See how much you'll pay for this plan including your premium, deductible and maximum out-of-pocket costs.
| Costs | What you'll pay | |
|---|---|---|
| Monthly premium | $72.50 | |
| Monthly premium $72.50 $72.50 | ||
Learn about this plan's prescription drug coverage and costs. Enter your prescriptions to see what they'd cost with this plan.
| Costs | What you'll pay |
|---|---|
| Annual prescription deductible |
Annual prescription deductible If your plan has an annual deductible, you (or others on your behalf) will pay your drug costs up to the amount of this deductible before moving into the Initial Coverage stage. x Close Popup
Annual prescription deductible If your plan has an annual deductible, you (or others on your behalf) will pay your drug costs up to the amount of this deductible before moving into the Initial Coverage stage. x Close Popup
Standard Network pharmacy (30-day)
$17 copay
Standard Network pharmacy (30-day)
$17 copay
Standard Network pharmacy (30-day)
$20 copay
Standard Network pharmacy (30-day)
$20 copay
Standard Network pharmacy (30-day)
$45 copay
Standard Network pharmacy (30-day)
$45 copay
Standard network pharmacy (30-day)
$35 copay
Standard network pharmacy (30-day)
$35 copay
Standard Network pharmacy (30-day)
50% of the cost
Standard Network pharmacy (30-day)
50% of the cost
Important documents that provide the details you need about this plan's coverage and benefits, prescription drugs, enrollment, providers and more.
Other LanguagesEnrollment Disclaimer Information:
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a Medicare-approved Part D sponsor. Enrollment in these plans depends on the plan’s contract renewal with Medicare. UnitedHealthcare Insurance Company paid royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. You do not need to be an AARP member to enroll. AARP encourages you to consider your needs when selecting products and does not make specific product or pharmacy recommendations for individuals. UnitedHealthcare contracts directly with Walgreens for this plan; AARP and its affiliates are not parties to that contractual relationship.
Extra Help:
If you receive Extra Help from Medicare, your copays may be lower or you may have no copays.
The Medicare Prescription Payment Plan:
Starting Jan. 1, 2025, if you spend more than $2,000 for covered Part D prescription drugs each year, you may want to participate in the Medicare Prescription Payment Plan. This payment plan spreads your out-of-pocket prescription drug costs over the remainder of the calendar year. Learn more about the Medicare Prescription Payment Plan.
Other Languages:
This information is available for free in other languages. Please contact Customer Service for additional information.
Esta información está disponible sin costo en otros idiomas. Para obtener más información comuníquese con nuestro Servicio al Cliente.