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Benefits Unit
UnitedHealthcare AARP® Medicare Supplement Insurance Plan with MedicareRx Prescription Drug Plans
AARP® Medicare Supplement Insurance Plans offer Medicare-eligible retirees an opportunity to choose from a variety of standardized plans (e.g. Plans A-N) to help pay for some or all of the retiree’s out-of-pocket costs not covered through Medicare Part A and Part B.
These Medicare supplemental insurance plans are also known as “Medigap” plans. Each plan offers a different level of benefits, and monthly premiums vary accordingly. Because there are so many plans and variables, you must contact UnitedHealthcare for details.
Benefit Charts
Medical Plan
Office Visits and Professional Services
Surgical and Hospital Services
Prescription Drugs
Guaranteed Issue Period
These plans are underwritten by UnitedHealthcare Insurance Company. AARP Medicare Supplement Plans may require medical underwriting if you are outside of the guaranteed issue period when coverage may be subject to approval.
If you are switching from a County medical plan, you are eligible for guaranteed issue. In cases where coverage is denied, you and any enrolled dependent will remain in the coverage in place prior to the application to the Medicare supplement plan or have the option to change to another plan provided you do so before Annual Enrollment ends.
Customer Service, Group Numbers and Premium Rates
To inquire about enrollment, plan options, and request a monthly premium quote, contact both numbers listed below.
AARP® Medicare Supplement Insurance Plans
- Customer Service:
- (800) 545-1797
- Hours (PST):
- Monday - Friday, 4:00 a.m. - 8:00 p.m.
Saturday, 6:00 a.m. - 2:00 p.m. - Website:
- www.aarpmedsuppretirees.com
- Group #:
- 1068
AARP® MedicareRx Plans
- Customer Service:
- (888) 556-7049
- Website:
- www.aarpmedicarerx.com
- Group #:
- 3803
AARP Membership
Membership in AARP is required for the AARP Medicare Supplement Insurance Plans. If you are not a current member of AARP but wish to enroll in an AARP Medicare Supplement Plan, UnitedHealthcare will pay for your first year of membership (this is not available to residents of New York); otherwise, you will be billed directly by AARP for the annual membership fee, currently $16.00 per household.
Medical Plan Summary
| Service | UnitedHealthcare AARP Medicare Supplement |
|---|---|
| Calendar Year Deductible | $0 |
| Calendar Year Out of Pocket Maximum (Including Deductibles, Co-pays, and Coinsurance) |
$0 |
| Lifetime Maximum | Unlimited (Medicare has limits on some services) |
|
Dependent Children Eligibility |
Any Dependent Child under age 26. No age limit if disabled. |
| Dependent Children Eligibility | Contact the AARP customer service at (800) 392-7537 to verify you or your dependent's eligibility |
Office Visits and Professional Services
| Service | UnitedHealthcare AARP Medicare Supplement |
|---|---|
| Physician & Specialist | $0 |
| Preventive Care Birth to Age 18 | N/A |
| Preventive Care Adult Routine Care | $0 for Medicare-covered services |
| Preventive Care Adult Routine OB/GYN | $0 for Medicare-covered services |
| Diagnostic Lab and X-Ray | $0 for Medicare-covered services |
| Physical Therapy (Medically necessary treatment only) |
$0 for Medicare-covered services |
| Chiropractic | $0 for Medicare-covered services |
| Mental Health & Substance Abuse (Out-patient) |
$0 |
Surgical and Hospital Services
| Service | UnitedHealthcare AARP Medicare Supplement |
|---|---|
| Inpatient Hospital and Physician Services | $0, up to Medicare maximum days allowed |
| Outpatient Surgery | $0, up to Medicare maximum days allowed |
| Maternity | $0, up to Medicare maximum days allowed |
| Emergency Room | $0 |
| Ambulance | $0 |
| Mental Health & Substance Abuse (Inpatient) |
$0, up to Medicare maximum days allowed |
| Skilled Nursing Facility | $0, up to Medicare maximum days allowed |
| Home Health | $0, up to Medicare maximum days allowed |
| Hearing Aids |
Not Covered |
Prescription Drugs
Unlike most other plans where the medical and prescription benefits are part of a package, UHC-AARP's medical and prescription plans require separate enrollment. County retirees who enroll in an AARP medical plan must also enroll in an AARP® MedicareRx Plan. The AARP MedicareRx Plans are available to retirees across the U.S. and in the five U.S. territories.
You cannot enroll in a stand-alone Medicare Part D plan, such as the AARP MedicareRx Plans, without also enrolling in their medical plan. They offer a national pharmacy network with access to more than 65,000 pharmacies. In addition, the plan’s drug list includes thousands of brand-name and generic drugs. To assist in your decision, you can give AARP a list of medications and ask for advice about costs and coverage.
To enroll in a UHC-AARP plan, select and enroll in one of their Medicare supplement plans as well as one of their Prescription Drug (Rx) plans. Again, you must enroll in both plans. All enrollees in these plans (i.e. retiree and their dependents) must be enrolled in both Medicare Part A and Part B AND be at least age 65 in order to elect the AARP® plans.
| Service | UnitedHealthcare AARP Medicare Supplement |
|---|---|
| Deductible | $0-$320.00 |
| Generic or Tier 1 | $1-4 co-pay 30 day supply |
| Non-Formulary Generic or Tier 2 | $2-8 co-pay 30 day supply |
| Formulary Brand or Tier 2 | $20-$45 co-pay 30 day supply after deductible |
| Non-Preferred Brand or Tier 4 | $35-$9 co-pay 30 day supply after deductible |
| Specialty or Tier 5 | 25%-33% co-insurance |
| Mail Order Benefit | Included with $15 discount in most areas |
| Mandatory Mail Order | No |
| Mandatory Generic Program | No |