5

5 out of 5 stars* for plan year 2024

Plan ID: R2604-001

What You Need to Know:

  • UnitedHealthcare Medicare Advantage Choice (Regional PPO) is a Medicare Advantage Health Maintenance Organization Regional PPO plan.
  • It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
  • It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
  • The plan's monthly premium is $49, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is $295 (Tier 1 and 2 excluded from the Deductible.).
  • The plan includes an out-of-pocket maximum of $6,700 per year (in-network).
  • UnitedHealthcare Medicare Advantage Choice (Regional PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $295 (Tier 1 and 2 excluded from the Deductible.).
  • This plan's Part D Initial Coverage Limit is $47.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.

$49

Monthly Premium

Medicare Plan Features
Monthly Premium: $49.00
Part C Premium: $1.80
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$49.00 $1.80 $47.20 $0 $47.20 $295.0 1.0
Gap Coverage: No
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Regional PPO
Similar Plan: R2604-005
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: No additional gap coverage, only the Donut Hole Discount
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $6,700
Annual Deductible: $295 (Tier 1 and 2 excluded from the Deductible.)
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Muscogee, Georgia: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
170 members 3.5 out of 5 Stars. 5 out of 5 Stars. 3 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,668 drugs
Number of Members Enrolled in this Plan in Muscogee, Georgia: 32,596 members
Number of Drugs Per Tier: NULL
Preferred Pharmacy Cost Sharing During Initial Coverage Phase: NULL
Special Needs Plan SNP Eligibility Requirement: NULL
Monthly Premium Split as Follows:
Part C Premium Part D Base Premium Part D Supplemental Premium Total Premium
$1.80 $47.20 $0.00 $49.00
Monthly Premium with Extra Help Low Income Subsidy:
LIS100 Subsidy Total Monthly Premium with LIS Parts CD LIS25 Subsidy Monthly PartD Premium with LIS LIS25 Subsidy Total Monthly Premium with LIS Parts CD LIS50 Monthly PartD Premium with LIS LIS50 Subsidy Total Monthly Premium with LIS Parts CD LIS75 Monthly PartD Premium with LIS LIS75 Subsidy Total Monthly Premium with LIS Parts CD
$20.00 $39.90 $41.70 $32.70 $34.50 $25.40 $27.20
Formulary Drug Details:
Tier 1 # of Drugs per Tier Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 2 # of Drugs per Tier Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 3 # of Drugs per Tier Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 4 # of Drugs per Tier Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 5 # of Drugs per Tier Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase)
303 $4.00 679 $14.00 870 $47.00 1015 $100.00 801 27%

Other Medicare Advantage Plans in Muscogee, Georgia

Plan Name Type Premium MOOP Rx Deduct. Rating
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
Anthem MediBlue Access Basic (PPO) (2023)Local PPO$6,700$150
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HumanaChoice R3392-002 (Regional PPO) (2023)Regional PPO$6,700$340
4
HumanaChoice H5216-241 (PPO) (2023)Local PPO$7,550$445
4
Humana Gold Choice H8145-069 (PFFS) (2023)PFFS$-$340
4
Anthem MediBlue Essential (HMO) (2023)Local HMO$3,450$95
5
Anthem MediBlue Plus (HMO) (2023)Local HMO$6,700$150
5
HumanaChoice R3392-001 (Regional PPO) (2023)Regional PPO *$6,700$-
4
Allwell Medicare (HMO) (2023)Local HMO$7,550$280
5
UnitedHealthcare Medicare Advantage Patriot (Regional PPO (2023)Regional PPO *$6,700$-
5
Allwell Medicare Premier (HMO) (2023)Local HMO$7,550$0
5
HumanaChoice H5216-157 (PPO) (2023)Local PPO *$6,700$-
4
Anthem MediBlue Access (PPO) (2023)Local PPO$5,900$95
4
UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO) (2023)Local PPO$6,700$275
5
Anthem MediBlue Extra (HMO) (2023)Local HMO$5,900$445
5
Anthem MediBlue Core (HMO) (2023)Local HMO *$7,550$-
5
HumanaChoice H5216-203 (PPO) (2023)Local PPO$7,550$0
4
Aetna Medicare Preferred Premium Plan (PPO) (2023)Local PPO$6,900$195
New plan - not yet rated.
WellCare Flex Complete (PPO) (2023)Local PPO$2,500$0
5
AARP Medicare Advantage Walgreens (HMO) (2023)Local HMO$6,700$275
5
HumanaChoice H5216-154 (PPO) (2023)Local PPO$7,550$400
4
Aetna Medicare Eagle Plan (PPO) (2023)Local PPO *$6,900$-
New plan - not yet rated.
WellCare Dividend (HMO) (2023)Local HMO$6,700$200
5
Humana Gold Plus H4141-017 (HMO) (2023)Local HMO$7,550$0
4
WellCare Endurance (PPO) (2023)Local PPO$4,900$0
5
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
WellCare Premier (PPO) (2023)Local PPO$4,900$75
5
WellCare Compass (HMO) (2023)Local HMO$3,450$445
5
WellCare Patriot (HMO-POS) (2023)Local HMO *$3,400$-
5
WellCare Prime (PPO) (2023)Local PPO$5,100$0
5
HumanaChoice H5216-142 (PPO) (2023)Local PPO$6,700$250
4
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
Aetna Medicare Freedom Plan (PPO) (2023)Local PPO$6,900$250
New plan - not yet rated.
WellCare Value (HMO) (2023)Local HMO$3,450$0
5
Medicare Advantage Plans by UnitedHealthcare
UnitedHealthcare Medicare Advantage Patriot (Regional PPO (2023)Regional PPO *$6,700$-
5
UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO) (2023)Local PPO$6,700$275
5
AARP Medicare Advantage Walgreens (HMO) (2023)Local HMO$6,700$275
5

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