Medicare prescription drug plans (Part D)benefits.brevard.k12.fl.us/HR/benefits 2013...

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Medicare prescription drug plans (Part D)

Transcript of Medicare prescription drug plans (Part D)benefits.brevard.k12.fl.us/HR/benefits 2013...

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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

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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

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Medicare Advantage plans (Part C)

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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

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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

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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

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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:

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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.

Y0066_110808_104055 CMS Approved 09232011

<OVEX11PO3334783_000>

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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.