CenterPoint Energy 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 services.


UnitedHealthcare®  Group Medicare Advantage (PPO)

 

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Benefits and costs

UnitedHealthcare®  Group Medicare Advantage (PPO)
Annual medical deductible $500 combined with out-of-network

Annual medical out-of-pocket maximum

$2,000 combined with out-of-network

Physician services

20% coinsurance both in- and out-of-network

Hospital services (inpatient)

$200 days 1-5 both in- and out-of-network

$0 days 6-999 both in- and out-of-network

Hospital services (outpatient)

20% coinsurance both in- and out-of-network

Prescription drug coverage

Retail:

Tier 1: $12 copay
Tier 2
: $40 copay
Tier 3
: $80 copay
Tier 4: $100 copay

Mail Service:

Tier 1: $30 copay (90-day supply)
Tier 2
: $100 copay (90-day supply)
Tier 3
: $200 copay (90-day supply)
Tier 4
: $100 copay (30-day supply)

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CenterPoint Energy

Group retiree benefits for
CenterPoint Energy retirees

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Last updated: 09.03.2021 at 12:01 AM CT  H2001_033121FMR