AARP MedicareComplete 2 (HMO)

Medicare Advantage Plan for Arizona

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PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderUnitedHealthcare
Plan IDH0609-27-0
CMS Rating1
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
  • has no additional premium costs outside of your Medicare Part B premium
  • was the 2nd best selling plan in Maricopa in 2018

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)
$4,000 In-network
Other health plan deductibles?
No
Health Plan Deductible
$0
Monthly Drug Plan Premium
$0.00
Monthly Health Plan Premium
$0.00

Benefits

Service
Cost
Inpatient hospital coverage
$225 for days 1 through 7
$0 for days 8 through 90
$0 for days 91 and beyond
Outpatient hospital coverage
$225 per visit
Doctor visits
Primary:$0 copay
Specialist:$30 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:$2
Diagnostic radiology services (e.g., MRI):20%
Outpatient x-rays:$8
Mental health services
$225 for days 1 through 7
$0 for days 8 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:$30
Physical therapy and speech and language therapy visit:$30
Ambulance
$150
Transportation
Not covered
Foot care (podiatry services)
Foot exams and treatment:$30
Routine foot care:$30
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)

StateArizona
CountyYuma

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$2 copayNot offered
Tier 2: Non-Preferred GenericNot offered$8 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$6 copay$2 copay
Tier 2: Non-Preferred GenericNot offered$24 copay$16 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

CMS Ratings

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
Not Rated
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
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

Physician Finder

Physicians that accept AARP MedicareComplete 2 (HMO) for Arizona

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KAYE, ROBERT
1501 W 24TH ST
YUMA, AZ 85364
KHONA, RAJESH
2400 S AVENUE A
YUMA, AZ 85364
SANGHVI, ASHESH
1030 W 24TH ST
YUMA, AZ 85364
EVANGELISTA, JEMYLENE
2435 S AVENUE A STE A
YUMA, AZ 85364
LWIN, TIN
2400 S AVE A
YUMA, AZ 85364
ALROMAIHI, DALAL
2270 S RIDGEVIEW DR
YUMA, AZ 85364
THANT, DIANA
1030 W 24TH ST
YUMA, AZ 85364
SMYTHE, ROBERT
2775 S 8TH AVE
YUMA, AZ 85364
LEIFERMAN, JAMES
2400 S AVENUE A
YUMA, AZ 85364
LAU, AUGUSTINE
2375 S. RIDGEVIEW DRIVE
YUMA, AZ 85364
BELLOT, ISABEL
2851 S AVE B
YUMA, AZ 85364
COHEN, STANTON
1743 W 24TH ST
YUMA, AZ 85364
SUBBU, SONAL
2150 W 24TH ST
YUMA, AZ 85364
CLARK, RICK
1394 W 16TH ST
YUMA, AZ 85364
GALANG, TIMOTHY
1320 W 24TH ST
YUMA, AZ 85364
GROGAN, BRIAN
2911 S 8TH AVE
YUMA, AZ 85364
GASCA-HOLTZ, MARIA
2911 S 8TH AVE
YUMA, AZ 85364
MARTINEZ, ERICK
2911 S 8TH AVE
YUMA, AZ 85364
SUCIU, THOMAS
2911 S 8TH AVE
YUMA, AZ 85364
WARDA, GREGORY
2400 S AVENUE A
YUMA, AZ 85364
NGUYEN, LOC
1001 W 16TH ST
YUMA, AZ 85364
MATOS, EMILIA
1073 W 23RD ST
YUMA, AZ 85364
HOURANI, ABDULKADIR
2051 W 25TH ST
YUMA, AZ 85364
WONG, DOROTHY
1025 W 24TH ST
YUMA, AZ 85364
Details
ROBERT KAYE, M.D.
Phone Number
(928) 336-7846
Office Locations
1501 W 24TH ST
YUMA, AZ 85364
1501 W 24TH ST YUMA AZ, 85364

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