2018 AARP MedicareComplete Essential (HMO) H5253-40-0 in NC from UnitedHealthcare | HealthPocket

AARP MedicareComplete Essential (HMO)

Medicare Advantage Plan for North Carolina

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderUnitedHealthcare
Plan IDH5253-40-0
CMS Rating1
Plan TypeHMO
Annual Deductible$0.00

What To Know About This Plan

  • This is a health coverage only plan with no drug coverage

Why We Like This Plan

  • has no additional premium costs outside of your Medicare Part B premium

Plan Details

Costs and Other Important Information

Plan Year:2018
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$0

Coverage Area for AARP MedicareComplete Essential (HMO)

StateNorth Carolina
CountyCabarrus

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
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

Physician Finder

Physicians that accept AARP MedicareComplete Essential (HMO) for North Carolina

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Smith, Terri
10220 Prosperity Park Dr Ste 300
Charlotte, NC 28269
Jones, Karen
1221 Elrond Dr Nw
Charlotte, NC 28269
Conroy, Rosolena
10220 Prosperity Park Dr Ste 300
Charlotte, NC 28269
Freeman, Kevin
5727 Prosperity Crossing Dr.
Charlotte, NC 28269
Rupe, Carol
3230 Prosperity Church Rd
Charlotte, NC 28269
Takahashi, Rebecca
5727 Prosperity Crossing Dr.
Charlotte, NC 28269
Hillman, Vincent
10616 Metromont Pkwy
Charlotte, NC 28269
Tedrow, Umpai
7004 Smith Corners Blvd
Charlotte, NC 28269
Wolyniak, Joseph
7004 Smith Corners Blvd
Charlotte, NC 28269
Watson, Pierce
4458 Antelope Ln
Charlotte, NC 28269
Kilbane, Sheila
8605 Cliff Cameron Dr
Charlotte, NC 28269
Madsen, Christian
9200 West Wt Harris Boulevard
Charlotte, NC 28269
Siddiqui, Huma
8601 University East Drive
Charlotte, NC 28213
Henson, Gala
251 Eastway Dr
Charlotte, NC 28213
James, Felice
251 Eastway Dr
Charlotte, NC 28213
Mehta, Anita
2225 East W T Harris Blvd
Charlotte, NC 28213
Idlibi, Omar
1815 Back Creek Dr
Charlotte, NC 28213
Banks, Rachel
251 Eastway Dr
Charlotte, NC 28213
Stokes, Monique
1601 Brenner Ave
Salisbury, NC 28144
Details
Terri Smith, MD
Phone Number
(704) 316-1491
Office Locations
10220 Prosperity Park Dr Ste 300
Charlotte, NC 28269
10220 Prosperity Park Dr Ste 300 Charlotte NC, 28269

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