PARTCRX

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
UnitedHealthcare
CMS Rating
Plan Type
HMO
Annual Deductible
$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Why We Like This Plan

  • has both Health and Drug Coverage
  • has no additional premium costs outside of your Medicare Part B premium
  • Primary care physician office visit copay of $5
  • was the best selling plan in Spokane in 2014

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$4 copay$4 copayNot offered
Tier 2: Non-Preferred Generic$8 copay$8 copayNot offered
Tier 3: Preferred Brand Name$45 copay$45 copayNot offered
Tier 4: Non-Preferred Brand Name$95 copay$95 copayNot offered
Tier 5: Specialty Tier33% coinsurance33% coinsuranceNot offered
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$12 copay$12 copay$8 copay
Tier 2: Non-Preferred Generic$24 copay$24 copay$16 copay
Tier 3: Preferred Brand Name$135 copay$135 copay$125 copay
Tier 4: Non-Preferred Brand Name$285 copay$285 copay$275 copay
Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Cholesterol screening for patients with heart disease
Glaucoma testing
Annual flu vaccine
Pneumonia vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Access to primary care doctor visits
Adult BMI assessment

Managing Chronic Conditions

Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Diabetes care – cholesterol controlled
Controlling blood pressure
Rheumatoid arthritis management
Improving bladder control
Reducing the risk of falling
Plan all-cause readmissions

Ratings of Plan Responsiveness and Care

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the health plan
Beneficiary access and performance problems
Members choosing to leave the plan
Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability

Physician Finder

Physicians that accept AARP MedicareComplete 1 (HMO) for Washington

/
MORELLI, SHERYL
6901 SAND POINT WAY NE
SEATTLE, WA 98115
GREENBERG, ABRAHAM
7301 45TH AVE NE
SEATTLE, WA 98115
GRAUNKE, KATHLEEN
6800 E GREENLAKE WAY N
SEATTLE, WA 98115
STARKEBAUM, MARY
6800 E GREENLAKE WAY N
SEATTLE, WA 98115
CLARK, HERBERT
9730 3RD AVE NE
SEATTLE, WA 98115
BUSCH, NAOMI
6800 E GREEN LAKE WAY N
SEATTLE, WA 98115
ZHOU, JIEGANG
3521 NE 93RD ST
SEATTLE, WA 98115
SIMONS, BART
7209 WOODLAWN AVE NE
SEATTLE, WA 98115
GRIMM, PETER
9730 3RD AVE NE
SEATTLE, WA 98115
ADAMS, CHRISTINE
6300 9TH AVE NE STE 300
SEATTLE, WA 98115
HAMRICK, MARCIE
6300 9TH AVE NE
SEATTLE, WA 98115
ROTH, HOWARD
1545 NE 65TH STREET
SEATTLE, WA 98115
LAW, THERESE
320 NE 97TH ST
SEATTLE, WA 98115
NEWELL, STANLEY
9501 5TH AVE NE
SEATTLE, WA 98115
CHEN, JOHN
8659 INVERNESS DR NE
SEATTLE, WA 98115
MOULTON, ROCKWELL
7301 45TH AVE NE
SEATTLE, WA 98115
CHATAL, CATHERINE
3020 SAINT JOHNS BLVD
JOPLIN, MO 64804
KNEISL, ALISON
6300 9TH AVE NE
SEATTLE, WA 98115
JONES, BILL
9730 3RD AVE NE
SEATTLE, WA 98115
ALT, PAMELA
843 NE 66TH ST
SEATTLE, WA 98115
COHEN, PHILLIP
7817 12TH AVE NE
SEATTLE, WA 98115
GARDEY, TAKLA
6300 9TH AVE NE
SEATTLE, WA 98115
NEPPE, VERNON
6300 NINTH AVENUE NE
SEATTLE, WA 98115
MCCORMACK, ANNE
6823 19TH AVE NE
SEATTLE, WA 98115
HEITHAUS, ANGELA
6300 9TH AVE NE
SEATTLE, WA 98115
Details
SHERYL MORELLI, MD
Phone Number
(206) 987-6016
Office Locations
6901 SAND POINT WAY NE
SEATTLE, WA 98115
6901 SAND POINT WAY NE SEATTLE WA, 98115

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.

Similar Plans

PremiumPlan NameCMS Rating
$0.00
Humana Gold Choice H8145-097 (PFFS)
Select
$28.00
Providence Medicare Choice (HMO-POS)
Select
$21.90
WellCare Classic (PDP)
Select
$39.00
Kaiser Permanente Senior Advantage Basic (HMO)
Select
$99.00
Group Health Cooperative Clear Care Basic (HMO)
Select

Related Articles

Related Searches

{"phone":"8008957124","helpInfo":{"leadCopy":"Speak with a licensed agent","phone":"8008957124"},"bannerData":{"phone":"8008957124","text":"Open Enrollment is Now.","text2":"Speak With a Licensed Agent"},"analyticsInfo":{"pageType":"details","productLine":"medicare","phone":"8008957124"},"globalPhoneNumber":"8008957124","partner":"TruBridge"}