2019 UnitedHealthcare MedicareComplete Choice (Regional PPO) R3444-12-0 in AR from UnitedHealthcare | HealthPocket

UnitedHealthcare MedicareComplete Choice (Regional PPO)

$43/mo

Apply For This Plan

Zip Code72209
Applicant3/26/1984 Male
Coverage Start3/27/2019
Apply Now

Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderUnitedHealthcare
Plan IDR3444-12-0
Plan Year2019
CMS Rating
Plan TypeRegional PPO
Annual Deductible$195.00

What To Know About This Plan
  • This plan has health and drug coverage

Why We Like This Plan
  • has both Health and Drug Coverage

Costs and Other Important Information

Plan Year2019
Monthly Health Plan Premium$14.50
Monthly Drug Plan Premium$28.50
Health Plan Deductible$0
Other health plan deductibles?No
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)$6,700 In and Out-of-network
$6,700 In-network
Optional Supplemental BenefitsYes

Benefits

SERVICECOST
Inpatient hospital coverageIn-Network:$370 per day for days 1 through 5
$0 per day for days 6 through 90
$0 per day for days 91 and beyond
Out-of-Network:$370 per day for days 1 through 5
$0 per day for days 6 and beyond
Outpatient hospital coverageIn-Network:20% per visit
Out-of-Network:30% per visit
Doctor visitsPrimary:
In-Network:$10 per visit
Out-of-Network:$25 per visit
Specialist:
In-Network:$50 per visit
Out-of-Network:$50 per visit
Preventive careIn-Network:$0 copay
Out-of-Network:$0 copay
Emergency care/Urgent careEmergency:$90 per visit (always covered)
Urgent care:$30-40 per visit (always covered)
Diagnostic procedures/lab services/imagingDiagnostic tests and procedures:
In-Network:20%
Out-of-Network:20%
Lab services:
In-Network:$10
Out-of-Network:$10-14
Diagnostic radiology services (e.g., MRI):
In-Network:20%
Out-of-Network:20%
Outpatient x-rays:
In-Network:$14
Out-of-Network:$10-14
Mental health servicesInpatient hospital - psychiatric:
In-Network:$370 per day for days 1 through 4
$0 per day for days 5 through 90
Out-of-Network:$370 per day for days 1 through 4
$0 per day for days 5 through 90
Outpatient group therapy visit with a psychiatrist:
In-Network:$30
Out-of-Network:$30-40
Outpatient individual therapy visit with a psychiatrist:
In-Network:$40
Out-of-Network:$30-40
Outpatient group therapy visit:
In-Network:$30
Out-of-Network:$30-40
Outpatient individual therapy visit:
In-Network:$40
Out-of-Network:$30-40
Skilled Nursing FacilityIn-Network:$0 per day for days 1 through 20
$160 per day for days 21 through 62
$0 per day for days 63 through 100
Out-of-Network:$175 per day for days 1 through 37
$0 per day for days 38 through 100
Rehabilitation servicesOccupational therapy visit:
In-Network:$40
Out-of-Network:$40
Physical therapy and speech and language therapy visit:
In-Network:$40
Out-of-Network:$40
Ground ambulanceIn-Network:$250
Out-of-Network:$250
TransportationNot covered
Foot care (podiatry services)Foot exams and treatment:
In-Network:$50
Out-of-Network:$50
Routine foot care:
In-Network:$50
Out-of-Network:$50There may be limits on how much the plan will provide.
Medical equipment/suppliesDurable medical equipment (e.g., wheelchairs, oxygen):
In-Network:20% per item
Out-of-Network:45% per item
Prosthetics (e.g., braces, artificial limbs):
In-Network:20% per item
Out-of-Network:20% per item
Diabetes supplies:
In-Network:$0 per item
Out-of-Network:20% per item
Wellness programs (e.g., fitness, nursing hotline)Covered
Medicare Part B drugsChemotherapy:
In-Network:20%
Out-of-Network:20%
Other Part B drugs:
In-Network:20%
Out-of-Network:20%

Benefits Services

Hearing
Hearing examIn-Network: $10
Out-of-Network: $25
Fitting/evaluationNot covered
Hearing aidsIn-Network: $300-2,025
Out-of-Network: $300-370
There may be limits on how much the plan will provide.
Preventive Dental
Oral examIn-Network: $0 copay
Out-of-Network: 50%
There may be limits on how much the plan will provide.
CleaningIn-Network: $0 copay
Out-of-Network: 50%
There may be limits on how much the plan will provide.
Fluoride treatmentNot covered
Dental x-ray(s)In-Network: $0 copay
Out-of-Network: 50%
There may be limits on how much the plan will provide.
Comprehensive Dental
Non-routine servicesNot covered
Diagnostic servicesNot covered
Restorative servicesNot covered
EndodonticsNot covered
PeriodonticsNot covered
ExtractionsNot covered
Prosthodontics, other oral/maxillofacial surgery, other servicesNot covered
Vision
Routine eye examIn-Network: $20
Out-of-Network: $20
There may be limits on how much the plan will provide.
OtherNot covered
Contact lensesIn-Network: $0 copay
Out-of-Network: $0 copay
There may be limits on how much the plan will provide.
Eyeglasses (frames and lenses)In-Network: $0 copay
Out-of-Network: $0 copay
There may be limits on how much the plan will provide.
Eyeglass framesNot covered
Eyeglass lensesNot covered
UpgradesNot covered

Coverage Area for UnitedHealthcare MedicareComplete Choice (Regional PPO)

StateArkansas
CountyPulaski

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$4 copayNot offered
Tier 2: Non-Preferred GenericNot offered$15 copayNot offered
Tier 3: Preferred Brand NameNot offered$47 copayNot offered
Tier 4: Non-Preferred Brand NameNot offered$100 copayNot offered
Tier 5: Specialty TierNot offered29% coinsuranceNot offered

90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offered$10 copay$0 copay
Tier 2: Non-Preferred GenericNot offered$37.5 copay$0 copay
Tier 3: Preferred Brand NameNot offered$141 copay$131 copay
Tier 4: Non-Preferred Brand NameNot offered$300 copay$290 copay
Tier 5: Specialty TierNot offered29% coinsurance29% coinsurance

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Care for older adults – medication review
Care for older adults – functional status assessment
Care for older adults – Pain screening
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

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

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physicians that accept UnitedHealthcare MedicareComplete Choice (Regional PPO) for Arkansas

/
Please select the correct zip
Abdelal, Ahmed
View All Details
Badhwar, Anil
View All Details
Snyder, Stephen
View All Details
Jenson, Charles
View All Details
Hop Skip And Jump Inc
View All Details
Budhraja, Madhu
View All Details
Budhraja, Meenakshi
View All Details
Crawford, Stanley
View All Details
Crowell, Karen
View All Details
Eubanks, Chenia
View All Details
Caruthers, Carol
View All Details
Wolverton, John
View All Details
Kuperman, Irving
View All Details
Carney, John
View All Details
John, Christopher
View All Details
Calderon, Vincent
View All Details
Jeffers Perry, Robin
View All Details
Lipke, Jay
View All Details
Norton, Brian
View All Details
Gordon, Eric
View All Details
Schock, Ethan
View All Details
Andersson, Jeanine
View All Details
Peek, Richard
View All Details
Newbern, David
View All Details
Ahmed Abdelal, M.D.
View All Details
  • Phone Number
    (501) 455-7021
  • Office Locations
    11321 Interstate 30
    Little Rock, AR 72209
11321 Interstate 30 Little Rock AR, 72209
WellCare Premier (PPO)
COST:from $0CMS Rating:Not Rated
Select
Cigna-HealthSpring Preferred AR (HMO)
COST:from $0CMS Rating:
Select
HumanaChoice H5216-139 (PPO)
COST:from $0CMS Rating:
Select
Advantra Freedom (PPO)
COST:from $0CMS Rating:
Select
AARP MedicareComplete Plan 1 (HMO)
COST:from $0CMS Rating:Not Rated
Select

get free advice

Speak With A Licensed Agent

Call (800) 931-6467

Learn More

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.

Medicare Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.