Coverage and benefits

Get a quick overview of your plan benefits and costs and find more detailed information about additional benefits and programs.

UnitedHealthcare® Group Medicare Advantage (PPO)

2024-25 materials

Plan Materials

Preventive services

The following preventive services are covered under your plan for a $0 copay when you visit your primary care provider:

  • Annual Wellness Exam
  • Annual Routine Physical
  • Screenings for certain Cancers (Prostate, colorectal, breast cancer)
  • Screening for diabetes
  • Smoking and Tobacco Use Cessation

For more information about these preventive services, please call the Customer Service number on your member ID card.

Benefits and costs

Plan options and costs
Benefits

UnitedHealthcare® Group Medicare Advantage (PPO)

UnitedHealthcare® Group Medicare Advantage (PPO)
Annual medical deductible

$0
Annual medical deductible

$0
Annual out-of-pocket maximum

$1,800
Annual out-of-pocket maximum

$1,800
Office and clinic visits

$20 copay for primary care
$35 copay for specialist visit
Office and clinic visits

$20 copay for primary care
$35 copay for specialist visit
Hospital services (inpatient)

$200 per day copay for days 1 – 5
$0 copay for days 6 - unlimited
Hospital services (inpatient)

$200 per day copay for days 1 – 5
$0 copay for days 6 - unlimited
Hospital services (outpatient)

$100 copay
Hospital services (outpatient)

$100 copay
Hospital services (outpatient services not related to surgery)

$0 copay
Hospital services (outpatient services not related to surgery)

$0 copay

Disclaimer

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the costsharing that applies to out-of-network services.