Federal Reserve Bank 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)

Annual medical deductible $0

Annual out-of-pocket maximum

$1,000

Office and clinic visits

$15 copay

Hospital services (inpatient)

$100 copay

Hospital services (outpatient)

$50 copay

Prescription drug coverage

Tier 1: $7 copay
Tier 2: 30% coinsurance up to a max $45
Tier 3 & 4: 30% coinsurance up to a max $50

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Group retiree benefits for Federal Reserve Bank

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IMPORTANT DATES

2021 Open Enrollment Period

Began: 10/12/2020
Ended: 10/30/2020


Benefits effective January 1, 2021
.

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Last updated: 07.20.2021 at 12:01 AM CT   H2001_020121FMR