Disclaimer A–Contracting Statement
These Medicare Prescription Drug Plans (PDPs) are insured by United HealthCare Insurance Company or United HealthCare Insurance Company of New York for New York residents (together called "UnitedHealthcare"). AARP® MedicareRx Plans carry the AARP name, and UnitedHealthcare pays a fee to AARP and its affiliate for use of the AARP trademark and other services. Amounts paid are used for general purposes of AARP and its members. AARP is not the insurer. UnitedHealthcare receives rebates from drug manufacturers that it passes on to its enrollees through reductions in premiums and to Medicare to reduce Medicare program costs. UnitedHealthcare contracts with the Federal government as a PDP sponsor. All decisions about prescription drugs are between you and your physician or other health care provider.
AARP does not make prescription drug plan recommendations for individuals. You are strongly encouraged to evaluate your needs before choosing a prescription drug plan.
Disclaimer C
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, you may enroll in a PDP. Enrollees in a 1876 Cost plan may enroll in a PDP.
Disclaimer D
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 the UnitedHealthcare at 1-866-255-4835, TTY/TDD machine users should call at 1-877-730-4192, 24 hours a day/7 days a week, or visit AARPMedicareRx.com For more information, call Medicare toll free: 1-800-MEDICARE (1-800-633-4227), TTY/TDD 1-877-486-2048 (24 hours a day/7 days a week) or visit the medicare.gov Web site.
Disclaimer E
To keep your costs as low as possible, you must fill your prescriptions at a "contracted" or "network" pharmacy. The AARP MedicareRx Plans pharmacy network includes more than 60,000 network pharmacies nationwide including retail, mail order, long-term care, home infusion and I/T/U (Indian Health Service, Tribes or Urban Indian) pharmacy services. Only Native Americans and Alaska Natives have access to Indian Health Service/Tribal/Urban Indian health program I/T/U pharmacies through the AARP MedicareRx Plans pharmacy network. Those other than Native Americans and Alaska Natives may be able to access these pharmacies under limited circomstances (e.g. emergencies). 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 UnitedHealthcare at 1-866-255-4835, TTY/TDD machine users should call at 1-877-730-4192, 24 hours a day/7 days a week, or contact: AARP MedicareRx Plans, P.O. Box 29300, Hot Springs, AR 71903-0300.
Disclaimer F
Benefits, formulary, pharmacy, network premium and/or copayments/coinsurance, summary of benefits, evidence of coverage information may change on January 1 each year. Please contact UnitedHealthcare for details.
Disclaimer G
Details regarding the Exceptions, Appeal & Grievance process, including timeframes, can be found in the Evidence of Coverage. Simply go to Find a plan to view the Evidence of Coverage. This document is available in alternative formats.
Disclaimer H
You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third-party.
Disclaimer I
Medicare beneficiaries may enroll in one of the AARP MedicareRx Plans through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. For more information contact UnitedHealthcare toll-free at 1-866-255-4835, TTY/TDD machine users should call at 1-877-730-4192, 24 hours a day/7 days a week.
Disclaimer J
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). TTY/TDD machine users should call 1-877-486-2048, 24 hours a day/7days a week),
- The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD machine users should call, 1-800-325-0778, or
- Your State Medicaid Office.
Disclaimer K
All network pharmacies may not be listed in this directory. Inclusion of a pharmacy does not guarantee that the pharmacy is open, is at the same location as listed in this online directory, or is included in the network. Pharmacy network information may change on January 1, 2008. Please contact UnitedHealthcare for details.
Disclaimer L
This tool provides useful information to help you review the AARP MedicareRx Plans based on your current drug needs. This report is not a guarantee of benefits. The drug costs displayed are estimates and may vary based on the specific quantity, strength and/or dosage of the medication, the order in which you purchase your prescriptions, and the pharmacy you use. The approval of your physician is required for all prescription drugs and dosages. Your doctor will select the appropriate dose based on your condition. However, it is also important to look beyond your current needs at the insurance value of Medicare prescription drug coverage. Enrolling now gives you peace of mind because the coverage will be there even if your drug needs become more significant in the future. And any time you spend out-of-pocket more than $3,850 for 2007 or $4,050 for 2008, Medicare will pay almost all of your remaining drug costs.
Disclaimer M
AARP MedicareRx Plans contract with CMS is renewed annually, and the availability of coverage beyond the end of the current contract year is not guaranteed. Termination or non-renewal of the contract by CMS or United Healthcare Insurance Company*, as authorized by law, may end your enrollment in the plan. If this occurs, you will be able to choose another plan without incurring a late enrollment penalty, as long as you do it within the time period required.
*or United Healthcare Insurance Company of New York for New York residents
Disclaimer N
By completing the online enrollment process, you will send an actual enrollment request, will receive an acceptance or denial notice following submission of the enrollment, and will be enrolled in one of the AARP MedicareRx Plans (if approved by CMS). AARP MedicareRx Plans are open to everyone who's eligible for Medicare in the plan service area of the United States and United States territories. Specifically, a person eligible for this plan: Is entitled to Medicare benefits under Part A or enrolled in Medicare Part B; and resides in the service area of the Medicare Prescription Drug Plan; and may be enrolled in only one Medicare Prescription Drug Plan (Part D) at a time. You are not eligible for the AARP MedicareRx Plan - Enhanced if your employer or former employer pays any portion of your Medicare Part D premium.
Disclaimer O
If you are a member of a Medicare Advantage Plan (like an HMO or PPO), you may already have a prescription drug benefit from your Medicare Advantage plan that will meet your needs. By joining one of the AARP MedicareRx Plans, your membership in your Medicare Advantage plan may end. This will affect both your doctor and hospital coverage as well as your prescription drug benefits. Read the information that your Medicare Advantage plan sends you and if you have questions, contact your Medicare Advantage plan.
Disclaimer P
If you have health or prescription drug coverage through an employer or union, it is important that you talk with your group administrator before enrolling in this plan. Enrollment in this plan could either change how your current coverage works or terminate your group plan if your group coverage includes Medicare Advantage, Medicare Advantage Prescription Drug or a Prescription Drug Plan. Even if your group coverage is with our organization, your enrollment in an individual Prescription Drug Plan could affect or terminate your employer group coverage. In some cases, you may not be able to have your group coverage reinstated. To avoid potential disruption of your current group plan coverage, please discuss your intent to enroll in an individual Prescription Drug Plan and ask your group to tell you what their rules are concerning individual Prescription Drug Plan enrollment.
Disclaimer Q
You cannot be denied coverage for health reasons. Participation is voluntary. You get to decide if you want to enroll or not. If you have Medicare and Medicaid and you did not enroll in a plan by Dec. 31, 2005, you were assigned to a plan automatically. The first enrollment period ended on May 15, 2006. In subsequent years, there will be annual enrollment periods from Nov. 15 to Dec. 31. If you decide to join later, your monthly premiums may be higher because there's an additional fee for late enrollment.
Disclaimer R
For more information on the AARP MedicareRx Plans benefits please call UnitedHealthcare at 1-866-255-4835, TTY/TDD machine users should call at 1-877-730-4192, 24 hours a day/7 days a week.
Disclaimer S
1 Maintenance medications are typically those drugs you take on a regular basis for a chronic or long-term medical condition.
2 Does not apply to Specialty Tier drugs.
3 Your prescriptions should arrive in about 7 days from the date they are received by the Preferred Mail Service Pharmacy. If Prescription Solutions needs to contact you or your prescribing physician about your order, delivery may take longer. If you prefer rush delivery, medication(s) can be shipped overnight for an additional charge. You should fill your prescription(s) locally if you are out of your medication(s) and cannot wait for your mail order prescription to arrive. Delivery is free to U.S. addresses, including U.S. territories.
You are not required to use mail service to fill your maintenance medications. However, we encourage you to take advantage of the extra savings you get through the Preferred Mail Service Pharmacy. You have the option of using any retail pharmacy in the network to obtain a maintenance supply of medications. You also have the option of using the preferred mail service pharmacy, a retail extended day supply pharmacy or non-preferred mail service pharmacy in the network to obtain a maintenance supply of medications. If you choose a retail extended day supply pharmacy or non-preferred mail service pharmacy, you may see out-of-pocket payment differences when compared to using the preferred mail service pharmacy. You should experience no out-of-pocket payment differences if choosing between a retail extended day supply pharmacy and a non-preferred mail service pharmacy.
The Preferred Mail Service benefit described here applies during the initial coverage period and after the annual deductible is met.
For copay amounts, drug coverage information, or general plan questions, please call the number located on the back of your member ID card.
RxSolutions, Inc., d/b/a Prescription Solutions, and Prescription Solutions Mail Order Pharmacy are affiliates of UnitedHealthcare Insurance Company and the United Health Care Insurance Company of New York.
