Boeing Retirees – Review plan benefits
UnitedHealthcare®
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Review plan benefits & costs

Get a quick overview of your plan benefits and costs, and find more detailed information about additional coverage and benefit services.

UnitedHealthcare® Group Medicare Advantage
(PPO) 

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Benefits and costs UnitedHealthcare® Group Medicare Advantage (PPO) Plan 1 UnitedHealthcare® Group Medicare Advantage (PPO) Plan 2
Monthly premium $116.16 $370.30
Annual medical deductible None None
Annual  out-of-pocket maximum $2,500 None
Office and clinic visits $10 copay primary care
$30 copay specialist 
$0 copay primary care
$0 copay specialist 
Hospital services (inpatient) $100 copay per day, days 1-5
$0 copay days 6-unlimited
$0 copay
Hospital services (outpatient) $0 copay $0 copay
Urgent care $35 copay $0 copay
Emergency room $75 copay $0 copay
Prescription drug coverage

Retail

Tier 1 Preferred Generic: $8 copay
Tier 2 Preferred Brand: $30 copay
Tier 3 Non-Preferred Brand: $60 copay
Tier 4 Specialty: $60 copay

Mail Order

Tier 1 Preferred Generic: $16 copay
Tier 2 Preferred Brand: $60 copay
Tier 3 Non-Preferred Brand: $120 copay
Tier 4 Specialty: $120 copay

Retail

Tier 1 Preferred Generic: $10 copay
Tier 2 Preferred Brand: $20 copay
Tier 3 Non-Preferred Brand: $35 copay
Tier 4 Specialty: $35 copay

Mail Order

Tier 1 Preferred Generic: $20 copay
Tier 2 Preferred Brand: $40 copay
Tier 3 Non-Preferred Brand: $70 copay
Tier 4 Specialty: $70 copay

Questions? We're here to help.
Contact us   

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Boeing


Group retiree benefits for The Boeing Company

 

IMPORTANT INFORMATION

2021 Annual Enrollment Period


Began: 11/3/2020
Ended: 11/24/2020


Educational Presentation


Frequently asked questions

 

 

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Last updated: 09.03.2021 at 12:01 AM CT  H2001_020821DMR