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Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
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Medicare & Insurance
Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.
Share Medicare dos and don’ts, including eligibility and supplemental 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
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Forums » Health » Medicare & Insurance » Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

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Forums  »  Health  »  Medicare & Insurance  »  Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

posted at October 26, 2011 8:10 PM EDT
Posts: 1
First: October 26, 2011
Last: October 26, 2011
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?

Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

posted at October 27, 2011 11:26 AM EDT
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

Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

posted at November 10, 2011 2:15 PM EST
Posts: 1
First: November 10, 2011
Last: November 10, 2011
I was recently given a Rx for Viagra by my doctor, but United Healthcare part D doesn't cover it.. Does anyone know of a plan D that covers Viagra??? Thank you.. 

Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

posted at December 21, 2011 5:04 PM EST
Posts: 1
First: December 21, 2011
Last: December 21, 2011
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?

Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

posted at January 5, 2012 8:17 AM EST
Posts: 1
First: January 5, 2012
Last: January 5, 2012
Since I am new to Medicare< (it actually desn't even start until March 2012) I may not know all the ins and outs of the system. I did do months worth of comparing medicare advantage and and supplement plans from just about every company that offers it in my county. I have found that at least for me the Ubited Healthcare advantage plan had the lowest prescription cost by at least 450.00 out of pocket per year . I currently have a Humanna plan through the local union where I worked that I have to pay for out of pocket which is enormously expensive, $804.00 per month plus I paid over $3000.00  out of pocket in 2011 so just about anything looks good to me at this point (they should be sending a limo to my house to take me to drs. appointments) . Anyway, I was just sent a letter informing me that lipitor was moving up in the tier rating and would now be more evpensive.  One of the reasons they move drugs up to make them more expensive for you to buy is to get your doctor to prescribe a lower cost generic. Not saying this is your case but it may be , also you always have the option of switching providers once a year and just about all of them have a website where you can figure your annual prescription cost and find other max out of pocket limits. Private insurance is sure not the answer, as much as I pay in premiums we all know one trip to the hospital for anything serious could easily top $50,000.00 so unless we go to some sort of socialized medicine these medicare plans are the best we got.

Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

posted at January 11, 2012 3:08 PM EST
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.

Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

posted at January 27, 2012 4:29 PM EST
Posts: 1
First: January 27, 2012
Last: January 27, 2012
I just learned on January 27, 2012, that United Healthcare will provide me with Lipitor 20mg, 90 day supply for $129.00 the same price I was paying before Lipitor went generic.   Now, I am in a situation in which I will have to pay more to stay in United Healthcare's Plan D Preferred than I would if I dropped out and paid for the generic Lipitor out of pocket. 
Through research, I have learned that the Senators Bacchus and Grassley have investigated or are in the process of investigating the sweet heart deal struck between Pfizer and United Healthcare as well as Coventry to get a discounted fee from Pfizer to promote the nongeneric Lipitor.   A New York Times article in December indicated that United Healthcare agreed to pass the savings on to the consumer, but it appears that no such thing happened.

IF ONLY UNITED HEALTHCARE had provided FULL Disclosure of their Lipitor Generic policies when I was in the time frame to switch insurers. Instead, they have made branded Lipitor Tier 2 and generic Lipitor Tier 3 so they can charge more.      And so, I hope that all those affected by United Healthcare's policy contact all sources to voice what you think about this...if there is no change, I will be voting with my feet and leaving all United Healthcare and other AARP insurance policies that I have. 

Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

posted at January 27, 2012 6:10 PM EST
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

Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

posted at May 2, 2012 7:35 PM EDT
Posts: 1
First: May 2, 2012
Last: May 2, 2012
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...

Re: Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.

posted at May 3, 2012 9:05 AM EDT
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.
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Forums » Health » Medicare & Insurance » Dissappointed with AARP's Medicare Rx Plan D provided by United Healthcare Insurance.