Coverage and benefits

The Medicare plans with more benefits and personalized care

Important Information about your Part D Vaccine and Insulin Coverage 

What You Pay for Vaccines – Our plan covers most adult Part D vaccines at no cost to you.

What You Pay for Insulin – You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan. Refer to your plan materials.

 

AT&T Group Medicare Advantage (PPO) Plans

Get information about your plan options and what you can expect next – click on the links below that apply to you.

2025 materials

When you choose one of the AT&T Group Medicare Advantage (PPO) Plans, you’re selecting a plan you can’t get anywhere else. These plans have an exclusive combination of benefits designed to help you get the most from your retirement, including:

  • A $900 annual out-of-pocket maximum for medical, which may be lower than your current plan.
  • In-home wellness visits with UnitedHealthcare® HouseCalls
  • Anytime medical advice through 24/7 Nurse Support
  • A free gym membership at a fitness location you select from a nationwide network, including many premium gyms. Visit UHCRenewActive.com to find a fitness location near you.
  • Rewards for certain health care activities
  • Discounts on hearing aids through UnitedHealthcare® Hearing
  • Post-discharge meals and post-discharge transportation
  • 8 hours of free in-home care support each month from a network of pre-screened, professional caregivers through CareLinx
  • Special programs for chronic conditions like diabetes or heart disease
  • Routine chiropractic and acupuncture services
  • Virtual doctor and behavioral health visits

Benefits and costs

Plan options and costs
Benefits

AT&T Group Medicare Advantage (PPO) Plan

AT&T Group Medicare Advantage (PPO) Plus Plan

AT&T Group Medicare Advantage (PPO) Plan

AT&T Group Medicare Advantage (PPO) Plus Plan

Annual medical deductible

$125

$125

Annual medical deductible

$125

$125

Annual out-of-pocket maximum

$900

$900

Annual out-of-pocket maximum

$900

$900

Office and clinic visits

$20 copay primary care

$40 copay specialist visit

$0 copay virtual doctor visit

$20 copay primary care

$40 copay specialist visit

$0 copay virtual doctor visit

Office and clinic visits

$20 copay primary care

$40 copay specialist visit

$0 copay virtual doctor visit

$20 copay primary care

$40 copay specialist visit

$0 copay virtual doctor visit

Hospital services (inpatient)

$125 copay per admit 

$125 copay per admit 

Hospital services (inpatient)

$125 copay per admit 

$125 copay per admit 

Hospital services (outpatient)

$250 copay

$250 copay

Hospital services (outpatient)

$250 copay

$250 copay

Prescription drug coverage

Tier 1: $0 copay 

Tier 2: 25%

Tier 3: 25%

Tier 4: 25%

Tier 5: 25%

$2,000 Rx Max out of pocket

$590 Deductible (only applies to Tiers 2-5)

Tier 1: $0 copay 

Tier 2: 25%

Tier 3: 25%

Tier 4: 25%

Tier 5: 25%

$2,000 Rx Max out of pocket

$590 Deductible (only applies to Tiers 2-5)

Prescription drug coverage

Tier 1: $0 copay 

Tier 2: 25%

Tier 3: 25%

Tier 4: 25%

Tier 5: 25%

$2,000 Rx Max out of pocket

$590 Deductible (only applies to Tiers 2-5)

Tier 1: $0 copay 

Tier 2: 25%

Tier 3: 25%

Tier 4: 25%

Tier 5: 25%

$2,000 Rx Max out of pocket

$590 Deductible (only applies to Tiers 2-5)

Dental

NA

100% coverage for preventive care 

80% coverage for basic dental services 

50% coverage for major dental services 

 $50 deductible**, $1,000 plan year maximum

Dental

NA

100% coverage for preventive care 

80% coverage for basic dental services 

50% coverage for major dental services 

 $50 deductible**, $1,000 plan year maximum

Vision

$0 copay for routine vision 1 exam every 12 months

$0 for 1 routine exam every 12 months

$150 Eyeglasses or Contact Lenses Allowance annually

Vision

$0 copay for routine vision 1 exam every 12 months

$0 for 1 routine exam every 12 months

$150 Eyeglasses or Contact Lenses Allowance annually

Hearing Aid

$0 copay for routine hearing exam every 12 months

$4,000 Hearing Aid Allowance every 3 years

Hearing Aid

$0 copay for routine hearing exam every 12 months

$4,000 Hearing Aid Allowance every 3 years

Important 2025 changes explained

For 2025, all stand-alone Medicare prescription drug plans and Medicare Advantage plans with prescription drug coverage will be impacted by changes made by the federal government. This video provides an overview of those changes.

**Preventive and diagnostic services are not included in the deductible.

Preventive services

The following preventive services are covered under your plan for a $0 copay when you visit your primary care provider:

  • Annual Wellness Exam
  • Annual Routine Physical
  • Screenings for certain Cancers (prostate, colorectal, breast cancer)
  • Screening for Diabetes
  • Smoking and Tobacco Use Cessation

For more information about these preventive services, please call the Customer Service number on your member ID card.

Disclaimer

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.