Unitedhealthcare medicare advantage over the counter benefit

1 Benefits, features and/or devices vary by plan/area. Limitations and exclusions apply. $0 copay and member rewards are not available with all plans. $0 copay applies only to PCP visits with a network PCP. Additional charges may apply to specialist services or for laboratory or other services ordered by a PCP. Rewards are limited to specified activities and are subject to Rewards Program rules and restrictions. Additional terms and conditions apply. See plan for details.
 

2 $0 copays may be restricted to preferred home delivery prescriptions during the initial coverage phase and may not apply during the coverage gap or catastrophic stage. Benefits vary by plan/area. Limitations and exclusions apply. Network size varies by plan and by market.

3 $0 cost-share for in-network dental care, specified services only. If your plan offers out of network dental coverage and you see an out-of-network dentist you might be billed more, even for services listed as $0 copay. Benefits, features and/or devices vary by plan/area. Limitations and exclusions apply. Network size varies by plan and market.

4 Vision benefits vary by plan and are not available with all plans. Additional charges may apply for out-of-network items and services. Yearly routine eye exam and $100-400 allowance for contacts or designer frames, with standard (single, bi-focal, tri-focal or standard Tier 1 progressive) lenses covered in full either yearly or every two years. Limitations and exclusions apply.

5 Benefits, features and/or devices vary by plan/area. Limitations and exclusions apply.

6 Based on UnitedHealthcare’s national provider network report (May 2022). Network size varies by plan and by market.

7 Network size varies by plan and market.

8 2023: You will pay a maximum of $35 for each 1-month supply of Part D covered insulin drug through all coverage stages.
2022: You will pay a maximum of $35 for a 1-month supply of Part D select insulin drugs during the Deductible, Initial Coverage and Coverage Gap or "Donut Hole" stages of your benefit. You will pay 5% of the cost of your insulin in the Catastrophic Coverage stage. This cost-sharing does not apply to members who pay a lower copay through Medicare's Help program.

9 OTC and Healthy Food benefits have expiration timeframes. Call the plan or refer to your Evidence of Coverage (EOC) for more information.

10 Based on May 2022 CMS and NAIC enrollment data.

11 Nurse Hotline not for use in emergencies, for informational purposes only.

UHC OTC catalog 2021

UHC OTC catalog 2021

Some UHC Medicare Advantage plans provide members with OTC benefits.  For anyone who is in one the participating MA plans,  the UHC OTC catalog 2021 is a useful tool. There will be a lot of great information included in the welcome packet you will receive.  This packet includes, your ID card, benefit information and a fulfillment by Walmart OTC card.

UPDATE:   CLICK HERE FOR THE 2022 CATALOG

Are you a Medicare insurance agent?  CLICK HERE TO LEARN ABOUT OUR FREE LEAD PROGRAM

Download  the health & Wellness catalog for 2021 here.

Members of specified UHC Medicare Advantage plans receive OTC credits every quarter to use on approved items.

On the first day of each new quarter, the credits will arrive in your UHC OTC account.  The amount of credits each member receives depends on the plan you are on.  The plan summary of benefits will specify the plan benefit amount. After that, your credits will expire at the end of each quarter and do not rollover.

Here are the ways you can use your benefit credits:

Go online and create an account at; MyUHCMedicare.com/HWP.  Once you have created your account, you can check your OTC balance, look for approved items and place your order.

Order over the phone at; 1-833-845-8798 TTY 711.  Please be sure you have your product number as well as name of item and your account number handy before you call.  The customer service representative will also ask you for the security code found on the fulfillment by Walmart card.

Place your order through the mail.  Just use the mail order form and the postage paid envelope you find in your health and wellness product catalog.

CLICK HERE FOR CATALOG

Medicare changes  2021

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