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Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
posted at October 26, 2011 8:10 PM EDT
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Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
posted at October 27, 2011 11:26 AM EDT
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Posts: 14569
First: January 28, 2008 Last: May 17, 2013 |
Unfortunately the promises of no increase are semantics not real! AARP's approval has little real meaning so you have to look at all the other options available at your location and compare them. Medicare.gov does have a service which allows you to list your medications and then get an estimate of the cost for each insurer to compare. Karl In Response to Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.: I am so disheartened to discover that my Medicare Plan D Rx insurance that carry the AARP logo and is provided by United Healthcare Insurance Co., (for which AARP receive a royalty payment from United Health.), has a three star rating by Medicare. I expected better from a company that has AARP approval. A three star rating is average, and I don't think that is good enough to carry the AARP logo. My experience with United Health Rx plan is not a good one. As an example I will use their tier system. Tier 1 is where most affordable drugs are located, tier 5 being the most costly for consumers. I take an eyedrop for glaucoma that in 2010 was a tier one drug. In 2011 it was moved to tier 2. In 2012 it will be located on tier 3. The cost to me increasing with each step upward. I searched their newly issued Abridged Formulary and found 17 tier 1 drugs in 31 pages of listed drugs! Medicare informed members that there would be no drug coverage increases this year, yet United Health informed me my premium will increase by $5. per month in 2012. Also, I keep track of the benefit statements that I receive, and have noted that in the "what you paid" column the amounts are steadily increasing, and in the "paid by your provider" the amount is always $0.0. That is right: nothing! They just move my prescription to a highter tier that prevents them from paying while I pay co-pay as well as a monthly premium. Why? Can anyone tell me how to registera complaint with AARP, and request that they pull their logo from this not so beneficial to their members insurance provider? Posted by eMBe |
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Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
posted at November 10, 2011 2:15 PM EST
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Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
posted at December 21, 2011 5:04 PM EST
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Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
posted at January 5, 2012 8:17 AM EST
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Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
posted at January 11, 2012 3:08 PM EST
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Posts: 281
First: July 2, 2009 Last: January 9, 2013 |
In Response to Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.: I too am very disappointed with the Rx Plan endorsed by AARP. I already pay ~$350.00 every 3 months for Medicare Part B, and $103.00 per month for AARP United Healthcare Medicare Suppliment, and $90.10 every month for United Healthcare Rx Plan N. My co-pays are higher than they ever were on regular (REAL) healthcare insurance. One of my medications has a co-pay of $251.00 per month, and others are $74.00 per month and up. What to do? Soon I will be in the "do-nut" and will probably have to stop taking all meds. Is there a plan that covers enough so there is no "do-nut?" Is it possible to have medications and food and shelter also? Posted by carolrnjd Enrollment in a Medicare Supplement Plan is not normally subject to the Medicare Annual Enrollment Period. You can usually make changes throughout the year. The rates of the AARP Medicare Supplement Plans are based on claims experience, projected medical inflation, and the loss ratio. The loss ratio is determined by the difference between the amount received in premiums as compared to the amount paid in claims, along with the projected premiums and claims for the following year. Once the loss ratio has been calculated, rates are adjusted for each state and area. AARP has an independent actuarial firm review the rates to ensure that they are based on sound assumptions of use and cost by program participants. The Trustees of AARP Health Care Options must also review and approve the rates, taking into consideration United HealthCare’s recommendations and the opinion of the actuarial firm. Once the Trustees approve the rates, they are presented to each State Insurance Commissioner for final approval. Please keep in mind that AARP Health Care Options is a group program. Rates are calculated on the state or area level, not on an individual basis. Any rate change will apply to all members living in your area who have the same plan as you. Medicare Part B covers vaccines to prevent flu, pneumonia, and hepatitis B (if the person is at medium or high risk). It will also cover other immunizations only if the person has been exposed to a disease or condition. This includes tetanus if the person has stepped on a rusty nail. Otherwise, a tetanus booster should be covered under a Medicare Part D Plan. If you have a Medicare Part D Plan, you should check with them to see how to submit the claim. If you would like to discuss your specific questions on the AARP Medicare Supplement Plans, please send an email to member@aarp.org or contact AARP at 1-888-687-2277. |
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Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
posted at January 27, 2012 4:29 PM EST
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Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
posted at January 27, 2012 6:10 PM EST
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Posts: 14569
First: January 28, 2008 Last: May 17, 2013 |
That's the first time I've seen a simple statemwnt about the ability to swtch supplemental plans almost at will or any time. Is this somewhere in Medicare.gov ?In Response to Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.: In Response to Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance. : Enrollment in a Medicare Supplement Plan is not normally subject to the Medicare Annual Enrollment Period. You can usually make changes throughout the year. The rates of the AARP Medicare Supplement Plans are based on claims experience, projected medical inflation, and the loss ratio. The loss ratio is determined by the difference between the amount received in premiums as compared to the amount paid in claims, along with the projected premiums and claims for the following year. Once the loss ratio has been calculated, rates are adjusted for each state and area. AARP has an independent actuarial firm review the rates to ensure that they are based on sound assumptions of use and cost by program participants. The Trustees of AARP Health Care Options must also review and approve the rates, taking into consideration United HealthCare’s recommendations and the opinion of the actuarial firm. Once the Trustees approve the rates, they are presented to each State Insurance Commissioner for final approval. Please keep in mind that AARP Health Care Options is a group program. Rates are calculated on the state or area level, not on an individual basis. Any rate change will apply to all members living in your area who have the same plan as you. Medicare Part B covers vaccines to prevent flu, pneumonia, and hepatitis B (if the person is at medium or high risk). It will also cover other immunizations only if the person has been exposed to a disease or condition. This includes tetanus if the person has stepped on a rusty nail. Otherwise, a tetanus booster should be covered under a Medicare Part D Plan. If you have a Medicare Part D Plan, you should check with them to see how to submit the claim. If you would like to discuss your specific questions on the AARP Medicare Supplement Plans, please send an email to member@aarp.org or contact AARP at 1-888-687-2277. Posted by AARPGuide |
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Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
posted at May 2, 2012 7:35 PM EDT
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Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
posted at May 3, 2012 9:05 AM EDT
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Posts: 1921
First: November 27, 2011 Last: April 13, 2013 |
In Response to Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.: I am about to be covered under AARP's Part D and I am already disappointed. It was my understanding that all Part D plans had to cover the Shingles Vaccine --- neither of the plans offered by United Healthcare in my state offer this coverage. It isn't a co-pay issue. They simply don't cover it. Medicare doesn't cover this vaccine under Part B. What is a person to do. I am very disappointed in AARP. i should have known better... Posted by baby188 According to the CDC, it should be covered under you Plan D - According to the USPSTF ( the bureau that list and investigates preventative services and rates them for inclusion), they have deferred the list of recommended vaccines / immunizations to the CDC. CDC: Vaccines and Preventable Diseases:Shingles Vaccination: What You Need to Know Check your D plan formulary for Zostavax injection - on my mother's plan D (NOT AARP), it is listed as Drug Tier 3 - Preferred Brand Drug so it is one of the expensive ones. It seems that doctors usually give immunizations and they are normally covered under Medicare Part B which doctor's are familiar with filing with Medicare. However, since this one is under your part D plan, you may have to pay for it and then file the claim for reimbursement. This is just a good example of TOO MANY GOVERNMENT DEPARTMENTS TRYING TO SET RULES AND POLICIES !!!! I had the vaccine under my private insurance since I am not on Medicare YET - had NO problem. Let us know how things work out with this under Medicare. |