Thank you for trusting FHK with your Medicare insurance needs
Find A Doc: uhc.com/find-a-doctor
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
Gym Membership Link: UHCrenewactive.com
UnitedHealthcare Vision Network:
1-877-370-4876
For a complete listing of benefits, please click here to download the Summary of Benefits for 2025
2025
2026
Medicare Advantage UHC WI-0010
Medicare Advantage UHC WI-0010
Premium
$34
$44
Primary Doctor
$0
$0
Specialist
$35
$45
Physical Therapy
$25
$35
Urgent Care
$65
$65
Hospital
$275 days 1-6
$375 days 1-6
Maximum Out Of Pocket
$3,800
$3,800
Outpatient Surgery
$275 / $175 ASC
$375 / $275 ASC
Ambulance
$275
$275
Emergency
$140
$150
Lab Services
$0
$0
X-Rays
$15
$30
Complex Diagnostic
$150
$260
Durable Medical Equipment
20%
20%
Chemo/Part B
20%
20%
Part D (Tiers 1-4)
$0 / $5/ $47 / $100
$0 / $5 / 19% / 42%
90-100 Day Mail Order
$0 / $0 / $131 / NA
$0 /$0 / 19% / NA
Part D Deductible
$340
$440
(applies to tiers 3,4,5)
(applies to tiers 3,4,5)
Hearing Aid
$99 – $1,249
$199 – $1,249
OTC
$50 / quarter
$50 / quarter
Gym Membership
uhcrenewactive.com
uhcrenewactive.com
Dental
$1,500
$3,000 (50% coinsurance for comprehensive)
Dental Network
Any / UHC
Any / UHC
Vision
$300 Eyewear credit
Bi/Trifocals, standard
Progressive lens – 0$
$300 credit / 2 years
Bi/Trifocals, standard
Progressive lens – 0$
2025
2026
Medicare Advantage
UHC WI-0010
Medicare Advantage
UHC WI-0010
Premium
$34
$44
Primary Doctor
$0
$0
Specialist
$35
$45
Physical Therapy
$25
$35
Urgent Care
$65
$65
Hospital
$275
days 1-6
$375
days 1-6
MOOP Cap
$3,800
$3,800
Outpatient Surgery
$275 / $175 ASC
$375 / $275 ASC
Ambulance
$275
$275
Emergency
$140
$150
Lab Services
$0
$0
X-Rays
$15
$30
Complex Diagnostic
$150
$260
DME
20%
20%
Chemo/Part B
20%
20%
Part D
$0 / $5/ $47 / $100
$0 / $5 / 19% / 42%
90-100 Day- Mailorder
$0 / $0 / $131 / NA
$0 /$0 / 19% / NA
Part D Deductible
$340
$440
(applies to tiers 3,4,5)
(applies to tiers 3,4,5)
Hearing Aid
$99 – $1,249
$199 – $1,249
OTC
$50 / quarter
$50 / quarter
Gym Membership
uhcrenewactive.com
uhcrenewactive.com
Dental
$1,500
$3,000
Dental Network
Any / UHC
Any / UHC
Vision
$300 Eyewear credit
Bi/Trifocals, standard
Progressive lens – 0$
$300 credit / 2 years
Bi/Trifocals, standard
Progressive lens – 0$
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 complete listing of benefits, please click here to download the Summary of Benefits for 2025