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 WI-0013
Medicare Advantage WI-0013
Premium
$0
$0
Primary Doctor
$0
$0
Specialist
$40
$45
Physical Therapy
$25
$25
Urgent Care
$55
$50
Hospital
$295 days 1-6
$455 days 1-6
Maximum Out Of Pocket
$4,900
$4,900
Outpatient Surgery
$295 / $245 ASC
$455 / $355 ASC
Ambulance
$275
$275
Emergency
$125
$130
Lab Services
$0
$0
X-Rays
$20
$30
Complex Diagnostic
$160
$240
Durable Medical Equipment
20%
20%
Chemo/Part B
20%
20%
Part D (Tiers1-4)
$0 / $12 / $47 / $100
$0 / $12 / 15% / 39%
90-100 Day Mail Order
$0 / $0 / $131 / NA
$0 /$0 / 15% / NA
Part D Deductible
$340
$520
(applies to tiers 3,4,5)
(applies to tiers 3,4,5)
Hearing Aid
$99 – $1,249
$199 – $1,249
OTC
$35 per quarter
N/A
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
2025
2026
Medicare Advantage
WI-0013
Medicare Advantage
WI-0013
Premium
$0
$0
Primary Doctor
$0
$0
Specialist
$40
$45
Physical Therapy
$25
$25
Urgent Care
$55
$50
Hospital
$295
days 1-6
$455 Days 1-6
days 1-6
MOOP Cap
$4,900
$4,900
Outpatient Surgery
$295 / $245 ASC
$455/ $355 ASC
Ambulance
$275
$275
Emergency
$125
$130
Lab Services
$0
$0
X-Rays
$20
$30
Complex Diagnostic
$160
$240
DME
20%
20%
Chemo/Part B
20%
20%
Part D
$0 / $12 / $47 / $100
$0 / $12 / 15% / 39%
90-100 Day- Mailorder
$0 /$0 / $131 / N/A
$0 / $0 / 15% / NA
Part D Deductible
$0
$520
(applies to tiers 3,4,5)
(applies to tiers 3,4,5)
Hearing Aid
$99 – $1,249
$99 – $1,249
OTC
$35 per quarter
N/A
Gym Membership
uhcrenewactive.com
uhcrenewactive.com
Dental
$1,000
$1,000 (50% coinsurance for comprehensive)
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.