UnitedHealthcare Medicare Advantage Plan 1 (HMO)

H0755-030-0

UnitedHealthcare Medicare Advantage Plan 1 (HMO)

plan information last updated September 14, 2022

Company: UnitedHealthcare
Plan enrollment: 4,967
Total monthly premium: $67
Max annual payment: No Maximum Payment
Plan link on Medicare.gov: Plan on Medicare.gov
Plan website: www.UHCMedicareSolutions.com
Plan member phone number: 800-711-0646
Plan prospect phone number: 800-555-5757

OTC Hearing Aid Coverage

Supplemental OTC Benefit Amount Per Period: $60.00
Benefit Amount is Every: Every three months
Can The Benefit Rollover Periods? No
Total Annual OTC Supplmental Benefit: $240.00

IMPORTANT NOTE:

Plans may not include hearing aids in their eligible OTC supplemental items. Please call the plan to verify if they include hearing aids in their OTC supplement catalog.

Prescription Hearing Aid Coverage

Does plan cover hearing aids?: Yes
How many hearing aids does the plan allow? 2 per Every year
What is the max coverage amount? No maximum
Is the benefit ONLY available in-network? Can be out of network
Is there a maximum out of pocket cost? No out of pocket maximum
Does the member have to pay Coinsurance? No coinsurance required
Is a CoPay required? Yes
Minimum CoPay: $375
Maximum CoPay: $1,425
Is Prior Authorization Needed? Yes
Is Physician Referral Needed? No

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