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monthly premiums.*.
PAYING YOUR MEDICARE PREMIUM If you have a Medicare Advantage plan or prescription drug plan with a monthly premium, you have several options for paying. Automatic payments from checking account, credit, or debit card – Sign up online for automatic payments from your checking account, credit, or debit card. Go to myUHCMedicare.com and login to your member profile. CLINICAL CONDITION AND CARE MANAGEMENT Our Medicare Advantage plans provide a full spectrum of care management programs as part of our standard plan offerings. Clinical programs include inpatient care management, care and condition management, specialty care management (e.g., transplant and end stage renal disease (ESRD) management), behavioral health care management, HouseCalls, and Advanced Illness. MEDICARE EXPLANATION OF BENEFITS Medicare Advantage and Prescription Drug Explanation of Benefits Statement. We will send you an Explanation of Benefits (EOB) statement for each month you receive medical services or purchase prescription drugs. The EOB helps you keep track of your monthly medical and prescription drug costs and manage your budget. COVERAGE DETERMINATIONS AND APPEALS A coverage determination (coverage decision) is a decision UnitedHealthcare makes about your benefits and coverage, or about the amount UnitedHealthcare pays for your prescription drugs under the Part D benefit in your plan. In some cases, UnitedHealthcare may decide a drug isn’t covered or is no longer covered by Medicare foryou.
RENEW ACTIVE
Meet Renew Active. The gold standard in Medicare fitness programs for body and mind. It includes: A free gym membership. Access to Medicare's largest gym network1 - including premium gyms and fitness locations. A personalized fitness plan. Fitbit Community for Renew Active, including thousands of workout videos with Fitbit® Premiumcontent.
GET HELP WITH PRESCRIPTION DRUG COSTS Step 2: Complete an application for Extra Help. The easiest way to apply is to download an application and submit it online. You can also fill out a paper copy. If you haven’t already received a copy of the application by mail, request one toll-free at 1-800-772-1213, 7 a.m. to 7 p.m., Monday through Friday. TTY: 1-877-325-0778. MEDICARE ADVANTAGE APPEALS & GRIEVANCES What an appeal is. An appeal is a type of complaint you make regarding an item/service or Part B drug: when you want a reconsideration of a decision (determination) that was made. or the amount of payment your Medicare Advantage health plan pays or will pay. or the amount you must pay. When appeals can be filed. PREFERRED MAIL ORDER PHARMACY THROUGH OPTUMRX Call 1-877-699-5710 (TTY: 711), 8 a.m. – 8 p.m., 7 days a week, for more information. OptumRx is an affiliate of UnitedHealthcare Insurance Company. You are not required to use OptumRx home delivery for a 90-/100-day supply of your maintenance medication If you have not used OptumRx home delivery, you must approve the firstprescription order
AUTHORIZATION TO SHARE PERSONAL INFORMATION FORM Authorization to Share Personal Information You can use this form to give permission to UnitedHealthcare Insurance Company (UHIC) to shareyour
MEDICARE COVERAGE OPTIONS FROM UNITEDHEALTHCAREELIGIBILITY & ENROLLMENTOUR PLANSRESOURCESCONNECT WITH AN AGENTSAFE SHOPPING HUB Medicare Advantage (Part C) Plans. Take advantage of all the benefits of Original Medicare with additional benefits—like vision, dental, hearing and prescription drug coverage—all in one plan. There are many different Medicare Advantage plans to choose from, many with $0monthly premiums.*.
PAYING YOUR MEDICARE PREMIUM If you have a Medicare Advantage plan or prescription drug plan with a monthly premium, you have several options for paying. Automatic payments from checking account, credit, or debit card – Sign up online for automatic payments from your checking account, credit, or debit card. Go to myUHCMedicare.com and login to your member profile. CLINICAL CONDITION AND CARE MANAGEMENT Our Medicare Advantage plans provide a full spectrum of care management programs as part of our standard plan offerings. Clinical programs include inpatient care management, care and condition management, specialty care management (e.g., transplant and end stage renal disease (ESRD) management), behavioral health care management, HouseCalls, and Advanced Illness. MEDICARE EXPLANATION OF BENEFITS Medicare Advantage and Prescription Drug Explanation of Benefits Statement. We will send you an Explanation of Benefits (EOB) statement for each month you receive medical services or purchase prescription drugs. The EOB helps you keep track of your monthly medical and prescription drug costs and manage your budget. COVERAGE DETERMINATIONS AND APPEALS A coverage determination (coverage decision) is a decision UnitedHealthcare makes about your benefits and coverage, or about the amount UnitedHealthcare pays for your prescription drugs under the Part D benefit in your plan. In some cases, UnitedHealthcare may decide a drug isn’t covered or is no longer covered by Medicare foryou.
RENEW ACTIVE
Meet Renew Active. The gold standard in Medicare fitness programs for body and mind. It includes: A free gym membership. Access to Medicare's largest gym network1 - including premium gyms and fitness locations. A personalized fitness plan. Fitbit Community for Renew Active, including thousands of workout videos with Fitbit® Premiumcontent.
GET HELP WITH PRESCRIPTION DRUG COSTS Step 2: Complete an application for Extra Help. The easiest way to apply is to download an application and submit it online. You can also fill out a paper copy. If you haven’t already received a copy of the application by mail, request one toll-free at 1-800-772-1213, 7 a.m. to 7 p.m., Monday through Friday. TTY: 1-877-325-0778. MEDICARE ADVANTAGE APPEALS & GRIEVANCES What an appeal is. An appeal is a type of complaint you make regarding an item/service or Part B drug: when you want a reconsideration of a decision (determination) that was made. or the amount of payment your Medicare Advantage health plan pays or will pay. or the amount you must pay. When appeals can be filed. PREFERRED MAIL ORDER PHARMACY THROUGH OPTUMRX Call 1-877-699-5710 (TTY: 711), 8 a.m. – 8 p.m., 7 days a week, for more information. OptumRx is an affiliate of UnitedHealthcare Insurance Company. You are not required to use OptumRx home delivery for a 90-/100-day supply of your maintenance medication If you have not used OptumRx home delivery, you must approve the firstprescription order
AUTHORIZATION TO SHARE PERSONAL INFORMATION FORM Authorization to Share Personal Information You can use this form to give permission to UnitedHealthcare Insurance Company (UHIC) to shareyour
MEDICARE ADVANTAGE PLAN BENEFITS Medicare Advantage Plan Benefits to Help You Live Healthier. When you choose a Medicare Advantage plan from UnitedHealthcare, you get more for your Medicare dollar. UnitedHealthcare Medicare Advantage plans are built with the features and benefits you need to help you live healthier.*. Fitness. Dental. Vision. OTC (Over-the-Counter) -FirstLine.
PLAN DOCUMENTS SEARCH TOOL To find your plan-specific documents enter your ZIP code, then choose your plan. Fields marked with an asterisk (*) are required. Enter ZIP code*. Select a county*. Select a county Douglas County Grant County. Choose a plan*. Choose a plan. You can find your plan name on your member ID card (health insurance card). CONNECT WITH UNITEDHEALTHCARE If you are a Provider and require assistance, you may contact UnitedHealthcare plans by calling the toll-free General Provider line. Please do not call the Customer Service number listed throughout this website. Providers are routed by their Tax ID. General Provider line: 1-877-842-3210. Hours of operation: 8 a.m.–8 p.m., Monday–Friday. PLAN FORMS & INFORMATION Medicare Plan Appeals & Grievances Form (PDF) (760.53 KB) – (for use by members) Medication Therapy Management (MTM) Program. 60-day formulary change notice. UnitedHealthcare Prescription drug transition process. Find out how to get financial help with prescription drugs. Commitment to quality (PDF) (974.67 KB) Member rights andresponsibilities.
SWITCHING MEDICARE PLANS Medicare Annual Enrollment Period. You can join, switch or drop a Medicare Advantage or Medicare prescription drug plan during the Medicare Annual Enrollment Period (AEP). AEP is October 15 to December 7. Since it's the same time every year, you always know exactly how many shopping days you have until you can add or switch coverageduring AEP.
SITE MAP | UNITEDHEALTHCARE Site Map. Home. Shop for a Plan. Medicare Supplement Insurance Plans. Health Insurance Free Agent Appointment. Shop Hub. Medicare Advantage (Part C) Plans. Medicare Advantage Plan Benefits. Wellness Resourcesand Services.
DUAL SPECIAL NEEDS PLANS (D-SNP) UnitedHealthcare Dual Complete is a Dual Special Needs Plan (D-SNP) for people who have both Medicare and Medicaid. Dual Special Needs Plans typically offer many extra benefits and features beyond Original Medicare. These plans also include help to coordinate care and benefits. People who are eligible can get a Dual Special Needs Planfor a $0
MEDICARE PART C & PART D DISENROLLMENT Disenrollment from a Medicare Advantage (Part C) or Medicare prescription drug (Part D) plan may occur automatically if you: Move your permanent residence out of the plan's service area (including incarceration). Lose your entitlement to Medicare benefits under Part A and/or are no longer enrolled in Part B. Fail to pay the monthlypremium (if
MEDICARE ADVANTAGE APPEALS & GRIEVANCES What an appeal is. An appeal is a type of complaint you make regarding an item/service or Part B drug: when you want a reconsideration of a decision (determination) that was made. or the amount of payment your Medicare Advantage health plan pays or will pay. or the amount you must pay. When appeals can be filed. AUTHORIZATION TO SHARE PERSONAL INFORMATION FORM Authorization to Share Personal Information You can use this form to give permission to UnitedHealthcare Insurance Company (UHIC) to shareyour
MEDICARE COVERAGE OPTIONS FROM UNITEDHEALTHCAREELIGIBILITY & ENROLLMENTOUR PLANSRESOURCESCONNECT WITH AN AGENTSAFE SHOPPING HUB Medicare Advantage (Part C) Plans. Take advantage of all the benefits of Original Medicare with additional benefits—like vision, dental, hearing and prescription drug coverage—all in one plan. There are many different Medicare Advantage plans to choose from, many with $0monthly premiums.*.
MEDICARE ADVANTAGE PLAN BENEFITS Medicare Advantage Plan Benefits to Help You Live Healthier. When you choose a Medicare Advantage plan from UnitedHealthcare, you get more for your Medicare dollar. UnitedHealthcare Medicare Advantage plans are built with the features and benefits you need to help you live healthier.*. Fitness. Dental. Vision. OTC (Over-the-Counter) -FirstLine.
PAYING YOUR MEDICARE PREMIUM If you have a Medicare Advantage plan or prescription drug plan with a monthly premium, you have several options for paying. Automatic payments from checking account, credit, or debit card – Sign up online for automatic payments from your checking account, credit, or debit card. Go to myUHCMedicare.com and login to your member profile. CLINICAL CONDITION AND CARE MANAGEMENT Our Medicare Advantage plans provide a full spectrum of care management programs as part of our standard plan offerings. Clinical programs include inpatient care management, care and condition management, specialty care management (e.g., transplant and end stage renal disease (ESRD) management), behavioral health care management, HouseCalls, and Advanced Illness. MEDICARE EXPLANATION OF BENEFITS Medicare Advantage and Prescription Drug Explanation of Benefits Statement. We will send you an Explanation of Benefits (EOB) statement for each month you receive medical services or purchase prescription drugs. The EOB helps you keep track of your monthly medical and prescription drug costs and manage your budget. PLAN FORMS & INFORMATION Medicare Plan Appeals & Grievances Form (PDF) (760.53 KB) – (for use by members) Medication Therapy Management (MTM) Program. 60-day formulary change notice. UnitedHealthcare Prescription drug transition process. Find out how to get financial help with prescription drugs. Commitment to quality (PDF) (974.67 KB) Member rights andresponsibilities.
RENEW ACTIVE
Meet Renew Active. The gold standard in Medicare fitness programs for body and mind. It includes: A free gym membership. Access to Medicare's largest gym network1 - including premium gyms and fitness locations. A personalized fitness plan. Fitbit Community for Renew Active, including thousands of workout videos with Fitbit® Premiumcontent.
COVERAGE DETERMINATIONS AND APPEALS A coverage determination (coverage decision) is a decision UnitedHealthcare makes about your benefits and coverage, or about the amount UnitedHealthcare pays for your prescription drugs under the Part D benefit in your plan. In some cases, UnitedHealthcare may decide a drug isn’t covered or is no longer covered by Medicare foryou.
DUAL SPECIAL NEEDS PLANS (D-SNP) UnitedHealthcare Dual Complete is a Dual Special Needs Plan (D-SNP) for people who have both Medicare and Medicaid. Dual Special Needs Plans typically offer many extra benefits and features beyond Original Medicare. These plans also include help to coordinate care and benefits. People who are eligible can get a Dual Special Needs Planfor a $0
PREFERRED MAIL ORDER PHARMACY THROUGH OPTUMRX Call 1-877-699-5710 (TTY: 711), 8 a.m. – 8 p.m., 7 days a week, for more information. OptumRx is an affiliate of UnitedHealthcare Insurance Company. You are not required to use OptumRx home delivery for a 90-/100-day supply of your maintenance medication If you have not used OptumRx home delivery, you must approve the firstprescription order
MEDICARE COVERAGE OPTIONS FROM UNITEDHEALTHCAREELIGIBILITY & ENROLLMENTOUR PLANSRESOURCESCONNECT WITH AN AGENTSAFE SHOPPING HUB Medicare Advantage (Part C) Plans. Take advantage of all the benefits of Original Medicare with additional benefits—like vision, dental, hearing and prescription drug coverage—all in one plan. There are many different Medicare Advantage plans to choose from, many with $0monthly premiums.*.
MEDICARE ADVANTAGE PLAN BENEFITS Medicare Advantage Plan Benefits to Help You Live Healthier. When you choose a Medicare Advantage plan from UnitedHealthcare, you get more for your Medicare dollar. UnitedHealthcare Medicare Advantage plans are built with the features and benefits you need to help you live healthier.*. Fitness. Dental. Vision. OTC (Over-the-Counter) -FirstLine.
PAYING YOUR MEDICARE PREMIUM If you have a Medicare Advantage plan or prescription drug plan with a monthly premium, you have several options for paying. Automatic payments from checking account, credit, or debit card – Sign up online for automatic payments from your checking account, credit, or debit card. Go to myUHCMedicare.com and login to your member profile. CLINICAL CONDITION AND CARE MANAGEMENT Our Medicare Advantage plans provide a full spectrum of care management programs as part of our standard plan offerings. Clinical programs include inpatient care management, care and condition management, specialty care management (e.g., transplant and end stage renal disease (ESRD) management), behavioral health care management, HouseCalls, and Advanced Illness. MEDICARE EXPLANATION OF BENEFITS Medicare Advantage and Prescription Drug Explanation of Benefits Statement. We will send you an Explanation of Benefits (EOB) statement for each month you receive medical services or purchase prescription drugs. The EOB helps you keep track of your monthly medical and prescription drug costs and manage your budget. PLAN FORMS & INFORMATION Medicare Plan Appeals & Grievances Form (PDF) (760.53 KB) – (for use by members) Medication Therapy Management (MTM) Program. 60-day formulary change notice. UnitedHealthcare Prescription drug transition process. Find out how to get financial help with prescription drugs. Commitment to quality (PDF) (974.67 KB) Member rights andresponsibilities.
RENEW ACTIVE
Meet Renew Active. The gold standard in Medicare fitness programs for body and mind. It includes: A free gym membership. Access to Medicare's largest gym network1 - including premium gyms and fitness locations. A personalized fitness plan. Fitbit Community for Renew Active, including thousands of workout videos with Fitbit® Premiumcontent.
COVERAGE DETERMINATIONS AND APPEALS A coverage determination (coverage decision) is a decision UnitedHealthcare makes about your benefits and coverage, or about the amount UnitedHealthcare pays for your prescription drugs under the Part D benefit in your plan. In some cases, UnitedHealthcare may decide a drug isn’t covered or is no longer covered by Medicare foryou.
DUAL SPECIAL NEEDS PLANS (D-SNP) UnitedHealthcare Dual Complete is a Dual Special Needs Plan (D-SNP) for people who have both Medicare and Medicaid. Dual Special Needs Plans typically offer many extra benefits and features beyond Original Medicare. These plans also include help to coordinate care and benefits. People who are eligible can get a Dual Special Needs Planfor a $0
PREFERRED MAIL ORDER PHARMACY THROUGH OPTUMRX Call 1-877-699-5710 (TTY: 711), 8 a.m. – 8 p.m., 7 days a week, for more information. OptumRx is an affiliate of UnitedHealthcare Insurance Company. You are not required to use OptumRx home delivery for a 90-/100-day supply of your maintenance medication If you have not used OptumRx home delivery, you must approve the firstprescription order
SHOP FOR A PLAN
Medicare Supplement Insurance Plans. Any standardized Medicare supplement insurance plan helps with some of the out-of-pocket costs that Original Medicare doesn't pay. It also offers features such as no referrals needed and no network restrictions*. You may choose to also enroll in a Part D prescription drug plan. PLAN DOCUMENTS SEARCH TOOL To find your plan-specific documents enter your ZIP code, then choose your plan. Fields marked with an asterisk (*) are required. Enter ZIP code*. Select a county*. Select a county Douglas County Grant County. Choose a plan*. Choose a plan. You can find your plan name on your member ID card (health insurance card). CONNECT WITH UNITEDHEALTHCARE If you are a Provider and require assistance, you may contact UnitedHealthcare plans by calling the toll-free General Provider line. Please do not call the Customer Service number listed throughout this website. Providers are routed by their Tax ID. General Provider line: 1-877-842-3210. Hours of operation: 8 a.m.–8 p.m., Monday–Friday. APPLY FOR A MEDICARE SUPPLEMENT PLAN Friendly licensed insurance agents/producers are here to help, so you can enjoy the lifelong benefits of a Medicare Supplement insurance plan. Call UnitedHealthcare at 1-877-596-3258 (TTY 711), weekdays, 7 a.m. to 11 p.m., and Saturday, 9 a.m. to 5 p.m., Eastern Time. Friendly licensed insurance agents/producers are here to help, so youcan
GET HELP WITH PRESCRIPTION DRUG COSTS Step 2: Complete an application for Extra Help. The easiest way to apply is to download an application and submit it online. You can also fill out a paper copy. If you haven’t already received a copy of the application by mail, request one toll-free at 1-800-772-1213, 7 a.m. to 7 p.m., Monday through Friday. TTY: 1-877-325-0778. ESTIMATE YOUR DRUG COSTS Our Drug Cost Estimator lets you see what you can expect to pay for Medicare Part D prescription drugs. Try it now to understand yourcoverage options.
MEDICARE ADVANTAGE APPEALS & GRIEVANCES What an appeal is. An appeal is a type of complaint you make regarding an item/service or Part B drug: when you want a reconsideration of a decision (determination) that was made. or the amount of payment your Medicare Advantage health plan pays or will pay. or the amount you must pay. When appeals can be filed. PREFERRED MAIL ORDER PHARMACY THROUGH OPTUMRX Call 1-877-699-5710 (TTY: 711), 8 a.m. – 8 p.m., 7 days a week, for more information. OptumRx is an affiliate of UnitedHealthcare Insurance Company. You are not required to use OptumRx home delivery for a 90-/100-day supply of your maintenance medication If you have not used OptumRx home delivery, you must approve the firstprescription order
APPOINT A REPRESENTATIVE An authorized representative is the person you choose to help with or handle affairs related to your health care services. This can be a Power of Attorney, a family member, friend, caregiver, or an advocate. Your authorized representative would help you with an exception, appeal, or grievance. AUTHORIZATION TO SHARE PERSONAL INFORMATION FORM Authorization to Share Personal Information You can use this form to give permission to UnitedHealthcare Insurance Company (UHIC) to shareyour
Under Maintenance
Thank you for your patience! UnitedHealthcare is working on systems updates to improve your website experience. Our sites will be temporarily down from 10:00 p.m., CT, on June 05, 2021 until 3:00 a.m., CT, on June 06, 2021. In the meantime, if you need help or have questions, please call 1-877-596-3258 (TTY 711): 8 a.m. - 8 p.m., in the continental U.S.; 8 a.m. - 8 p.m., Monday-Friday, 8 a.m. - 5 p.m., Saturday and Sunday, inAlaska and Hawaii.
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