Medicare prescription drug plans (Part D)benefits.brevard.k12.fl.us/HR/benefits 2013...
Transcript of Medicare prescription drug plans (Part D)benefits.brevard.k12.fl.us/HR/benefits 2013...
Medicare prescription drug plans (Part D)
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Medicare
prescription drug plans (Part D)
• Help with prescription drug costs
• Works differently from Original Medicare Part A and Part B. You can only get
Medicare Part D through a private insurance company
• You must enroll in a Part D plan. Coverage is not automatic
• If you do not sign up for a Part D plan when you become eligible, you may
have to pay a late-enrollment penalty
• You do need to continue to pay your Part B premium
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Prescription drug
coverage stages
In the coverage gap you pay only a percentage of the drug cost. However,
100% of the drug cost is applied toward your out-of-pocket costs.
$4,750
$2,930
UnitedHealthcare
prescription drug plans
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Our plans are available in all 50 states and
provide coverage for thousands of
brand name and generic drugs.
They offer:
• Mail order service that’s convenient
and may save you money
• More than 65,000 network
pharmacies nationwide
• $0 deductible
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Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Two plans to fit your needs
Medicare Advantage plans (Part C)
All the benefits of Part A*
• Hospital stays • Skilled nursing • Home health
All the benefits of Part B**
• Doctor visits • Outpatient care
• Screenings and shots • Lab tests
Prescription drug coverage
• Included in many Medicare Advantage plans, but not all
Additional benefits
• May be bundled with the plan
These are examples of the most significant items
Part C will help you with.
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Medicare Advantage plans (Part C)
*Plans do not cover hospice care. Hospice benefits for Medicare Advantage
members continue to be provided through Medicare Part A.
**You will need to continue to pay your Part B premium
Health Maintenance Organizations (HMOs):
• Use a network of doctors, hospitals and other health
care professionals
• You must get routine care from one of our many plan providers
• Typically do not provide coverage outside the contracted service area except
for emergencies
• Urgent care and renal dialysis are available out of network
A closer look at
Medicare Advantage
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A closer look at
Medicare Advantage
Preferred Provider Organizations (PPOs):
• You can go out of network for any covered
services, generally at a higher cost
• Allow you to see a specialist without a referral
Step 2: Consider your choices
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Choosing a plan that’s right
for you
• How frequently do you access care?
• Do you take prescription medications regularly?
• Are you comfortable with using a network provider?
• Do you prefer complete freedom in selecting the doctors you see?
• Do you travel frequently and/or internationally?
• What is more important, lower monthly premiums or predictable
out-of-pocket costs?
Give us a call — we can assist you every step of the way.
Convenient hours of operation:
8 a.m. – 8 p.m. local time, 7 days a week
Toll-free dedicated line:
1-877-755-5341, TTY 711
Step 3: Enroll in a plan
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Help is just a phone call away
Convenient hours of operation:
8 a.m. – 8 p.m. local time, 7 days a week
Toll-free dedicated line:
1- 877-755-5341, TTY 711
Helpful hints before you enroll:
• Have your Medicare ID card on hand
• Think about how much you want to spend on your new plan(s)
• Have your doctors’ names and addresses ready, and a list of your
prescription drugs
• Know the date you need to make a decision
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Enroll in a plan
Three easy ways to enroll in a plan:
1. If you would like to complete your enrollment today, we will assist you.
2. Give us a call when you are ready.
3. Mail in a completed application.
Once your enrollment is processed, you will receive a Welcome Kit with
additional plan details. Your ID card will arrive separately.
We must receive your completed forms no later than November 4, 2012 for your
coverage to begin on January 1, 2013.
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In closing
Learned about your options
Considered your choices
Understand how to enroll
Remember, November 4, 2012 is your enrollment deadline
January 1, 2013 is when your new health coverage begins
We've talked about how Medicare works and the types of plans available.
We hope you will leave today feeling that you:
Resources
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Resources
Call UnitedHealthcare — we’re here to help.
Call us on the dedicated Brevard Public Schools toll-free number:
1-877-755-5341, TTY 711
8 a.m. – 8 p.m. local time, 7 days a week
www.myuhcplans.com/bps
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Questions?
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UnitedHealthcare looks
forward to welcoming you as a member.
Thank you.
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Disclaimers The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For
more information contact the plan.
The family of UnitedHealthcare® Medicare Solutions plans include Part D Prescription Drug Plans, Medicare
Supplement Insurance Plans and Medicare Advantage Plans featuring the UnitedHealthcare®, AARP®,
SecureHorizons®, Evercare® or AmeriChoice® brand names. Plans are insured or covered by UnitedHealthcare
Insurance Company or one of its affiliates, a Medicare Advantage organization with a Medicare contract and a
Medicare-approved Part D sponsor.
UnitedHealthcare® Medicare Advantage plans are insured through UnitedHealthcare Insurance Company and
its affiliated companies, a Medicare Advantage organization with a Medicare contract. Members may enroll in
the plan only during specific times of the year. Contact UnitedHealthcare for more information. You must have
both Medicare Parts A and B to enroll in the plan.
HMO members must use plan providers except in emergency or urgent care situations or for out-of-area renal
dialysis. If you obtain routine care from out-of-network providers neither Medicare nor UnitedHealthcare®
Medicare Advantage plans will be responsible for the costs.
For PPO and HMO-POS members, with the exception of emergency or out-of-area renal dialysis, it may cost
more to get care from out-of-network providers.
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Disclaimers
The AARP® MedicareComplete® plans are insured through UnitedHealthcare Insurance Company and its affiliated
companies, a Medicare Advantage organization with a Medicare contract. 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. You do not need to be an AARP member to enroll. AARP
encourages you to consider your needs when selecting products and does not make specific product
recommendations for individuals. Members may enroll in the plan only during specific times of the year. Contact
UnitedHealthcare for more information. You must have both Medicare Parts A and B to enroll in the plan.
Your ability to enroll in a special needs plan is not limited to certain times of the year.