The UnitedHealthcare Medicare Advantage plans cover features and benefits in addition to those included in Original Medicare. Residents in some areas have several plans from which to choose. The plans often include an integrated Medicare Part D prescription drug benefit.
Preferred Provider Organization (PPO) plans offer members access to a network of contracted physicians and hospitals, but also allow them the flexibility to seek covered services from outside of the contracted network, usually at a higher cost. Members do not need a referral for specialty care.
- Care Improvement Plus Medicare Advantage (PPO)
- Care Improvement Plus Gold Rx (PPO SNP)
PPO plans are available as either local PPO (certain counties within a state) or regional PPO (RPPO) offerings. RPPOs serve a larger geographic area - either a single state or a multi-state area. RPPOs offer the same premiums, benefits and cost-sharing requirements to all members in the region.
ǂ No Part D drug coverage available in these plans.
Tools & Resources
- Medicare Advantace Prior Authorization Reduction Frequently Asked Questions
- Medicare Non-Contracted Provider Dispute/Appeal Rights
- Medicare Advantage Non-Participating Provider Claim Payment Dispute Request Form
- UnitedHealthcare Medicare Advantage Primary Care Provider Change Request Form
- 2017 Medicare Advantage Preventive Services Coding Guidelines
- 2018 Medicare Advantage Service Area Reduction Frequently Asked Questions
- 2016 Optum Behavioral Health Referral Process
- 2017 UnitedHealthcare Medicare Advantage Plans - Benefit Plan Name Overview
To learn more about UnitedHealthcare Medicare Advantage plans offered in your area, please visit UHCMedicareSolutions.com and enter your ZIP code.
To learn more about Medicare Part D prescription drug coverage or to access related forms, please review the materials available on UHCMedicareSolutions.com under Our Plans > Medicare Advantage Plans > What Do I Need to Know? > Medicare Advantage Plan Information and Forms.