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AARP Medicare Rx Preferred from UHC (PDP) - S5921-397-000
$89.20
Monthly Premium
AARP Medicare Rx Preferred from UHC (PDP) is a Medicare Part D Prescription Drug Plan offered by UnitedHealthcare
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$89.20
Monthly Premium
Wisconsin Medicare beneficiaries may want to consider reviewing their Medicare prescription drug coverage options, such as a standalone Part D prescription drug plan (PDP) or a Medicare Advantage (Medicare Part C) plan that includes drug coverage.
A Part D plan can be used alongside your Original Medicare (Part A and Part B) coverage. A Medicare Advantage plan that includes drug coverage combines your Part A, Part B and Part D benefits into a single plan
Learn more about Wisconsin Medicare prescription drug plans like the one below and find a plan that offers the benefits you want at an affordable price.
AARP Medicare Rx Preferred from UHC (PDP) - S5921-397-000 Basic Costs and Coverage
| Coverage | Details |
|---|---|
| Monthly plan premium | $89.20 |
| Annual deductible | $0.00 |
| Preferred pharmacies? | Yes |
| Accepts Mail Order? | Yes |
| Star Rating | 2.5 out of 5 stars |
Prescription Drug Costs and Coverage
The AARP Medicare Rx Preferred from UHC (PDP) is a prescription drug plan which offers the following coverage:
Initial Coverage Level
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug | Tier 3 Preferred Brand Drug | Tier 4 Non-Preferred Drug | Tier 5 Specialty Tier Drug |
|---|---|---|---|---|---|
| Preferred retail | $5.00 | $10.00 | $47.00 | 40% | 33% |
| Standard retail | $13.00 | $18.00 | $47.00 | 45% | 33% |
| Preferred mail order | N/A | N/A | N/A | 40% | 33% |
| Standard mail order | N/A | N/A | N/A | 45% | 33% |
| Tiers | Tier 1 Preferred Generic Drug | Tier 2 Generic Drug | Tier 3 Preferred Brand Drug | Tier 4 Non-Preferred Drug | Tier 5 Specialty Tier Drug |
|---|---|---|---|---|---|
| Preferred retail | $15.00 | $30.00 | $141.00 | N/A | N/A |
| Standard retail | $39.00 | $54.00 | $141.00 | N/A | N/A |
| Preferred mail order | $0.00 | $0.00 | $126.00 | N/A | N/A |
| Standard mail order | $39.00 | $54.00 | $141.00 | N/A | N/A |
Plan Documents
| Links to plan documents |
Wisconsin Counties Served
- Adams
- Ashland
- Barron
- Bayfield
- Brown
- Buffalo
- Burnett
- Calumet
- Chippewa
- Clark
- Columbia
- Crawford
- Dane
- Dodge
- Door
- Douglas
- Dunn
- Eau Claire
- Florence
- Fond Du Lac
- Forest
- Gogebic
- Grant
- Green
- Green Lake
- Iowa
- Iron
- Jackson
- Jefferson
- Juneau
- Kenosha
- Kewaunee
- La Crosse
- Lafayette
- Langlade
- Lincoln
- Manitowoc
- Marathon
- Marinette
- Marquette
- Menominee
- Milwaukee
- Monroe
- Oconto
- Oneida
- Outagamie
- Ozaukee
- Pepin
- Pierce
- Polk
- Portage
- Price
- Racine
- Richland
- Rock
- Rusk
- Saint Croix
- Sauk
- Sawyer
- Shawano
- Sheboygan
- Taylor
- Trempealeau
- Vernon
- Vilas
- Walworth
- Washburn
- Washington
- Waukesha
- Waupaca
- Waushara
- Winnebago
- Wood