Thank you for trusting FHK with your Medicare insurance needs
Dental Network: 877-370-4876
Customer Service line: 800-643-4845
Over-the-counter (OTC) credit:
Solutran
1-833-845-8798
myuhcmedicare.com/HWP
UnitedHealthcare Hearing
1-855-523-9355
UHCHearing.com/Medicare
Prescription drug home delivery
Optum® Home Delivery Pharmacy
1-877-889-6358
myAARPMedicare.com
Find A Doc: uhc.com/find-a-doctor
Gym Membership Link: UHCrenewactive.com
UnitedHealthcare
Vision network- Call 1-877-370-4876 or myuhcvision.com
For a full listing of Benefits, please click here to download the summary of benefits.
2024
2025
Medicare Advantage WI-0013
Medicare Advantage WI-0013
H5253-033
H5253-033
Southeastern
Southeastern
Premium
$0
$0
Primary Doctor
$0
$0
Specialist
$40
$40
Physical Therapy
$20
$25
Urgent Care
$40
$55
Hospital
$295 days 1-6
$295 days 1-6
MOOP Cap
$4,500
$4,900
Outpatient Surgery
$295 / $245 ASC
$295 / $195 ASC
Ambulance
$275
$275
Emergency
$120
$125
Lab Services
$0
$0
X-Rays
$15
$20
Complex Diagnostic
$230
$160
DME
20%
20%
Chemo/Part B
20%
20%
Part D
$0 / $12 / $47 / $100
$0 / $12 / $47 / $100
90-100 Day- Mailorder
$0 / $0 / $131 / $290
$0 /$0 / $131 / NA
Part D Deductible
$0
$340
(applies to tiers 3,4,5)
Skilled Nursing
$0 days 1-20
$203 days 21-100
$0 days 1-20
$203 days 21-100
Hearing Aid
$99 – $1,249
$99 – $1,249
OTC
$40 / quarter
$35 / quarter
Gym Membership
uhcrenewactive.com
uhcrenewactive.com
Dental
$1,000
$1,000
Dental Network
Any / UHC
Any / UHC
Vision
$250 Eyewear credit
Bi/Trifocals, standard
Progressive lens – 0$
$300 credit / 2 years
Bi/Trifocals, standard
Progressive lens – 0$
2024
2025
Med Adv-0013
Med Adv-0013
H5253-033
H5253-033
Southeastern
Southeastern
Premium
$0
$0
Primary Doctor
$0
$0
Specialist
$40
$40
Physical Therapy
$20
$25
Urgent Care
$40
$55
Hospital
$295
days 1-6
$295
days 1-6
MOOP Cap
$4,500
$4,900
Outpatient Surgery
$295 / $245 ASC
$295 / $195 ASC
Ambulance
$275
$275
Emergency
$120
$125
Lab Services
$0
$0
X-Rays
$15
$20
Complex Diagnostic
$230
$160
DME
20%
20%
Chemo/Part B
20%
20%
Part D
$0 / $12 / $47 / $100
$0 / $12 / $47 / $100
90-100 Day- Mailorder
$0 /$0 / $131 / $290
$0 / $0 / $131 / NA
Part D Deductible
$0
$340
(applies to tiers 3,4,5)
Skilled Nursing
$0 days 1-20
$203 days 21-100
$0 days 1-20
$203 days 21-100
Hearing Aid
$99 – $1,249
$99 – $1,249
OTC
$40 / quarter
$35 / quarter
Gym Membership
uhc renew active
uhc renew active
Dental
$1,000
$1,000
Dental Network
Any / UHC
Any / UHC
Vision
$250 Eyewear credit
Bi/Trifocals, standard
Progressive lens – 0$
$300 credit / 2 years
Bi/Trifocals, standard
Progressive lens – 0$
Thank you for trusting FHK with your Medicare insurance needs
Dental Network: 877-370-4876
Customer Service line: 800-643-4845
Over-the-counter (OTC) credit:
Solutran
1-833-845-8798
myuhcmedicare.com/HWP
UnitedHealthcare Hearing
1-855-523-9355
UHCHearing.com/Medicare
Prescription drug home delivery
Optum® Home Delivery Pharmacy
1-877-889-6358
myAARPMedicare.com
Find A Doc: uhc.com/find-a-doctor
Gym Membership Link: UHCrenewactive.com
UnitedHealthcare
Vision network- Call 1-877-370-4876 or myuhcvision.com
For a full listing of Benefits, please click here to download the summary of benefits.