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Coverage and benefits
View plan details and costs and see what additional benefits may be available.
UnitedHealthcare® Group Medicare Advantage (PPO)
2027 materials
Plan materials
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Plan guide - Coming soon
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Summary of Benefits - Coming soon
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.
Benefits and costs
| Benefit |
UnitedHealthcare Group Medicare Advantage (PPO) |
|---|---|
|
UnitedHealthcare Group Medicare Advantage (PPO) |
|
| Annual medical deductible |
$0 |
| Annual medical deductible | |
|
$0 |
|
| Annual out-of-pocket maximum |
$2,590 |
| Annual out-of-pocket maximum | |
|
$2,590 |
|
| Office and clinic visits |
$0 copay for PCP |
| Office and clinic visits | |
|
$0 copay for PCP |
|
| Hospital services (inpatient) |
$320 copay per admit |
| Hospital services (inpatient) | |
|
$320 copay per admit |
|
| Hospital services (outpatient) |
$100 copay |
| Hospital services (outpatient) | |
|
$100 copay |
|
| Ambulance |
$50 copay |
| Ambulance | |
|
$50 copay |
|
| Emergency Room |
$100 copay |
| Emergency Room | |
|
$100 copay |
|
| Urgent Care |
$35 copay |
| Urgent Care | |
|
$35 copay |
|
| Hearing Aid Allowance |
$500 every 3 years |
| Hearing Aid Allowance | |
|
$500 every 3 years |
|
| Routine Podiatry Visits |
$10 up to 6 per year |
| Routine Podiatry Visits | |
|
$10 up to 6 per year |
|
| Dental |
Deductible - $50 |
| Dental | |
|
Deductible - $50 |
|
| Vision |
Eye exam (refraction) - $0 copay |
| Vision | |
|
Eye exam (refraction) - $0 copay |
|
| FItness Program |
Renew Active, a health and fitness program - $0 copay Includes a standard monthly membership at participating fitness locations. |
| FItness Program | |
|
Renew Active, a health and fitness program - $0 copay Includes a standard monthly membership at participating fitness locations. |
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.