MedicarePartD.guide

A non-government resource built from CMS public data

AARP Medicare Rx Preferred from UHC (PDP)

Contract S5820, plan 035, segment 0 · offered by UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY · CMS PDP Region 36 (Guam).

Plan features

Monthly premium$0.00
Annual deductible$615.00
Drug benefit type—
$0 premium with full LIS—
Premium with Extra Help (LIS)—
Formulary drugs3,593
Formulary exception tier—
Mail order offered—
Plan reach—
Members in Guam—
Members nationally—
Member services—
BIN / PCN—

CMS star ratings

Summary rating
3 out of 5 stars for Summary rating
Customer service
—
Member experience
—
Drug pricing & patient safety
—

Formulary tiers — preferred pharmacy, initial coverage phase

TierCost-sharingDrugs on tier
Tier 125%—
Tier 225%—
Tier 325%—
Tier 425%—
Tier 525%—

Cost-sharing by coverage phase

Tier30-day supply90-day supply
PreferredStandardMail OrderPreferredStandardMail Order
Initial coverage phase
Tier 1: Preferred Generic25%25%25%25%25%25%
Tier 2: Generic25%25%25%25%25%25%
Tier 3: Preferred Brand25%25%25%25%25%25%
Tier 4: Non-Preferred Drug25%25%25%25%25%25%
Tier 5: Specialty Tier25%25%25%25%25%25%
Catastrophic coverage phase
Tier 1: Preferred Generic0%0%0%0%0%0%
Tier 2: Generic0%0%0%0%0%0%
Tier 3: Preferred Brand0%0%0%0%0%0%
Tier 4: Non-Preferred Drug0%0%0%0%0%0%
Tier 5: Specialty Tier0%0%0%0%0%0%