Page 3 - M-LT-FL20-328 Medicare Advantage Sales Brochure flip book 2020
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Plan Highlights (In-Network)

 Monthly plan premium  $0

 Primary care provider visit  $0


 Specialist visit  $35

 Specialist referral required?  NO  Dental Coverage  Routine Vision Care              Virtual Medical Visits

 Lab services  $0
     Help protect your teeth and gums        Help protect your eyesight with          Take advantage of virtual medical
 Emergency care  $90  by getting regular dental care. With   select UnitedHealthcare Medicare   visits with a $0 copay. Talk to a
     select UnitedHealthcare Medicare        Advantage plans that offer access to     medical provider wherever and
 Annual out-of-pocket maximum  $5,900                                                 whenever you want. Get unlimited
     Advantage plans, take advantage         an annual eye exam and a credit for
 See any doctor who accepts Medicare  PPO Plan  of dental exams, X-rays, routine   eyewear every 1 or 2 years. Make sure   video visits with providers
     cleanings, fluoride and more.           you have access to clear vision.         using your computer, tablet or
 24/7 phone access to a registered nurse                                              smartphone.. Ask questions, get a
                                                                                      diagnosis and have prescriptions
 UnitedHealthcare ®  HouseCalls 1                                                     sent to your pharmacy.

 Earn $10 per month in rewards for staying active by                                  The device you use must be webcam-enabled.
 tracking your steps.                                                                 Video chat feature not available in some areas.

 Over-the-counter benefit  $40

 Prescription Drugs — Standard Retail (30-day); Preferred Mail Order (90-day)

 Tier 1 – Preferred generic drugs  30-day: $0
      Get more for your Medicare dollar.
 Tier 2 – Generic drugs  30-day: $8
      Take advantage of it.
 Tier 3 – Preferred brand drugs  30-day: $45

 Tier 4 – Non-preferred drugs  30-day: $95
            Compassionate Care                                           Distinctive Benefits
 Tier 5 – Specialty tier drugs  30-day: $33% coinsurance
            More access. Personalized guidance.                          With plans that go beyond
 Annual prescription deductible  $0  Convenient care. That’s the care    basic coverage, now you can
            advantage you can expect from                                take advantage of benefits that may be
            UnitedHealthcare.                                            beneficial to your health.



                                          Total Wellness
                                          Better health is more rewarding than
                                          ever. Take advantage of experiences
                                          for your body and mind designed to
                                          help you live healthier every day.
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