Untitled - UnitedHealthcare MedicareRx for Groups (PDP)

UNITEDHEALTH Rx BASIC
You can protect yourself against rising drug costs
with Medicare’s Part D coverage
• Medicare Part D is a voluntary prescription drug insurance
program offered through Medicare.
• You must enroll through a private insurance company
or health plan provider to enjoy the benefits of coverage.
• 16 million enrolled in a Medicare Part D
prescription drug plan since January 1, 2006. 1
• Helps you manage money spent on health care.
• Helps give you peace of mind.
1 Ovations Part D Market Share and Enrollment Analysis from CMS data: May 2007.
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UNITEDHEALTH Rx BASIC
Why we choose to work with UnitedHealth Rx Basic
United HealthCare Insurance Company and its affiliates (“UnitedHealthcare”)
have more individuals enrolled in Medicare Part D plans than any other
company. 1
• 60,000 network pharmacies nationwide.
• Convenient 90-day supplies through most participating retail pharmacies.
• Customer Service 24 hours a day, 7 days a week.
• Simple and predictable copays.
1 Ovations Part D Market Share and Enrollment Analysis from CMS data: May 2007.
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UNITEDHEALTH Rx BASIC
A plan to fit your needs
The UNITEDHEALTH Rx BASIC plan helps you take charge of your prescription drug
costs, with predictability, convenience and ease of use. This plan is a good choice if
you take many prescription drugs or if you think your prescription drug needs will
change in the future. It includes every brand-name prescription drug or its generic
version covered by Medicare Part D. It features:
• No annual deductible.
• Stable formulary – We won’t remove
drugs during the year. 2
• Preferred Mail Service Pharmacy –
Receive a 90-day supply of your
Tier 1 medications for $0 copay. 1
No charge for standard delivery.
• Convenient payment options – Pay
your premium with electronic funds
transfer (EFT), by check, or by having
your payment deducted from your
Social Security check.
• Plan coverage in all 50 states, plus
5 U.S. territories.
1 The benefit described here applies until the total cost of your drugs (paid by UnitedHealthcare, you and others) reaches $2,700.
2 Exceptions may apply if the Centers for Medicare and Medicaid Services (CMS) requires removal of a drug, or if the market
withdrawal of a drug is announced.
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UNITEDHEALTH Rx BASIC
Now is the time for you to decide
• The Annual Enrollment period runs from November 15 – December 31
each year. This is the time you can enroll in a new plan or switch from
your current plan.
• Once you’re Medicare eligible, you may enroll in a Part D plan. If you don’t,
you may have to pay the Late Enrollment Penalty.
• The UnitedHealth Rx Basic plan helps you manage rising
drug costs.
• It’s all about helping to provide you with predictability
and peace of mind.
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UNITEDHEALTH Rx BASIC
You and the UnitedHealth Rx Basic plan
• Part D plans are a smart way to protect yourself.
• We’re working with the leader: UnitedHealthcare strives to help contribute to
a healthier society by solving health care challenges for the fastest-growing
segment of the population — Americans over the age of 50.
• Most important: You can count on my personal attention.
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UNITEDHEALTH Rx BASIC
You are not required to use the plan’s Preferred Mail Service Pharmacy to obtain a supply of your maintenance medications. You have
the option of using the Preferred Mail Service Pharmacy, a retail extended day supply pharmacy or non-preferred mail service pharmacy
in the network to obtain a supply of maintenance medications.
If you choose a retail extended day supply pharmacy or non-preferred mail service pharmacy, you may see out-of-pocket payment
differences when compared to using the Preferred Mail Service Pharmacy. You should experience no out-of-pocket payment differences
if choosing between a retail extended day supply pharmacy and a non-preferred mail service pharmacy.
Please call our Customer Care Associates 24 hours a day, 7 days a week for up-to-date information on which pharmacies are in
the network.
Your prescriptions should arrive in about seven days from the date the completed order is received by Prescription Solutions. If
Prescription Solutions needs to contact you or your prescribing physician to clarify information on your order or to request prescriptions
from your physician, delivery may take longer. If you prefer rush delivery, medications can be shipped overnight for an additional charge.
You should fill your prescriptions locally if you are out of your medications and cannot wait for your mail order prescriptions to arrive.
Standard delivery is no charge to U.S. addresses, including U.S. territories. For copay amounts, drug coverage information or general
plan questions, please call Customer Care at 1-877-286-5420, 24 hours a day, 7 days a week, TTY 1-877-730-4203.
If you qualify for extra help, you will not have a late-enrollment penalty (LEP). Also, if you have other prescription coverage at least as
good as Medicare (also known as creditable coverage), you may not be assessed a LEP.
Prescription Solutions is an affiliate of United HealthCare Insurance Company and United HealthCare Insurance Company of New York.
This Medicare Prescription Drug Plan (PDP) is insured by United HealthCare Insurance Company or United HealthCare Insurance
Company of New York for New York residents (together called “UnitedHealthcare”). UnitedHealthcare contracts with the Federal
government as a PDP sponsor.
SSPDP3072244_XUBE000
S5921_PDP3072244_000 CMS 08/2008
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