United Healthcare Medicare Complete Plan 1 Connecticut
United Healthcare Medicare Complete Plan 1 Connecticut is a Medicare Advantage plan with Prescription Drugs (MAPD). Medicare Complete Plan 1 is an HMO plan. This plan is available in all eight Connecticut counties. The plan has a $99 monthly premium. The annual out of pocket limit for medical expenses is $4,850. Primary doctor visit co-pays are $10. The specialist visit co-pay is $30. In fact, this plan does not require PCP referrals for specialist visits. Additional benefits are provided for podiatry care, hearing aids, SilverSneakers fitness program and also the NurseLine. This plan features contributions for vision exams. These plans include preventative dental coverage.
The drug plan has a co-pay plan with 5 tiers as well as a $130 deductible that applies to tiers 3,4 and 5 only. Like all other part D and MAPD drug plans in CT, a Coverage Gap (formerly called donut-hole) applies to this RX benefit. Although it is an HMO plan, the Medicare Complete Plan 1 does have the 2016 UHC Passport Program which provides access to doctors in other states on an in-network basis. Passport is not available in all states, but they do include it in the Connecticut plan. A dental benefit is also offered for an additional premium.
A Medicare Advantage Plan with Prescription Drugs (MAPD) is NOT a Medicare Supplement plan (Medigap). With an MAPD plan, Medicare is not the primary or secondary insurance. The company offering the MAPD is your primary insurance and services must be obtained through participating providers in most cases. A Medicare Supplement plan is secondary to Original Medicare and does not include Part D prescription drug coverage. With a Medicare Supplement, there is not a network but instead, the insured would go to any provider that accepts or participates with Original Medicare.
A 2016 Summary of benefits as well as a 2016 application are available in the links below. You can send applications back to us either by email at [email protected] or by fax at 203-567-6235.
Looking for a lower monthly premium? Click here to learn more about the United Healthcare Complete Plan 2.