Aarp Medicare Advantage Waiving Copays

FDA-authorized COVID-19 vaccines are covered at $0 cost-share to you through Dec. The Centers for Disease Control and Prevention and state health departments are advising who can get the vaccines and when. Find resources about vaccine availability for your area. The AARP Medicare Advantage Choice Plan 2 (Regional PPO) has a monthly premium of $- and has an in-network Maximum Out-of-Pocket limit of $6,700 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $6,700 out of pocket. This can be a extremely nice safety net. Freestyle Libre is part of the Medical Supplies and Devices class and treats Diabetes Type 2 and Diabetes Type 1.Medical supplies and devices are prescription and over-the-counter items used to assist in the treatment of various medical conditions such as dry mouth, diabetes, asthma, and nausea. UnitedHealth Group’s UnitedHealthcare is “waiving member cost-sharing for the treatment of COVID-19” through May 31 for its fully-insured commercial, Medicare Advantage and Medicaid plans.”. With waived coinsurance and deductibles for COVID-19 treatment, savings can add up Cigna and Humana both waived COVID-19-related cost-sharing for their Medicare Advantage (Medicare Part C) plans. Medicare Advantage plans cover the same inpatient and outpatient services and items that are covered by Original Medicare (Medicare Part A and Part B).

  1. Aarp Medicare Advantage Waiving Copays Plans
  2. Aetna Medicare Advantage Copay Waived
  3. Aetna Medicare Waiving Copay
  4. Aarp Medicare Advantage Waiving Copays Online
  5. United Healthcare Medicare Waiving Copays

AARP Medicare Advantage Choice (PPO) H8768-009 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by UnitedHealthcare available to residents in Oklahoma. This plan includes additional Medicare prescription drug (Part-D) coverage. The AARP Medicare Advantage Choice (PPO) has a monthly premium of $- and has an in-network Maximum Out-of-Pocket limit of $4,900 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $4,900 out of pocket. This can be a extremely nice safety net.

AARP Medicare Advantage Choice (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 AARP Medicare Advantage Choice (PPO) you still retain Original Medicare. 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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Aarp Medicare Advantage Waiving Copays Plans

2020 UnitedHealthcare Medicare Advantage Plan Details

Name:
ID:
H8768-009
Provider:UnitedHealthcare
Year:2020
Type: Local PPO
Monthly Premium C+D: $-
Part C Premium:$0.00
MOOP: $4,900
Part D (Drug) Premium:$0.00
Part D Supplemental Premium$0.00
Total Part D Premium:$0.00
Drug Deductible:$0.00
Tiers with No Deductible:0
Gap Coverage:No
Benchmark:not below the regional benchmark
Type of Medicare Health:Enhanced Alternative
Drug Benefit Type:Enhanced

Part-C Premium

UnitedHealthcare plan charges a $0.00 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.


Part-D Deductible and Premium

AARP Medicare Advantage Choice (PPO) has a monthly drug premium of $0.00 and a $0.00 drug deductible. This UnitedHealthcare plan offers a $0.00 Part D Basic Premium that is not 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 $0.00 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 $0.00. 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.


Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The AARP Medicare Advantage Choice (PPO) medicare insurance offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $0.00 for 75% low income subsidy $0.00 for 50% and $0.00 for 25%.


Full LIS Premium:$0.00
75% LIS Premium:$0.00
50% LIS Premium:$0.00
25% LIS Premium:$0.00

Gap Coverage

In 2020 once you and your plan provider have spent $4020 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.


UnitedHealthcare Drug Coverage and Formulary

A formulary is divided into tiers or levels of coverage based on the type or usage of your medication or benefit categories, according to drug costs. Each tier will have a defined out-of-pocket cost that you must pay before receiving the drug. You can see complete 2020 AARP Medicare Advantage Choice (PPO) H8768-009 Formulary here.


See the 2020 UnitedHealthcare Formulary


2019 Plan Services

(*2020 Plan services will be added when available)



Health plan deductible


$0


Emergency care/Urgent care


Emergency$90 per visit (always covered)
Urgent care$30-40 per visit (always covered)


Diagnostic procedures/lab services/imaging


Diagnostic tests and proceduresOut-of-Network30%
Diagnostic tests and proceduresIn-Network$15
Lab servicesOut-of-Network$5
Lab servicesIn-Network$5
Diagnostic radiology services (e.g., MRI)Out-of-Network30%
Diagnostic radiology services (e.g., MRI)In-Network$100
Outpatient x-raysOut-of-Network$14
Outpatient x-raysIn-Network$14


Hearing


Hearing examOut-of-Network$45
Hearing examIn-Network$0 copay
Fitting/evaluationNot covered
Hearing aidsOut-of-Network$300-370
Hearing aidsIn-Network$300-2,025


Preventive dental


Oral examOut-of-Network$0 copay
Oral examIn-Network$0 copay
CleaningOut-of-Network$0 copay
CleaningIn-Network$0 copay
Fluoride treatmentOut-of-Network$0 copay
Fluoride treatmentIn-Network$0 copay
Dental x-ray(s)Out-of-Network$0 copay
Dental x-ray(s)In-Network$0 copay


Comprehensive dental


Aetna Medicare Advantage Copay Waived

Non-routine servicesNot covered
Diagnostic servicesOut-of-Network$0 copay
Diagnostic servicesIn-Network$0
Restorative servicesOut-of-Network$0 copay
Restorative servicesIn-Network$0
EndodonticsOut-of-Network$0 copay
EndodonticsIn-Network$0
PeriodonticsOut-of-Network$0 copay
PeriodonticsIn-Network$0
ExtractionsOut-of-Network$0 copay
ExtractionsIn-Network$0
Prosthodontics, other oral/maxillofacial surgery, other servicesOut-of-Network$0 copay
Prosthodontics, other oral/maxillofacial surgery, other servicesIn-Network$0


Vision


Routine eye examOut-of-Network$45
Routine eye examIn-Network$0 copay
OtherNot covered
Contact lensesOut-of-Network40%
Contact lensesIn-Network$0 copay
Eyeglasses (frames and lenses)Not covered
Eyeglass framesOut-of-Network40%
Eyeglass framesIn-Network$0 copay
Eyeglass lensesOut-of-Network40%
Eyeglass lensesIn-Network$0 copay
UpgradesNot covered


Mental health services


Inpatient hospital - psychiatricOut-of-Network$325 per day for days 1 through 5
$0 per day for days 6 through 90
Inpatient hospital - psychiatricIn-Network$295 per day for days 1 through 5
$0 per day for days 6 through 90
Outpatient group therapy visit with a psychiatristOut-of-Network$35-45
Outpatient group therapy visit with a psychiatristIn-Network$30
Outpatient individual therapy visit with a psychiatristOut-of-Network$35-45
Outpatient individual therapy visit with a psychiatristIn-Network$40
Outpatient group therapy visitOut-of-Network$35-45
Outpatient group therapy visitIn-Network$30
Outpatient individual therapy visitOut-of-Network$35-45
Outpatient individual therapy visitIn-Network$40


Skilled Nursing Facility


Out-of-Network$160 per day for days 1 through 35
$0 per day for days 36 through 100
In-Network$0 per day for days 1 through 20
$160 per day for days 21 through 51
$0 per day for days 5


Rehabilitation services


Occupational therapy visitOut-of-Network$45
Occupational therapy visitIn-Network$40
Physical therapy and speech and language therapy visitOut-of-Network$45
Physical therapy and speech and language therapy visitIn-Network$40


Ground ambulance


Out-of-Network$250
In-Network$250


Other health plan deductibles?


In-NetworkNo


Transportation


Not covered


Foot care (podiatry services)


Foot exams and treatmentOut-of-Network$45
Foot exams and treatmentIn-Network$40
Routine foot careOut-of-Network$45
Routine foot careIn-Network$40


Medical equipment/supplies


Durable medical equipment (e.g., wheelchairs, oxygen)Out-of-Network50% per item
Durable medical equipment (e.g., wheelchairs, oxygen)In-Network20% per item
Prosthetics (e.g., braces, artificial limbs)Out-of-Network40% per item
Prosthetics (e.g., braces, artificial limbs)In-Network20% per item
Diabetes suppliesOut-of-Network40% per item
Diabetes suppliesIn-Network$0 per item
Aetna medicare waiving copay

Wellness programs (e.g., fitness, nursing hotline)


Covered


Medicare Part B drugs


ChemotherapyOut-of-Network40%
ChemotherapyIn-Network20%
Other Part B drugsOut-of-Network40%
Other Part B drugsIn-Network20%


Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)


$5,500 In and Out-of-network
$4,900 In-network


Optional supplemental benefits


No


Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?


In-NetworkNo


Inpatient hospital coverage


Out-of-Network$325 per day for days 1 through 5
$0 per day for days 6 and beyond
In-Network$295 per day for days 1 through 5
$0 per day for days 6 through 90
$0 per day for days 91


Outpatient hospital coverage


Out-of-Network$325 per visit
In-Network$295 per visit


Doctor visits


PrimaryOut-of-Network$5 per visit
PrimaryIn-Network$0 copay
SpecialistOut-of-Network$45 per visit
SpecialistIn-Network$40 per visit


Preventive care


Out-of-Network$0 copay
In-Network$0 copay

Aetna Medicare Waiving Copay

Ratings for AARP Medicare Advantage Choice (PPO) H8768

2019 Overall Rating
Part C Summary Rating
Part D Summary Rating
Staying Healthy: Screenings, Tests, Vaccines
Managing Chronic (Long Term) Conditions
Member Experience with Health Plan
Complaints and Changes in Plans Performance
Health Plan Customer Service
Drug Plan Customer Service
Complaints and Changes in the Drug Plan
Member Experience with the Drug Plan
Drug Safety and Accuracy of Drug Pricing

Staying Healthy, Screening, Testing, & Vaccines

Total Preventative Rating
Breast Cancer Screening
Colorectal Cancer Screening
Annual Flu Vaccine
Improving Physical
Improving Mental Health
Monitoring Physical Activity
Adult BMI Assessment

Managing Chronic And Long Term Care for Older Adults

Total Rating
SNP Care Management
Medication Review
Functional Status Assessment
Pain Screening
Osteoporosis Management
Diabetes Care - Eye Exam
Diabetes Care - Kidney Disease
Diabetes Care - Blood Sugar
Rheumatoid Arthritis
Reducing Risk of Falling
Improving Bladder Control
Medication Reconciliation
Plan All-Cause Readmissions
Statin Therapy

Member Experience with Health Plan

Total Experience Rating
Getting Needed Care
Timely Care and Appointments
Customer Service
Health Care Quality
Rating of Health Plan
Care Coordination

Member Complaints and Changes in AARP Medicare Advantage Choice (PPO) Plans Performance

Total Rating
Complaints about Health Plan
Members Leaving the Plan
Health Plan Quality Improvement

Health Plan Customer Service Rating for AARP Medicare Advantage Choice (PPO)

Total Customer Service Rating
Timely Decisions About Appeals
Reviewing Appeals Decisions
Call Center, TTY, Foreign Language

AARP Medicare Advantage Choice (PPO) Drug Plan Customer Service ratings

Total Rating
Call Center, TTY, Foreign Language
Appeals Auto
Appeals Upheld

Ratings For Member Complaints and Changes in the Drug Plans Performance

Total Rating
Complaints about the Drug Plan
Members Choosing to Leave the Plan
Drug Plan Quality Improvement

Member Experience with the Drug Plan

Total Rating
Rating of Drug Plan
Getting Needed Prescription Drugs

Drug Safety and Accuracy of Drug Pricing

Aarp Medicare Advantage Waiving Copays Online

Total Rating
MPF Price Accuracy
Drug Adherence for Diabetes Medications
Drug Adherence for Hypertension (RAS antagonists)
Drug Adherence for Cholesterol (Statins)
MTM Program Completion Rate for CMR
Statin with Diabetes

United Healthcare Medicare Waiving Copays



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Coverage Area for AARP Medicare Advantage Choice (PPO)

(Click county to compare all available Advantage plans)

State:Oklahoma
County:Cherokee, Craig, Creek, Mayes, Muskogee,
Okmulgee, Osage, Rogers, Tulsa,
Wagoner,

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Source: CMS.
Data as of September 4, 2019.
Star Rating as of October 10, 2019.
Plan Services are 2019 information as reference. 2020 information will be added when released.
Notes: Data are subject to change as contracts are finalized. For 2020, 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 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.