AARP® MedicareComplete® SecureHorizons Plan 1 (HMO) 2016

This is a Medicare Advantage HMO plan underwritten by United Healthcare. This plan includes a prescription drug plan. This robust plan offers medical coverage with an emphasis on wellness and preventive care.

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Monthly premium: $99
Deductible: N/A
In-network out of pocket maximum: $4,900
Primary doctor copay: $10
Specialist copay: $10
Inpatient hospital visits: $200 for each Medicare-covered stay
No copay for many health screening and preventive services
Preferred generic drug copay: $3
Non-preferred generic drug copay $12
Large pharmacy network
Routine foot care copay: $10 per Medicare-covered visit
Routine hearing exam copay: $10
Hospital Memorial Medical Center
Sutter Medical Network Yes
Skilled Nursing You pay nothing per day for days 1 - 100

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

CVMG, through Sutter Gould Medical Foundation, is a contracted provider with UnitedHealthcare. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Other providers are available in these plans’ networks. Other providers are available in the UnitedHealthcare network.