Nokia Group Retiree – 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.

To learn more about your benefits, contact the Nokia Benefits Center at 1-888-232-4111, 9 a.m. – 5 p.m. ET, Monday through Friday.

UnitedHealthcare® Group Medicare Advantage
(PPO) - MGMT

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UnitedHealthcare® Group Medicare Advantage
(PPO) - FRR

Benefits and costs
UnitedHealthcare® Group
Medicare Advantage (PPO) –
Management Plan
UnitedHealthcare® Group
Medicare Advantage (PPO) –
Formerly Represented Retirees

Annual medical deductible

$290

$300

Annual out-of-pocket maximum

$3,290

$1,700

Office and clinic visits

$15 after deductible copay for primary care

20% after deductible coinsurance for specialist visit

20% after deductible coinsurance for primary care

20% after deductible coinsurance for specialist visit

Hospital services (inpatient)

20% per admission after deductible coinsurance

10% per admission after deductible coinsurance

Hospital services (outpatient)

20% after deductible coinsurance for surgery and observation

20% after deductible coinsurance for all other procedures

10% after deductible coinsurance for surgery and observation

20% after deductible coinsurance for all other procedures

Urgent care

$30 copay inside and outside U.S.

$30 copay inside and outside U.S.

Prescription drug coverage

Retail (34-day supply)

Tier 1 $15 copay
Tier 2 $30 copay
Tier 3 $50 copay
Tier 4 $65 copay

Mail Order (90-day supply)

Tier 1 $30 copay
Tier 2 $60 copay
Tier 3 $100 copay
Tier 4 $130 copay

 

 

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Group retiree benefits for Nokia

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IMPORTANT DATES


2021 Open Enrollment Period


Formerly Represented

Access Direct Kits
Began: 10/12/2020
Ended:
 10/30/2020

YBR Online Only Enrollment

Began: 10/12/2020
Ended:
10/18/2020

YBR Online and NBRC Enrollment

Began: 10/19/2020
Ended:
10/30/2020


Management

Access Direct Kits
Began: 9/21/2020
Ended:
 9/21/2020

YBR Online Only Enrollment

Began: 9/21/2020
Ended:
9/27/2020

YBR Online and NBRC Enrollment

Began: 9/28/2020
Ended:
 10/9/2020

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Last updated: 07.20.2021 at 12:01 AM CT  H2001_020421BMR