Coverage and benefits

Get a quick overview of your plan benefits and costs and find more detailed information about additional benefits and programs.

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.

 

UnitedHealthcare® Group MedicareRx for Groups (PDP)

2025 materials

Benefits and costs

Benefits and costs
Benefit UnitedHealthcare® MedicareRx for Groups (PDP)
Prescription drug coverage

Retail

Tier 1: $0 copay
TIer 2: 25%
Tier 3: 25%
Tier 4: 25%

Mail Order

Tier 1: $0 copay
Tier 2: 25%
Tier 3: 25%
Tier 4: 25%

$590 rx deductible applies to Tiers 2-4
Optum Rx is an affiliate of UnitedHealthcare Insurance Company. You are not required to use Optum® Home Delivery Pharmacy for a 90-100 day supply of your maintenance medication.

Rx Maximum out of pocket $2,000

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.