AARP Medicare Rx Preferred from UHC (PDP)
Contract S5921, plan 412, segment 0 · offered by UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY · CMS PDP Region 31 (Utah) · see other plans.
- ✉ Email a copy of the plan benefit details
- Benefits in plain text
- Cost-sharing for all pharmacies and tiers
- Star rating details
- Formulary on the plan's website
- Browse the AARP Medicare Rx Preferred from UHC (PDP) formulary (drug list)
- Look up a drug's cost in this plan
Renewed for 2026. CMS carries this plan forward from 2025 under the same id. See every 2025 → 2026 change.
Plan features
| Monthly premium | $132.60 |
|---|---|
| — basic (standard) part | $98.20? |
| — supplemental (enhanced) part | $34.40 |
| Annual deductible | $130.00Tier 1 and 2 exempt |
| Out-of-pocket threshold | $2,100.00 |
| Drug benefit type | Enhanced Alternative? |
| $0 premium with full LIS | No |
| Premium with Extra Help (LIS) | $95.00? |
| LIS benchmark status | Not applicable — enhanced plan |
| Formulary drugs | 3,593 |
| Formulary exception tier | Tier 4? |
| Has a tier the deductible does not apply to | Yes |
| Plan reach | National plan |
| Members in Utah | at least 7,4394 counties suppressed by CMS (under 11 enrollees) |
| Members nationally | 13,142 |
| Member services | (866)870-3470TTY 711 |
| Pharmacy search | AARPMedicarePlans.com |
| BIN / PCN | 610097 / 9999?See BIN/PCNs for all plans |
The plan’s own pages: Plan website · Formulary · Pharmacy directory
CMS star ratings
- Part D summary rating
- 2 out of 5 stars for Part D summary rating
- Customer service
- 5 out of 5 stars for Customer service
- Member experience
- 1 out of 5 stars for Member experience
- Drug pricing & patient safety
- 2 out of 5 stars for Drug pricing & patient safety
Published per contract, which is how CMS scores them — every plan under contract S5921 shares this rating. How the ratings work
Formulary tiers — preferred pharmacy, initial coverage phase
| Tier | Cost-sharing | Drugs on tier |
|---|---|---|
| Tier 1 · Preferred Generic | $5.00 | 267 |
| Tier 2 · Generic | $10.00 | 632 |
| Tier 3 · Preferred Brand | 17% | 1,040 |
| Tier 4 · Non-Preferred Drug | 36% | 952 |
| Tier 5 · Specialty Tier | 31% | 702 |
Cost-sharing by coverage phase
| Tier | 30-day supply | 90-day supply | ||||
|---|---|---|---|---|---|---|
| Preferred | Standard | Mail Order | Preferred | Standard | Mail Order | |
| Initial deductible phase | ||||||
| Tier 1: Preferred Generic | $5.00 | $13.00 | n/a | $15.00 | $39.00 | $0.00 |
| Tier 2: Generic | $10.00 | $18.00 | n/a | $30.00 | $54.00 | $0.00 |
| Initial coverage phase | ||||||
| Tier 1: Preferred Generic | $5.00 | $13.00 | n/a | $15.00 | $39.00 | $0.00 |
| Tier 2: Generic | $10.00 | $18.00 | n/a | $30.00 | $54.00 | $0.00 |
| Tier 3: Preferred Brand | 17% | 17% | n/a | 17% | 17% | 17% |
| Tier 4: Non-Preferred Drug | 36% | 41% | 36% | n/a | n/a | n/a |
| Tier 5: Specialty Tier | 31% | 31% | 31% | n/a | n/a | n/a |
| Catastrophic coverage phase | ||||||
| Tier 1: Preferred Generic | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 2: Generic | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 3: Preferred Brand | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 4: Non-Preferred Drug | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 5: Specialty Tier | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Benefits in plain text
AARP Medicare Rx Preferred from UHC (PDP) (S5921-412-0) is a 2026 Medicare Part D prescription drug plan offered by UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY in Utah (CMS PDP Region 31).
The plan has a monthly premium of $132.60 and an annual drug deductible of $130.00. Tier 1 and 2 exempt.
Its drug benefit type is Enhanced Alternative.
With full Extra Help (the Low-Income Subsidy), the monthly premium is $95.00.
The plan's formulary lists 3,593 drugs.
At a preferred pharmacy in the initial coverage phase, a 30-day supply costs tier 1 (Preferred Generic): $5.00; tier 2 (Generic): $10.00; tier 3 (Preferred Brand): 17%; tier 4 (Non-Preferred Drug): 36%; tier 5 (Specialty Tier): 31%.
CMS gives the plan's contract (S5921) a Part D summary rating of 2 out of 5 stars.
Email a copy of the plan benefit details
Plan facts come from the CMS quarterly prescription drug plan public use files.