AARP® MedicareComplete® SecureHorizons Plan 2 (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.
|In network out of pocket maximum:||$4,900|
|Primary doctor copay:||$10|
|Inpatient hospital visits:||$220 copay per day for days 1 - 8. You pay nothing per day for days 9 - 90. You pay nothing per day for days 91 and beyond.|
|No copay for many health screening and preventive services|
|Preferred generic drug copay:||$2|
|Non-preferred generic drug copay||$12|
|Large pharmacy network|
|Routine foot care copay:||$25 per Medicare-covered visit|
|Routine hearing exam copay:||$10|
|Hospital||Memorial Medical Center|
|Sutter Medical Network||Yes|
|Skilled Nursing||$0 days 1 - 20, $160 copay per day for days 21 - 51, $0 per day for days 52 - 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.