AARP MedicareComplete 2 (HMO)

Medicare Advantage Plan for Alabama

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PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderUnitedHealthcare
Plan IDH0432-6-0
CMS RatingNot Rated1
Plan TypeHMO
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

Plan Details

Costs and Other Important Information

Plan Year:
2018
Optional Supplemental Benefits
No
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
$3,900 In-network
Other health plan deductibles?
No
Health Plan Deductible
$0
Monthly Drug Plan Premium
$27.60
Monthly Health Plan Premium
$19.40

Benefits

Service
Cost
Inpatient hospital coverage
$195 for days 1 through 5
$0 for days 6 through 90
$0 for days 91 and beyond
Outpatient hospital coverage
$195 per visit
Doctor visits
Primary:$0 copay
Specialist:$20 per visit
Preventive care
$0 copay
Emergency care/Urgent care
Emergency:$80 per visit (always covered)
Urgent care:$20-40 per visit (always covered)
Diagnostic procedures/lab services/imaging
Diagnostic tests and procedures:20%
Lab services:$0
Diagnostic radiology services (e.g., MRI):$75
Outpatient x-rays:$14
Mental health services
$195 for days 1 through 5
$0 for days 6 through 90
Outpatient group therapy visit with a psychiatrist:$30
Outpatient individual therapy visit with a psychiatrist:$40
Outpatient group therapy visit:$30
Outpatient individual therapy visit:$40
Skilled Nursing Facility
$0 for days 1 through 20
$160 for days 21 through 45
$0 for days 46 through 100
Rehabilitation services
Occupational therapy visit:$20
Physical therapy and speech and language therapy visit:$20
Ambulance
$250
Transportation
Not covered
Foot care (podiatry services)
Foot exams and treatment:$20
Routine foot care:$20
Medical equipment/supplies
Durable medical equipment (e.g., wheelchairs, oxygen):20% per item
Prosthetics (e.g., braces, artificial limbs):20% per item
Diabetes supplies:$0 per item
Wellness programs (e.g., fitness, nursing hotline)
Covered
Medicare Part B drugs
Chemotherapy:20%
Other Part B drugs:20%

Coverage Area for AARP MedicareComplete 2 (HMO)

StateAlabama
CountyJefferson

Cost Sharing Information

All cost-sharing assumes in-network healthcare providers.

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offereds$3 copayNot offered
Tier 2: Non-Preferred GenericNot offered$10 copayNot offered
Tier 3: Preferred Brand NameNot offered$45 copayNot offered
Tier 4: Non-Preferred Brand NameNot offered$95 copayNot offered
Tier 5: Specialty TierNot offered33% coinsuranceNot offered
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offered$9 copay$0 copay
Tier 2: Non-Preferred GenericNot offered$30 copay$0 copay
Tier 3: Preferred Brand NameNot offered$135 copay$125 copay
Tier 4: Non-Preferred Brand NameNot offered$285 copay$275 copay
Tier 5: Specialty TierNot offered33% coinsurance33% coinsurance

Physician Finder

Physicians that accept AARP MedicareComplete 2 (HMO) for Alabama

/
CUSTIS, JAMES
9772 PARKWAY E
BIRMINGHAM, AL 35215
SIMS, MARION
2152 OLD SPRINGVILLE ROAD
BIRMINGHAM, AL 35215
PIKE, BOB
9772 PARKWAY E
BIRMINGHAM, AL 35215
GONZALEZ, ENGLISH
2152 OLD SPRINGVILLE ROAD
BIRMINGHAM, AL 35215
GOTFRYD, MARK
1703 CENTER POINT PKWY
BIRMINGHAM, AL 35215
OWENS, KIMBERLY
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
KING, DUANE
1160 HUFFMAN ROAD
BIRMINGHAM, AL 35215
GRAY, GARY
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
TOBE-DONOHUE, COLLEEN
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
MOREHEAD, MARTHA
2152 OLD SPRINGVILLE ROAD
BIRMINGHAM, AL 35215
SULLIVAN, JAMES
1160 HUFFMAN RD
BIRMINGHAM, AL 35215
PETERS, DEBORAH
9772 PARKWAY E
BIRMINGHAM, AL 35215
GIAMMANCO, NATALIE
1985 AL HIGHWAY 157
CULLMAN, AL 35058
MOORE, KATHERINE
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
VONDER POOL, BEVERLY
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
POWELL, MICHAEL
9772 PARKWAY E
BIRMINGHAM, AL 35215
ZAHARIAS, NERRIN
52 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
DAVIS, DELINDA
3729 MARY TAYLOR RD
BIRMINGHAM, AL 35235
MEHRA, MUKUL
100 PILOT MEDICAL DR
BIRMINGHAM, AL 35235
SLAPPEY, DONALD
48 MEDICAL PARK EAST DRIVE
BIRMINGHAM, AL 35235
BRIAN, CHRISTOPHER
100 PILOT MEDICAL DRIVE
BIRMINGHAM, AL 35235
MASEAR, VICTORIA
48 MEDICAL PARK E DR
BIRMINGHAM, AL 35235
LOFLIN, THOMAS
50 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
MORRIS, SCOTT
48 MEDICAL PARK EAST DRIVE
BIRMINGHAM, AL 35235
WHITE, JENNIFER
48 MEDICAL PARK DR E
BIRMINGHAM, AL 35235
Details
JAMES CUSTIS, MD
Phone Number
(205) 833-6888
Office Locations
9772 PARKWAY E
BIRMINGHAM, AL 35215
9772 PARKWAY E BIRMINGHAM AL, 35215

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