Copayment: $275.00
Authorization required for non-emergency Medicare-covered ambulance services. Emergency does not require authorization.
Chiropractic ServicesCopayment for Medicare-covered Chiropractic Services: $15.00
Prior Authorization Required: Yes
Dental ServicesCoinsurance for Medicare-covered Benefits: 20%
Diabetes Supplies and ServicesCopayment for Medicare-covered Diabetic Supplies: $0.00
Coinsurance for Diabetic Therapeutic Shoes: 20%
Prior Authorization Required: Yes
Diagnostic Tests, Lab and Radiology ServicesCopayment for Diagnostic Procedures/Tests: $45.00
Copayment for Lab Services: $0.00
Copayment for Diagnostic Radiological Services: $0.00 to $170.00
Coinsurance for Therapeutic Radiological Services: 20%
Copayment for X-Ray Services: $25.00
Prior Authorization Required: Yes
Doctor Office VisitsCopayment for Primary Care Office Visit: $0.00
Doctor Specialty VisitCopayment for Physician Specialist Office Visit: $0.00 to $55.00
Prior Authorization Required: Yes
Durable Medical EquipmentCoinsurance for Medicare-covered Equipment: 20%
Prior Authorization Required: Yes
Emergency CareCopayment for Emergency Care: $100.00
Waived if Admitted Within 24 Hours: Yes
Worldwide CoverageCopayment for Worldwide Emergency Coverage: $0.00
Copayment for Worldwide Emergency Transportation: $0.00
Hearing ServicesCopayment for Hearing Exams: $0.00
Maximum Visits Per Year: 1
Copayment for Hearing Aids: $99.00 to $1,249.00
Maximum Hearing Aids Per Year: 2
Prior Authorization Required: Yes
Home Health CareCopayment for Home Health Services: $0.00
Prior Authorization Required: Yes
Optional BenefitsDental Platinum Rider: See Summary of Benefits
Outpatient Mental Health CareCopayment for Individual Sessions: $0.00 to $25.00
Copayment for Group Sessions: $15.00
Prior Authorization Required: Yes
Outpatient Prescription DrugsCoinsurance for Part B Chemotherapy Drugs: 0% to 20%
Coinsurance for Other Part B Drugs: 0% to 20%
Prior Authorization Required: Yes
Outpatient Rehabilitation ServicesCopayment for Cardiac Rehabilitation Services: $0.00
Copayment for Intensive Cardiac Rehabilitation: $0.00
Copayment for Pulmonary Rehabilitation Services: $0.00
Prior Authorization Required: Yes
Copayment for Occupational Therapy Services: $0.00 to $20.00
Copayment for Physical Therapy: $0.00 to $20.00
Prior Authorization Required: Yes
Outpatient Services/SurgeryCopayment for Outpatient Hospital Services: $0.00 to $395.00
Copayment for Outpatient Observation Services: $395.00
Copayment for Ambulatory Surgical Center Services: $0.00 to $350.00
Prior Authorization Required: Yes
Outpatient Substance AbuseCopayment for Individual Sessions: $0.00 to $25.00
Copayment for Group Sessions: $15.00
Prior Authorization Required: Yes
Podiatry ServicesCopayment for Medicare-Covered Services: $55.00
Copayment for Routine Foot Care: $55.00
Maximum Visits Per Year: 6
Prior Authorization Required: Yes
Preventive Services$0.00 copay for Medicare Covered Preventive Services:
- Abdominal aortic aneurysm screening
- Alcohol misuse screenings & counseling
- Bone mass measurements
- Cardiovascular disease screenings
- Cervical & vaginal cancer screening
- Colorectal cancer screenings
- Depression screenings
- Diabetes screenings
- Glaucoma tests
- Hepatitis B (HBV) infection screening
- HIV screening
- Lung cancer screening
- Mammograms (screening)
- Nutrition therapy services
- Obesity screenings & counseling
- One-time Welcome to Medicare preventive visit
- Prostate cancer screenings
- Sexually transmitted infections screening
- COVID-19 shots
- Flu shots
- Hepatitis B shots
- Pneumococcal shots
- Tobacco use cessation
- Yearly "Wellness" visit
Prosthetic DevicesCoinsurance for Prosthetic Devices: 20%
Coinsurance for Medical Supplies: 20%
Prior Authorization Required: Yes
Renal DialysisCoinsurance for Dialysis Services: 20%
Prior Authorization Required: Yes
Urgently Needed CareCopayment for Urgent Care: $0.00 to $40.00
Worldwide CoverageCopayment for Worldwide Urgent Coverage: $0.00
Vision ServicesCopayment for Medicare Covered Eye Exams: $0.00
Maximum Routine Eye Exams per Year: 1
Copayment for Eyewear: $0.00
Maximum Plan Benefit for Non-Medicare Covered Eyewear: $250.00
Flexible ExtrasUCard provides access to network providers, pharmacies, fitness locations, and more. Members can shop with UCard for OTC benefits or rewards.
Inpatient Hospital CareCopayment for Acute Hospital Services: $395.00 per day for days 1 to 5, $0.00 per day for days 6 to 90
Prior Authorization Required: Yes
Inpatient Mental Health CareCopayment for Psychiatric Hospital Services: $395.00 per day for days 1 to 4, $0.00 per day for days 5 to 90
Prior Authorization Required: Yes
Skilled Nursing Facility (SNF)Copayment for Skilled Nursing Facility Services: $0.00 per day for days 1 to 20, $203.00 per day for days 21 to 100
Prior Authorization Required: Yes

Service TypeDetails
Drug Deductible$395 (excludes Tiers 1 and 2)
Tier 1Preferred Generic
Standard Retail: $0.00
Preferred Cost-Share Mail Order: N/A
Standard Mail Order: N/A
Tier 2Generic
Standard Retail: $12.00
Preferred Cost-Share Mail Order: N/A
Standard Mail Order: N/A
Tier 3Deductible applies
Tier 4Deductible applies
Tier 5Deductible applies
Additional ServicesCopayment for Fitness Benefit: $0.00
Copayment for Nursing Hotline: $0.00
Meal BenefitCopayment for Meal Benefit: $0.00
Prior Authorization Required: Yes
Ambulance ServicesGround Ambulance Copayment: $275.00
Air Ambulance Copayment: $275.00
Authorization required for non-emergency Medicare-covered ambulance services. Emergency does not require authorization.
Chiropractic ServicesCopayment for Medicare-covered Chiropractic Services: $15.00
Prior Authorization Required: Yes
Dental ServicesCoinsurance for Medicare-covered Benefits: 20%
Diabetes Supplies and ServicesCopayment for Medicare-covered Diabetic Supplies: $0.00
Coinsurance for Diabetic Therapeutic Shoes: 20%
Prior Authorization Required: Yes
Diagnostic Tests, Lab and Radiology ServicesCopayment for Diagnostic Procedures/Tests: $45.00
Copayment for Lab Services: $0.00
Copayment for Diagnostic Radiological Services: $0.00 to $170.00
Coinsurance for Therapeutic Radiological Services: 20%
Copayment for X-Ray Services: $25.00
Prior Authorization Required: Yes
Doctor Office VisitsCopayment for Primary Care Office Visit: $0.00
Doctor Specialty VisitCopayment for Physician Specialist Office Visit: $0.00 to $55.00
Prior Authorization Required: Yes
Durable Medical EquipmentCoinsurance for Medicare-covered Equipment: 20%
Prior Authorization Required: Yes
Emergency CareCopayment for Emergency Care: $100.00
Waived if Admitted Within 24 Hours: Yes
Worldwide CoverageCopayment for Worldwide Emergency Coverage: $0.00
Copayment for Worldwide Emergency Transportation: $0.00
Hearing ServicesCopayment for Hearing Exams: $0.00
Maximum Visits Per Year: 1
Copayment for Hearing Aids: $99.00 to $1,249.00
Maximum Hearing Aids Per Year: 2
Prior Authorization Required: Yes
Home Health CareCopayment for Home Health Services: $0.00
Prior Authorization Required: Yes
Optional BenefitsDental Platinum Rider: See Summary of Benefits
Outpatient Mental Health CareCopayment for Individual Sessions: $0.00 to $25.00
Copayment for Group Sessions: $15.00
Prior Authorization Required: Yes
Outpatient Prescription DrugsCoinsurance for Part B Chemotherapy Drugs: 0% to 20%
Coinsurance for Other Part B Drugs: 0% to 20%
Prior Authorization Required: Yes
Outpatient Rehabilitation ServicesCopayment for Cardiac Rehabilitation Services: $0.00
Copayment for Intensive Cardiac Rehabilitation: $0.00
Copayment for Pulmonary Rehabilitation Services: $0.00
Prior Authorization Required: Yes
Copayment for Occupational Therapy Services: $0.00 to $20.00
Copayment for Physical Therapy: $0.00 to $20.00
Prior Authorization Required: Yes
Outpatient Services/SurgeryCopayment for Outpatient Hospital Services: $0.00 to $395.00
Copayment for Outpatient Observation Services: $395.00
Copayment for Ambulatory Surgical Center Services: $0.00 to $350.00
Prior Authorization Required: Yes
Outpatient Substance AbuseCopayment for Individual Sessions: $0.00 to $25.00
Copayment for Group Sessions: $15.00
Prior Authorization Required: Yes
Podiatry ServicesCopayment for Medicare-Covered Services: $55.00
Copayment for Routine Foot Care: $55.00
Maximum Visits Per Year: 6
Prior Authorization Required: Yes
Preventive Services$0.00 copay for Medicare Covered Preventive Services:
- Abdominal aortic aneurysm screening
- Alcohol misuse screenings & counseling
- Bone mass measurements
- Cardiovascular disease screenings
- Cervical & vaginal cancer screening
- Colorectal cancer screenings
- Depression screenings
- Diabetes screenings
- Glaucoma tests
- Hepatitis B (HBV) infection screening
- HIV screening
- Lung cancer screening
- Mammograms (screening)
- Nutrition therapy services
- Obesity screenings & counseling
- One-time Welcome to Medicare preventive visit
- Prostate cancer screenings
- Sexually transmitted infections screening
- COVID-19 shots
- Flu shots
- Hepatitis B shots
- Pneumococcal shots
- Tobacco use cessation
- Yearly "Wellness" visit
Prosthetic DevicesCoinsurance for Prosthetic Devices: 20%
Coinsurance for Medical Supplies: 20%
Prior Authorization Required: Yes
Renal DialysisCoinsurance for Dialysis Services: 20%
Prior Authorization Required: Yes
Urgently Needed CareCopayment for Urgent Care: $0.00 to $40.00
Worldwide CoverageCopayment for Worldwide Urgent Coverage: $0.00
Vision ServicesCopayment for Medicare Covered Eye Exams: $0.00
Maximum Routine Eye Exams per Year: 1
Copayment for Eyewear: $0.00
Maximum Plan Benefit for Non-Medicare Covered Eyewear: $250.00
Flexible ExtrasUCard provides access to network providers, pharmacies, fitness locations, and more. Members can shop with UCard for OTC benefits or rewards.
Inpatient Hospital CareCopayment for Acute Hospital Services: $395.00 per day for days 1 to 5, $0.00 per day for days 6 to 90
Prior Authorization Required: Yes
Inpatient Mental Health CareCopayment for Psychiatric Hospital Services: $395.00 per day for days 1 to 4, $0.00 per day for days 5 to 90
Prior Authorization Required: Yes
Skilled Nursing Facility (SNF)Copayment for Skilled Nursing Facility Services: $0.00 per day for days 1 to 20, $203.00 per day for days 21 to 100
Prior Authorization Required: Yes

ServiceCost
Tier 1: Preferred GenericStandard Retail: $0.00; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 2: GenericStandard Retail: $12.00; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 3: Preferred BrandStandard Retail: $47.00; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 4: Non-Preferred DrugStandard Retail: $100.00; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 5: Specialty TierStandard Retail: 27%; Preferred Cost-Share Mail Order: 27%; Standard Mail Order: 27%

ServiceCost
Tier 1: Preferred GenericStandard Retail: $0.00; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 2: GenericStandard Retail: $12.00; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 3: Preferred BrandStandard Retail: 25%; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 4: Non-Preferred DrugStandard Retail: 25%; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 5: Specialty TierStandard Retail: 25%; Preferred Cost-Share Mail Order: 25%; Standard Mail Order: 25%

ServiceCost
Tier 1: Preferred GenericStandard Retail: $0.00; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 2: GenericStandard Retail: $0.00; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 3: Preferred BrandStandard Retail: $0.00; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 4: Non-Preferred DrugStandard Retail: $0.00; Preferred Cost-Share Mail Order: N/A; Standard Mail Order: N/A
Tier 5: Specialty TierStandard Retail: $0.00; Preferred Cost-Share Mail Order: $0.00; Standard Mail Order: $0.00

Health plan disclaimers:

UnitedHealthcare Medicare Plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a Medicare Advantage organization with a Medicare contract and a Medicare-approved Part D sponsor. Enrollment in these plans depends on the plan's contract renewal with Medicare. You do not need to be an AARP member to enroll in a Medicare Advantage plan or Medicare Prescription Drug plan. The Villages MedicareComplete is insured through UnitedHealthcare Insurance Company or one of its affiliated companies (UnitedHealthcare), a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan's contract renewal with Medicare. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan's contract renewal with Medicare. UnitedHealthcare Insurance Company pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. AARP does not employ or endorse agents, brokers or producers. Every year, Medicare evaluates plans based on a 5-star rating system. This information is not a complete description of benefits. Contact the plan for more information. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult http://www.medicare.gov. Please note that each insurer has sole financial responsibility for its products. Not connected with or endorsed by the U.S. Government or the federal Medicare program. This is a solicitation of insurance. A licensed insurance agent/producer may contact you. THESE PLANS HAVE ELIGIBILITY REQUIREMENTS, EXCLUSIONS AND LIMITATIONS. FOR COSTS AND COMPLETE DETAILS (INCLUDING OUTLINES OF COVERAGE), CALL A LICENSED INSURANCE AGENT/PRODUCER AT THE APPLICABLE TOLL-FREE NUMBER. AARP encourages you to consider your needs when selecting products and does not make specific product recommendations for individuals. 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. UnitedHealthcare pays royalty fees to Holding Company of The Villages, Inc. (The Villages) for the use of its intellectual property. The Villages and its affiliates are not insurers. You do not need to reside in The Villages to enroll. The Villages encourages you to consider your needs when selecting products and does not make specific product recommendations for individuals. These plans are available to all people meeting certain eligibility requirements, such as having both Medical Assistance from the state and Medicare, living in a contracted nursing home, or having a qualifying chronic care condition. This information is available for free in other formats and languages. Please call our customer service number at 1-800-555-5757, TTY 711, 8 a.m. - 8 p.m. local time, 7 days a week. Esta información está disponible sin costo en otros idiomas. Comuníquese con nuestro Servicio al Cliente al número 1-800-555-5757, TTY 711, de 8 a.m. a 8 p.m. hora local, los 7 días de la semana. 資訊免費提供其他語言版本。請聯絡我們的客戶服務部 , 電話1-800-555-5757, 聽力語言殘障服務專 線711。10 月1 日至2 月14 日間 , 每週7 天 , 當地時間上午8 時至下午8 時間提供服務。2月15 日至9 月30 日間 , 週一至週五 , 當地時間上午8 時至下午8 時間提供服務。 General disclaimers We do not offer every plan available in your area. Currently we represent 6 organizations which offer 44 products in your area. Please contact Medicare.gov, 1–800–MEDICARE, or your local State Health Insurance Program to get information on all of your options. Agency represents Medicare HMO, PPO, and PFFS organizations and stand-alone PDP prescription drug plans that have a Medicare contract. Enrollment depends on the plan’s contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. To learn more about a plan’s nondiscrimination policy, please click any of the Nondiscrimination links above in the Health plan disclaimers section. This information is not a complete description of benefits. Call 1-800-215-3128 (TTY: 711) for more information. Medicare beneficiaries may also enroll in the plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Every year, Medicare evaluates plans based on a 5-star rating system. Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call the Plan’s customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Total annual cost is calculated by adding up the total annual cost of any monthly premiums, applicable plan deductible(s) and estimates for all co-pay and co-insurance amounts that will be due for the medications and health benefits used throughout the year. Costs for medications and health benefits vary across pharmacies and health systems, so the costs provided are only estimates. Actual costs could vary. For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 8 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778 or consult www.socialsecurity.gov; or your Medicaid Office. You must have both Part A and B to enroll in a Medicare Advantage plan. Members may enroll in the plan only during specific times of the year. Contact the plan for more information. The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company. If the plan you are reviewing is a Medicare Advantage with drug coverage or a prescription drug plan then the next two disclaimers apply. Important Message About What You Pay for Vaccines – Our plan covers most Part D vaccines at no cost to you, even if you haven’t paid your deductible. Call Pharmacy Member Services for more information. Important Message About What You Pay for Insulin – You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible. To send a complaint to a Medicare Health Plan, call the Plan or the number on your member ID card. To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.

Qualified, Licensed Insurance Professionals

Curious about how a private Medicare Advantage plan can benefit you? Contact us today to speak with a licensed insurance agent who can guide you through your options. Alternatively, click “Compare Plans” to explore available Medicare Advantage plans in your area online. Your coverage is important—let us assist you in finding the plan that best fits your needs.