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)

2024 materials

Benefits and costs

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

Retail

Tier 1: $7 copay
TIer 2: $47 copay generic Tier 1
Tier 3: $80 copay generic Tier 1 mail-order
Tier 4: $80 copay

Mail Order

Tier 1: $15 copay
Tier 2: $90
Tier 3: $125 copay
Tier 4: $125 copay

Optum Rx is an affiliate of UnitedHealthcare Insurance Company. You are not required to use Optum Rx home delivery for a 90-100 day supply of your maintenance medication.

Rx Maximum out of pocket $2,950