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 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 and costs

UnitedHealthcare® Group Medicare Advantage (PPO)

UnitedHealthcare® Group Medicare Advantage (PPO)
Annual medical deductible

$150
Annual medical deductible

$150
Annual out-of-pocket maximum

$1, 200
Annual out-of-pocket maximum

$1, 200
Office and clinic visits

4% coinsurance after deductible
Office and clinic visits

4% coinsurance after deductible
Virtual medical visits

$0 copay

Virtual visit Introduction
Virtual medical visits

$0 copay

Virtual visit Introduction
Hospital services (inpatient)

$200 copay per admission
Hospital services (inpatient)

$200 copay per admission
Hospital services (outpatient)

4% coinsurance after deductible
Hospital services (outpatient)

4% coinsurance after deductible
Urgent care

$25 copay
Urgent care

$25 copay
Emergency room

$120 copay
Emergency room

$120 copay
Hearing aid

$500 allowance

Hearing aid reimbursement claim form
Hearing aid

$500 allowance

Hearing aid reimbursement claim form

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.