| AARP Medicare Advantage Patriot No Rx CA-MA01 (HMO-POS) |
H0543-121 |
$0 |
N/A |
$4,900 |
No |
|
| UHC Complete Care Support CA-6AP (HMO C-SNP) |
H0543-246 |
$30 |
$590 |
$9,350 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0011 (HMO-POS) |
H0543-147 |
$16 |
$340 |
$3,800 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0017 (HMO-POS) |
H0543-176 |
$39 |
$340 |
$2,500 |
Yes |
|
| AARP Medicare Advantage from UHC CA-023P (HMO-POS) |
H0543-222 |
$0 |
$340 |
$3,400 |
Yes |
|
| UHC Complete Care CA-15P (HMO-POS C-SNP) |
H0543-214 |
$0 |
$175 |
$2,900 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0010 (HMO-POS) |
H0543-140 |
$56 |
$495 |
$6,700 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0005 (HMO-POS) |
H0543-035 |
$46 |
$340 |
$5,900 |
Yes |
|
| AARP Medicare Advantage from UHC CA-024P (HMO-POS) |
H0543-223 |
$0 |
$340 |
$3,700 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0036 (PPO) |
H0294-044 |
$36 |
$420 |
$4,500 |
Yes |
|
| UHC Complete Care CA-25P (HMO-POS C-SNP) |
H0543-224 |
$29 |
$340 |
$2,500 |
Yes |
|
| UHC Complete Care Support CA-8AP (HMO C-SNP) |
H0543-249 |
$30 |
$590 |
$9,350 |
Yes |
|
| AARP Medicare Advantage from UHC CA-002P (HMO-POS) |
H0543-146 |
$16 |
$340 |
$3,900 |
Yes |
|
| AARP Medicare Advantage from UHC CA-034P (HMO-POS) |
H0543-234 |
$24 |
$340 |
$3,900 |
Yes |
|
| UHC Complete Care CA-36P (HMO-POS C-SNP) |
H0543-248 |
$0 |
$255 |
$3,400 |
Yes |
|
| UHC Complete Care Support CA-3AP (HMO C-SNP) |
H0543-241 |
$30 |
$590 |
$9,350 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0031 (PPO) |
H0294-039 |
$0 |
$570 |
$6,700 |
Yes |
|
| AARP Medicare Advantage Giveback from UHC CA-21 (HMO-POS) |
H0543-238 |
$0 |
$255 |
$800 |
Yes |
|
| UHC Sharp Medicare Advantage ValueRx CA-12P (HMO-POS) |
H0543-204 |
$0 |
$175 |
$2,900 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0038 (PPO) |
H0294-046 |
$49 |
$420 |
$5,500 |
Yes |
|
| AARP Medicare Advantage from UHC CA-026P (HMO-POS) |
H0543-225 |
$0 |
$255 |
$2,900 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0029 (PPO) |
H0294-037 |
$0 |
$570 |
$6,700 |
Yes |
|
| UHC Complete Care Support CA-2AP (HMO C-SNP) |
H0543-240 |
$30 |
$590 |
$9,350 |
Yes |
|
| AARP Medicare Advantage from UHC CA-033P (HMO-POS) |
H0543-232 |
$46 |
$420 |
$5,000 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0006 (HMO-POS) |
H0543-036 |
$97 |
$340 |
$2,900 |
Yes |
|
| UHC Complete Care CA-20P (HMO-POS C-SNP) |
H0543-219 |
$0 |
$255 |
$800 |
Yes |
|
| UHC Complete Care Support CA-1AP (HMO C-SNP) |
H0543-239 |
$30 |
$590 |
$9,350 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0002 (HMO-POS) |
H0543-019 |
$0 |
$255 |
$2,000 |
Yes |
|
| AARP Medicare Advantage from UHC CA-029P (HMO-POS) |
H0543-228 |
$46 |
$340 |
$4,900 |
Yes |
|
| AARP Medicare Advantage from UHC CA-003P (HMO-POS) |
H0543-151 |
$0 |
$255 |
$800 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0015 (HMO-POS) |
H0543-166 |
$10 |
$255 |
$800 |
Yes |
|
| AARP Medicare Advantage Giveback from UHC CA-20 (HMO-POS) |
H0543-237 |
$0 |
$255 |
$800 |
Yes |
|
| UHC Complete Care Support CA-4AP (HMO C-SNP) |
H0543-242 |
$30 |
$590 |
$9,350 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0016 (HMO-POS) |
H0543-167 |
$31 |
$255 |
$3,400 |
Yes |
|
| AARP Medicare Advantage from UHC CA-004P (HMO-POS) |
H0543-168 |
$0 |
$255 |
$800 |
Yes |
|
| AARP Medicare Advantage from UHC CA-37P (HMO-POS) |
H0543-251 |
$49 |
$255 |
$800 |
Yes |
|
| AARP Medicare Advantage from UHC CA-9P (HMO-POS) |
H0543-191 |
$49 |
$340 |
$3,400 |
Yes |
|
| AARP Medicare Advantage from UHC CA-010P (HMO-POS) |
H0543-193 |
$0 |
$340 |
$2,500 |
Yes |
|
| UHC Sharp Medicare Advantage CA-001P (HMO-POS) |
H0543-145 |
$0 |
$175 |
$3,300 |
Yes |
|
| AARP Medicare Advantage from UHC CA-7P (HMO-POS) |
H0543-188 |
$46 |
$340 |
$4,900 |
Yes |
|
| AARP Medicare Advantage from UHC CA-022P (HMO-POS) |
H0543-221 |
$0 |
$255 |
$800 |
Yes |
|
| AARP Medicare Advantage from UHC CA-011P (HMO-POS) |
H0543-196 |
$0 |
$340 |
$4,100 |
Yes |
|
| AARP Medicare Advantage from UHC CA-005P (HMO-POS) |
H0543-169 |
$0 |
$255 |
$800 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0008 (HMO-POS) |
H0543-086 |
$92 |
$340 |
$4,900 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0001 (HMO-POS) |
H0543-013 |
$29 |
$255 |
$5,300 |
Yes |
|
| UHC Complete Care CA-19P (HMO-POS C-SNP) |
H0543-218 |
$0 |
$255 |
$800 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0039 (PPO) |
H0294-047 |
$40 |
$420 |
$6,700 |
Yes |
|
| UHC Complete Care Support CA-7AP (HMO C-SNP) |
H0543-247 |
$30 |
$590 |
$9,350 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0012 (HMO-POS) |
H0543-152 |
$0 |
$255 |
$2,500 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0030 (PPO) |
H0294-038 |
$0 |
$570 |
$6,700 |
Yes |
|
| AARP Medicare Advantage from UHC CA-8P (HMO-POS) |
H0543-189 |
$59 |
$340 |
$4,900 |
Yes |
|
| AARP Medicare Advantage from UHC CA-021P (HMO-POS) |
H0543-220 |
$0 |
$255 |
$800 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0035 (PPO) |
H0294-043 |
$40 |
$420 |
$4,900 |
Yes |
|
| AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) |
H0543-236 |
$0 |
$255 |
$800 |
Yes |
|
| UHC Complete Care CA-18P (HMO-POS C-SNP) |
H0543-217 |
$0 |
$255 |
$800 |
Yes |
|
| UHC Complete Care CA-27P (HMO-POS C-SNP) |
H0543-226 |
$0 |
$255 |
$2,000 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0007 (HMO-POS) |
H0543-060 |
$48 |
$255 |
$3,800 |
Yes |
|
| AARP Medicare Advantage from UHC CA-0024 (PPO) |
H0294-032 |
$76 |
$420 |
$6,700 |
Yes |
|
| AARP Medicare Advantage from UHC CA-006P (HMO-POS) |
H0543-170 |
$0 |
$255 |
$800 |
Yes |
|