Have a higher actuarial value than basic plans. Prescription Drug Plan Costs & BenefitsĪARP Medicare Advantage Harmony includes an enhanced benefit Medicare Part D plan (PDP). Prosthodontics, other oral/maxillofacial surgery, other services (In-Network)Įyeglasses (frames and lenses) (In-Network)įeel free to download our AARP Medicare Advantage Harmony Summary of Benefits information.ĭo you have questions about the costs with this plan? Call 1-85 (TTY 711) to learn more about this Medicare Advantage plan (H0543-151-0) and other plans on this site. Prosthodontics, other oral/maxillofacial surgery, other services (Out-of-Net) (referral required, authorization required, limits may apply) (authorization required, limits may apply) Prosthetics (e.g., braces, artificial limbs) (In-Network)ĭiagnostic Procedures / Lab Services / Imagingĭiagnostic tests and procedures (In-Network) Physical therapy and speech and language therapy visit (In-Network) Inpatient hospital - psychiatric (Out-of-Net) Outpatient group therapy visit (In-Network) Outpatient individual therapy visit with a psychiatrist (In-Network) Inpatient hospital - psychiatric (In-Network) Outpatient individual therapy visit (In-Network) Wellness programs (e.g., fitness, nursing hotline) (referral required, authorization required) Maximum out-of-pocket enrollee responsibility (does not include prescription drugs) The following table is a summary of the most common out-of-pocket costs you will incur if you join this UnitedHealthcare plan: Healthcare Service MOOP does not include monthly premiums, prescriptions, or other extra benefits. Once you reach this amount of spending on your copayments, all of your Medicare Part A and Part B services will be covered at no additional charge for the remainder of the year. Unlike Original Medicare, Medicare Advantage plans must set an annual Maximum Out-of-Pocket (MOOP) limit on inpatient and outpatient healthcare services. The Maximum Out-of-Pocket (MOOP) with this UnitedHealthcare plan is $800. This does not include the deductible for the prescription drug plan (if any), which is detailed below. Annual DeductibleĪARP Medicare Advantage Harmony's annual health plan deductible is $0.00. The monthly premium does not include the plan's supplemental premium for add-on benefits (if available). This plan's Part B premium reduction is $0.00. Some Medicare Advantage plans include a monthly Part B premium reduction, also known as the Medicare give back. Plus, you must continue to pay your monthly Medicare Part B premium. This includes your prescription coverage, as well. Monthly PremiumĪARP Medicare Advantage Harmony's total monthly premium in County is $0.00. It is very important to compare costs and apply them to your personal financial and healthcare needs. Premiums, deductibles, and copays vary widely from plan to plan. If you qualify for Medicare but don't know where to begin, we have licensed agents at 1-85 (TTY 711) who can answer your questions and help you get enrolled.
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