The Medicare Advantage Enhanced Plan features a Medicare Advantage plan through UnitedHealthcare, Group #13797 with Part D prescription drug coverage, Group #25770. For complete plan details, visit UHC's coverage for University retirees site.
Plan Availability
Plan Availability
The Medicare Advantage Enhanced Plan is a group plan available to Medicare-eligible retirees and their dependents.
However, if you are a pre-1990 retiree who never enrolled in Medicare due to your pre-1990 status, or are a Federal Civil Service retiree and are not eligible for Medicare, you will have the same plan options as retirees or dependents who are not Medicare eligible. See the Retiree Insurance overview for additional information.
For more information on eligibility for benefits coverage, including covering dependents, see Benefit Eligibility & Program Structure.
Costs
Costs
Amount Owed Before Insurance Pays
Deductible
The Medicare Advantage Enhanced Plan has two annual deductibles: one for medical and a second for prescription drug costs.
- Medical deductible: $0 per person
- Rx deductible: $500 per person (retail and mail-order)
Max You Pay Annually
Out-of-Pocket Limit
The Medicare Advantage Enhanced Plan has two out-of-pocket limits: one for medical and a second for prescription drug costs.
- Medical out-of-pocket limit: $0
- Rx out-of-pocket limit: $2,100
Once the annual out-of-pocket limit is met, the plan pays 100% of covered services for the rest of the year.
Monthly Cost
Premiums
Your share of premiums is determined by a formula that considers your age, years of service at retirement and the program under which your benefits are payable. See Retiree Insurance and the plan¡¯s Summary Plan Description (SPD) for more.
Note that you still need to pay Original Medicare Part B premiums in addition to Medicare Advantage Enhanced Plan premiums. In most cases, there is no premium requirement for Original Medicare Part A. If, however, you are not eligible for no-cost Medicare Part A coverage and are paying for this coverage, you are required to continue to pay this premium when enrolled in the Medicare Advantage Enhanced Plan.
Covered Services
Covered Services
You pay the total of the discounted price until the deductible is met. For a full schedule of benefit coverages, refer to the UnitedHealthcare (UHC) Medicare Advantage Plan Guide.
See Plan Contacts & Provider Directories
| Service | Cost |
|---|---|
| Preventive Care | $0 |
| Primary Care | $0 |
| Specialist Care | $0 |
| Lab & X-Ray | $0 |
| Outpatient Surgery | $0 |
| Inpatient Hospital Stay | $0 |
| Durable Medical Equipment | $0 |
| Emergency Room | $0 |
| Ambulance | $0 |
Plan Documents & Resources
Plan Documents & Resources
Notice of Nondiscrimination
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Call UnitedHealthcare at 1-844-634-1237 for translation assistance.
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