AARP MedicareComplete (HMO)

Medicare Advantage Plan for New Mexico

select spinner
PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderUnitedHealthcare
Plan IDH6526-2-0
CMS RatingNot Rated1
Plan TypeHMO
Annual Deductible$300.00

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

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)
$5,000 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
$325 for days 1 through 5
$0 for days 6 through 90
$0 for days 91 and beyond
Outpatient hospital coverage
$325 per visit
Doctor visits
Primary:
$0 copay
Specialist:
$50 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:
$12
Mental health services
$325 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 52
$0 for days 53 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:
$50
Routine foot care:
$50
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 (HMO)

StateNew Mexico
CountyBernalillo

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$12 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 offered27% coinsuranceNot offered
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offered$6 copay$0 copay
Tier 2: Non-Preferred GenericNot offered$36 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 offered27% coinsurance27% coinsurance

Physician Finder

Physicians that accept AARP MedicareComplete (HMO) for New Mexico

/
DOZEMAN, LYNN
6900 GONZALES RD SW
ALBUQUERQUE, NM 87121
DIAZ, FREDIE
3900 LAS ESTANCIAS CT SW
ALBUQUERQUE, NM 87121
BUXTON, BENJAMIN
6900 GONZALES RD SW
ALBUQUERQUE, NM 87121
CANDELARIA, DELFINO
6900 GONZALES RD SW
ALBUQUERQUE, NM 87121
VALDEZ, CELIA
301 UNSER BLVD NW
ALBUQUERQUE, NM 87121
HAWKES, ELIZABETH
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
TIMOCK, JOSHUA
3436 ISLETA BLVD SW
ALBUQUERQUE, NM 87105
MACIAS, SANTIAGO
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
SHELLEY, BRIAN
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
ROMERO, ANGELA
2001 CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
CHAVEZ, RHONDA
3436 ISLETA BLVD SW
ALBUQUERQUE, NM 87105
CHERUKURI, LEENA
3436 ISLETA BLVD SW
ALBUQUERQUE, NM 87105
NAPOLEONE, ROBIN
PMG ISLETA
ALBUQUERQUE, NM 87105
FONTANA, SANTANA
3436 ISLETA BLVD SW
ALBUQUERQUE, NM 87105
LAMON, EDWARD
3436 ISLETA BLVD SW
ALBUQUERQUE, NM 87105
BENTON, CHARLES
PMG ISLETA
ALBUQUERQUE, NM 87105
ARCHULETA, MANUEL
PMG ISLETA
ALBUQUERQUE, NM 87105
KASSICIEH, SAMIR
1010 BRIDGE BLVD SW STE A
ALBUQUERQUE, NM 87105
HOCKIN, BENJAMIN
4201 CENTRAL AVE NW STE K2
ALBUQUERQUE, NM 87105
GALLEGOS-MACIAS, ANGELA
PMG ISLETA
ALBUQUERQUE, NM 87105
PEREZ-ABELE, NORMA
3436 ISLETA BLVD. SW
ALBUQUERQUE, NM 87105
JACOBSOHN, VANESSA COOK
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105
KAUFMAN, WILL
2001 N. CENTRO FAMILIAR SW
ALBUQUERQUE, NM 87105
DUARTE, RAMON
4201 CENTRAL AVE NW
ALBUQUERQUE, NM 87105
Details
LYNN DOZEMAN, MD
Phone Number
(505) 831-2534
Office Locations
6900 GONZALES RD SW
ALBUQUERQUE, NM 87121
6900 GONZALES RD SW ALBUQUERQUE NM, 87121

Similar Plans

PremiumPlan NameCMS Rating
from $12
Aetna Medicare Rx Select (PDP)
Details
from $28
SilverScript Choice (PDP)
Details
from $0
Humana Gold Plus H2649-029 (HMO)
Details
from $0
Blue Cross Medicare Advantage Basic (HMO)
Details
from $22
Express Scripts Medicare - Saver (PDP)
Details

Related Articles

Related Searches

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.

{}