UnitedHealthcare MedicareComplete (HMO)

Medicare Advantage Plan for Illinois

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PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderUnitedHealthcare
Plan IDH7445-4-0
CMS RatingNot Rated1
Plan TypeHMO
Annual Deductible$405.00

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)
$6,700 In-network
Other health plan deductibles?
No
Health Plan Deductible
Coming soon
Monthly Drug Plan Premium
$21.00
Monthly Health Plan Premium
$0.00

Benefits

Service
Cost
Inpatient hospital coverage
Coming soon
Outpatient hospital coverage
20% per visit
Doctor visits
Primary:20% per visit
Specialist:19% per visit
Preventive care
$0 copay
Emergency care/Urgent care
Emergency:$80 per visit (always covered)
Urgent care:$65 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:20%
Mental health services
Coming soon
Outpatient group therapy visit with a psychiatrist:20%
Outpatient individual therapy visit with a psychiatrist:20%
Outpatient group therapy visit:20%
Outpatient individual therapy visit:20%
Skilled Nursing Facility
Coming soon
Rehabilitation services
Occupational therapy visit:19%
Physical therapy and speech and language therapy visit:19%
Ambulance
20%
Transportation
Not covered
Foot care (podiatry services)
Foot exams and treatment:19%
Routine foot care:$0
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)
Not covered
Medicare Part B drugs
Chemotherapy:20%
Other Part B drugs:20%

Coverage Area for UnitedHealthcare MedicareComplete (HMO)

StateIllinois
CountyCook

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 offereds25% coinsuranceNot offered
Tier 2: Non-Preferred GenericNot offered25% coinsuranceNot offered
Tier 3: Preferred Brand NameNot offered25% coinsuranceNot offered
Tier 4: Non-Preferred Brand NameNot offered25% coinsuranceNot offered
Tier 5: Specialty TierNot offered25% coinsuranceNot offered
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offered25% coinsuranceNot offered
Tier 2: Non-Preferred GenericNot offered25% coinsuranceNot offered
Tier 3: Preferred Brand NameNot offered25% coinsuranceNot offered
Tier 4: Non-Preferred Brand NameNot offered25% coinsuranceNot offered
Tier 5: Specialty TierNot offered25% coinsuranceNot offered

Physician Finder

Physicians that accept UnitedHealthcare MedicareComplete (HMO) for Illinois

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PARIKH, SHERMI
4255 W 63RD ST
CHICAGO, IL 60629
KARPINSKI, ALINA
2701 W 68TH ST
CHICAGO, IL 60629
CALERO, ELEAZAR
4324 W 63RD ST
CHICAGO, IL 60629
FRAZIER, KENYATTA
2701 W 68TH ST
CHICAGO, IL 60629
GREER, SOLOMON
2701 W 68TH ST
CHICAGO, IL 60629
WONG, ALTON
5525 S PULASKI RD
CHICAGO, IL 60629
AGRAWAL, HARI
2701 W 68TH ST
CHICAGO, IL 60629
LINDENBERGER, MARTIN
3124 W 59TH ST
CHICAGO, IL 60629
ADEYANJU, TINUOLA
2519W 59TH ST
CHICAGO, IL 60629
CHRISTOU, THEODORE
5525 S PULASKI RD
CHICAGO, IL 60629
ULASZEK, DAVID
5525 S PULASKI RD
CHICAGO, IL 60629
LEKOVIC, MARKO
6433 S PULASKI RD
CHICAGO, IL 60629
AGRAWAL, SHRI
2701 W 68TH ST
CHICAGO, IL 60629
ATASSI, MOHAMAD
6625 S PULASKI RD
CHICAGO, IL 60629
ARRIOLA, ERMIN
4255 W 63RD ST
CHICAGO, IL 60629
DAHODWALA, MOHAMED
6441 S PULASKI RD
CHICAGO, IL 60629
AHMED, KHALID
6449 S. PULASKI
CHICAGO, IL 60629
KHO, LIM-KUY
5525 S PULASKI RD
CHICAGO, IL 60629
DARDIS, KEVIN
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
WAKIM, KARLA
2701 W 68TH ST
CHICAGO, IL 60629
JAMEN, ERIN
5525 S PULASKI RD
CHICAGO, IL 60629
ANGARITA, LUIS
4007 W 63RD ST
CHICAGO, IL 60629
JACOB, MERCEDITA
2701 W 68TH ST
CHICAGO, IL 60629
Details
SHERMI PARIKH, DPM
Phone Number
(773) 818-6622
Office Locations
4255 W 63RD ST
CHICAGO, IL 60629
4255 W 63RD ST CHICAGO IL, 60629

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