Learn about the 2009 Medicare Part D UnitedHealth Rx Value plan approved by Medicare and designed to help you pay for your prescription drugs.
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Minding the coverage gap
You may be able to delay or avoid the coverage gap by working with your doctors to switch to generic drugs or other alternatives when appropriate.
You may enroll in a Medicare prescription drug plan only during specific times of the year. To learn more about all of the possible enrollment periods, call Customer Service at 1-866-783-6465, 24 hours a day, 7 days a week, (TTY users should call 711.) Or visit www.UHRxValue.com.
To keep your costs as low as possible, you must fill your prescriptions at a network pharmacy. The UnitedHealth Rx Value plan's pharmacy network includes more than 60,000 network pharmacies nationwide including retail, mail order, long-term care, home infusion and Indian Health Service, Tribes or Urban Indian (I/T/U) pharmacy services. I/T/U pharmacies are only accessible to Native Americans and Alaska Natives. They are available to other groups in limited circumstances. If you need to have your prescription filled at a pharmacy that is not in our network, there are some exceptions allowed for non-routine circumstances when a member cannot reasonably use network pharmacies. If that happens, you will need to fill out a claim form and you may not get the same level of discounts as you would through a network pharmacy. For more information about how to order your prescriptions by mail, please call Customer Service at 1-866-783-6465, 24 hours a day, 7 days a week (TTY users should call 711), or contact us at UnitedHealth Rx Value, PO Box 29106, Hot Springs, AR 71903-9106.
The UnitedHealth Rx Value plan is open to everyone who's eligible for Medicare in the plan service area of the United States. Specifically, a person eligible for this plan: 1) Is entitled to Medicare benefits under Part A or enrolled in Medicare Part B and 2) Resides in the service area of the Medicare prescription drug plan. You may be enrolled in only one Medicare prescription drug plan (Medicare Part D) at a time.
Details regarding the Exceptions, Appeals & Grievance process, including timeframes, can be found in Section 5 of the Evidence of Coverage (EOC). This document is available in alternate formats or languages.
You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.
If you are enrolled in an MA coordinated care (HMO or PPO) plan or an MA PFFS plan that includes Medicare prescription drugs, and then you enroll in a PDP, you will be automatically disenrolled from the HMO, PPO or MA PFFS plan. If you are in a Private Fee-for-Service plan (PFFS) that does not provide Medicare prescription drug coverage, or an MA Medical Savings Account (MSA) plan, or in an 1876 Cost plan, you may enroll in a PDP.
You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call:
1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users, call: 1-877-486-2048.
Or the Social Security Administration at: 1-800-772-1213, between 7 a.m. and 7 p.m., Monday through Friday. TTY users, call: 1-800-325-0778.
Or your State Medicaid Office.
Medicare beneficiaries may enroll in the UnitedHealth Rx Value plan through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. For more information contact UnitedHealth Rx Value at: 1-866-783-6465, 24 hours a day, 7 days a week. TTY users, call: 711.
By law, plan sponsors can choose to not renew its contract with CMS and CMS may also refuse to renew the contract, thus resulting in a termination or non-renewal. This may result in termination of the beneficiary's enrollment in the plan. In addition, the plan sponsor may reduce its service area and no longer offer services in the area where the beneficiary resides.
People with limited incomes may qualify for extra help to pay for their prescription drug costs. If eligible, Medicare could pay for 75% of drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don't even know it. For more information about this extra help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.
This document is available in alternate formats or languages.