AARP MedicareComplete 3 (HMO)

Medicare Advantage Plan for Arkansas

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PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderUnitedHealthcare
Plan IDH3464-3-0
CMS RatingNot Rated1
Plan TypeHMO
Annual Deductible$145.00

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
Yes
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
$6,700 In-network
Other health plan deductibles?
No
Health Plan Deductible
$0
Monthly Drug Plan Premium
$17.00
Monthly Health Plan Premium
$0.00

Benefits

Service
Cost
Inpatient hospital coverage
$350 for days 1 through 5
$0 for days 6 through 90
$0 for days 91 and beyond
Outpatient hospital coverage
$295 per visit
Doctor visits
Primary:$5 per visit
Specialist:$40 per visit
Preventive care
$0 copay
Emergency care/Urgent care
Emergency:$80 per visit (always covered)
Urgent care:$30-40 per visit (always covered)
Diagnostic procedures/lab services/imaging
Diagnostic tests and procedures:20%
Lab services:$0
Diagnostic radiology services (e.g., MRI):20%
Outpatient x-rays:$14
Mental health services
$350 for days 1 through 4
$0 for days 5 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 62
$0 for days 63 through 100
Rehabilitation services
Occupational therapy visit:$40
Physical therapy and speech and language therapy visit:$40
Ambulance
$250
Transportation
Not covered
Foot care (podiatry services)
Foot exams and treatment:$40
Routine foot care:$40
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 3 (HMO)

StateArkansas
CountyPulaski

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 offered30% 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 offered30% coinsurance30% coinsurance

Physician Finder

Physicians that accept AARP MedicareComplete 3 (HMO) for Arkansas

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JOHN, CHRISTOPHER
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
CARUTHERS, CAROL
6924 GEYER SPRINGS RD
LITTLE ROCK, AR 72209
HOP SKIP AND JUMP INC
6917 GEYER SPRINGS RD
LITTLE ROCK, AR 72209
CARNEY, JOHN
11321 I-30
LITTLE ROCK, AR 72209
CROWELL, BERNARD
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
BADHWAR, ANIL
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
SNYDER, STEPHEN
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
CROWELL, KAREN
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
ABDELAL, AHMED
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
BUDHRAJA, MEENAKSHI
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
BUDHRAJA, MADHU
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
CRAWFORD, STANLEY
11401 INTERSTATE 30
LITTLE ROCK, AR 72209
WOLVERTON, JOHN
6924 GEYER SPRINGS
LITTLE ROCK, AR 72209
KUPERMAN, IRVING
5300 MABELVALE PIKE
LITTLE ROCK, AR 72209
FINLEY, LARRY
4202 S UNIVERSITY AVE
LITTLE ROCK, AR 72204
HICKS, DAVID
1000 S RODNEY PARHAM RD
LITTLE ROCK, AR 72204
CASPER, ROBERT
4202 S UNIVERSITY AVE
LITTLE ROCK, AR 72204
NUGENT, RICHARD
5800 W 10TH ST
LITTLE ROCK, AR 72204
VELEZ, LOUIS
4202 S UNIVERSITY AVE
LITTLE ROCK, AR 72204
RODGERS, CHARLES
4202 S UNIVERSITY AVE
LITTLE ROCK, AR 72204
JOHNSON, CARL
5320 W 12TH ST
LITTLE ROCK, AR 72204
RILEY, WILLIAM
4202 S UNIVERSITY AVE
LITTLE ROCK, AR 72204
JOSEPH, WILLIAM
4202 S UNIVERSITY AVE
LITTLE ROCK, AR 72204
HARGROVE, JOE
5315 W 12TH ST
LITTLE ROCK, AR 72204
FEURTADO, MARGARET
4202 S UNIVERSITY AVE
LITTLE ROCK, AR 72204
Details
CHRISTOPHER JOHN, MD
Phone Number
(501) 407-0200
Office Locations
11321 INTERSTATE 30
LITTLE ROCK, AR 72209
11321 INTERSTATE 30 LITTLE ROCK AR, 72209

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