Tri-State Medicare Benefit Plan Offerings

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1 Tri-State Medicare Benefit Plan Offerings The following charts represent the Medicare Advantage plans currently available in New York, New Jersey and Connecticut. For more information on these plans, please visit UHCprovider.com > Menu > Health Plans by State > Medicare > Plan Name New York Individual Medicare Advantage Plans H AARP MedicareComplete Plan 1 Bronx, Kings, New York, Queens H AARP MedicareComplete Plan 1 Orange, Rockland and H AARP MedicareComplete Plan 2 Bronx, Kings, New York, Queens H AARP MedicareComplete Plan 2 Orange, Rockland and H AARP MedicareComplete Plan 3 Bronx, Kings, New York, Queens H AARP MedicareComplete Mosaic Bronx, Kings, New York, Queens H AARP MedicareComplete Essential Bronx, Kings, New York, Orange, Queens, Richmond, Rockland and Medicare Advantage Prescription Drug (MA- PD) Medicare Advantage (MA-) Oxford * Oxford * Oxford * Oxford * Oxford Oxford * NY

2 2018 New York Individual Medicare Advantage Plans Cont d H AARP MedicareComplete Ulster, Sullivan, Dutchess and Putnam Oxford * H AARP MedicareComplete Broome, Cayuga, Madison, Oneida and Onondaga H AARP MedicareComplete Erie, Genesee, Niagara, Orleans and Wyoming H AARP MedicareComplete Monroe and Wayne H MedicareComplete Montgomery Local PPO Choice R MedicareComplete Choice Plan 1 R MedicareComplete Choice Essential R MedicareComplete Choice Plan 3 R MedicareComplete Choice Plan 4 MA- LPPO NY service area or or or or or

3 2018 New Jersey Individual Medicare Advantage Plans H AARP MedicareComplete Plan 1 () Bergen, Burlington, H AARP MedicareComplete Plan 3 () Bergen, Burlington, H AARP MedicareComplete Plan 4 () Bergen, Burlington, H AARP MedicareComplete Essential () Bergen, Burlington, MA- H AARP MedicareComplete Plan 2 () Essex and Ocean Oxford * Oxford * Oxford * Oxford * Oxford * NY, NJ, NY, NJ, NY, NJ, NY, NJ, NY, NJ,

4 2018 Connecticut Individual Medicare Advantage Plans H Medicare Complete Plan 1 () H MedicareComplete Plan 2 () H MedicareComplete Essential () H MedicareComplete Plan 3 () MA- R AARP MedicareComplete Choice (), MA, RI, VT **, MA, ME, NH, RI, VT *The H3307 plans have an network called the Oxford network, which geographically provides coverage for NY, NJ and members without activating their Passport. **R in Connecticut is part of a network, which geographically provides coverage for these members in, MA, ME, NH, RI and VT without activating their Passport.

5 Plan Descriptions: Regional Preferred Provider Organization (PPO) Plans: offer members access to a network of contracted physicians and hospitals, while also allowing them the flexibility to seek covered services from outside the contracted network, usually at a higher cost. Members don t need a referral for specialty care. s serve a larger geographic area - either a single state or a multi-state area and offer the same premiums, s and costsharing requirements to all members in the region. Health Maintenance Organization () Plans: have a defined network of contracted local care providers and hospitals. Generally, members must use these care providers to receive s for covered services, except in emergency situations. New York plans don t require referrals for specialty care. Passport: was created so our members would have access to care providers when they are traveling. Members pay the same network copay or coinsurance when visiting participating Passport care providers as they would if they received care within their home service area. For more information about Passport, go to UHCprovider.com > Menu > Health Plans by State > Medicare > Plan Name (see lists above) > Tools & Resources.

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