5

5 out of 5 stars* for plan year 2024

Plan ID: H0271-018

What You Need to Know:

  • UnitedHealthcare Medicare Advantage Assure (PPO) is a Medicare Advantage Health Maintenance Organization Local 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 $38, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is .
  • The plan includes an out-of-pocket maximum of $7,550 per year (in-network).
  • UnitedHealthcare Medicare Advantage Assure (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
  • This plan's Part D Initial Coverage Limit is $38.

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

$38

Monthly Premium

Medicare Plan Features
Monthly Premium: $38.00
Part C Premium: $0
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$38.00 $0 $38.00 $0 $38.00 $445.0 0.0
Gap Coverage: No
Benchmark: below the regional benchmark
Type of Medicare Health: Defined Standard Benefit
Health Plan Type: Local PPO
Similar Plan: H0271-019
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): $7,550
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Brookings, South Dakota: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
less than 10 members New plan - No summary rating as of yet. 5 out of 5 Stars. 4 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 Brookings, South Dakota: 261 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
$0.00 $38.00 $0.00 $38.00
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
$0.00 $28.50 $28.50 $19.00 $19.00 $9.50 $9.50
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 25% 679 25% 870 25% 1015 25% 801 25%

Other Medicare Advantage Plans in Brookings, South Dakota

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Aetna Medicare Premier (PPO) (2023)Local PPO$5,100$0
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Aetna Medicare Elite (PPO) (2023)Local PPO$4,900$0
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HealthPartners Sanford Basic (Cost) (2023)Cost *$-$-
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HealthPartners Sanford Vital (Cost) (2023)Cost *$3,400$-
Insufficient data to rate this plan.
HealthPartners Sanford Active (Cost) (2023)Cost *$3,000$-
Insufficient data to rate this plan.
HealthPartners Sanford Ultimate (Cost) (2023)Cost *$3,000$-
Insufficient data to rate this plan.
Medica Prime Solution Core (Cost) (2023)Cost *$4,000$-
5
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
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Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
HumanaChoice H5216-088 (PPO) (2023)Local PPO$6,700$350
4
HumanaChoice H5216-103 (PPO) (2023)Local PPO$3,500$250
4
Medica Prime Solution Premier (Cost) (2023)Cost *$3,000$-
5
Humana Value Plus H5216-171 (PPO) (2023)Local PPO$6,700$305
4
Medica Prime Solution Standard (Cost) (2023)Cost *$4,500$-
5
Medica Prime Solution Thrift (Cost) (2023)Cost *$6,700$-
5
AARP Medicare Advantage Choice (PPO) (2023)Local PPO$3,900$0
5
AARP Medicare Advantage Patriot (PPO) (2023)Local PPO *$6,700$-
5
Medicare Advantage Plans by UnitedHealthcare
AARP Medicare Advantage Choice (PPO) (2023)Local PPO$3,900$0
5
AARP Medicare Advantage Patriot (PPO) (2023)Local PPO *$6,700$-
5

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