UnitedHealthcare Medicare Advantage Plans Connecticut 2025

Looking for specific details on UnitedHealthcare Medicare Advantage plans for 2025? Cut through the clutter with concise information on plan types, costs, and the comprehensive benefits these Unitedhealthcare Medicare Advantage plans Connecticut 2025 offer.

Learn about the best Medicare Advantage plans in Connecticut 2025 has to offer!

Find out what’s new this year and how it could influence your coverage choices, all without navigating through a maze of jargon. If you’re ready to compare plans or curious about updated offerings, you’re in the right place.


Key Takeaways

  • UnitedHealthcare Medicare Advantage plans in Connecticut include additional benefits beyond Original Medicare, such as prescription drug, dental, vision, and fitness benefits.


  • Plan options within UnitedHealthcare’s Medicare Advantage offerings in Connecticut include HMO, PPO, and HMO-POS, catering to differing healthcare preferences and needs.


  • Members of UnitedHealthcare Medicare Advantage plans should be aware of plan costs, including monthly premiums averaging $17.66, deductibles, copays, coinsurance, and an annual out-of-pocket maximum limit of $8,850.

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Understanding UnitedHealthcare Medicare Advantage in Connecticut

UnitedHealthcare Medicare Advantage, a Part C plan, integrates Original Medicare Part A and Part B into a single plan, typically offering supplementary benefits like:


  • Prescription drug coverage
  • Dental coverage
  • Vision coverage
  • Fitness benefits


So how does this differ from Original Medicare? Essentially, UnitedHealthcare’s Medicare Advantage plans provide coverage for all services offered by Original Medicare, while adding additional benefits.


Unitedhealthcare medicare advantage plans 2025



In Connecticut, these plans come with extra features and benefits that surpass those offered by Original Medicare. The Group Medicare Advantage plan, for instance, includes all the existing State of Connecticut covered services.

These plans are offered by UnitedHealthcare Insurance Company, a company that accepts Medicare and is based in Hartford.


Navigating Plan Options: HMO, PPO, and HMO-POS

One of the key aspects to consider when choosing a Medicare Advantage plan is the type of plan. UnitedHealthcare offers three main types of plans in Connecticut: HMO, PPO, and HMO-POS.

HMO plans require members to use in-network providers, as opposed to a preferred provider organization. Typically, these plans cover services provided exclusively by healthcare providers within the network. Therefore, members should select a primary care provider (PCP) within the network to ensure effective care coordination.

On the other hand, there are different types of health insurance plans to choose from, including:


  • HMO plans, which require members to choose a primary care physician and only seek care from in-network providers
  • PPO plans, which allow members to seek both in-network and out-of-network providers, providing flexibility at an increased cost
  • HMO-POS plans, which are a hybrid of HMO and PPO plans. They provide coverage that extends beyond Original Medicare and allow members to consult with in-network or out-of-network providers, although the latter incurs higher costs.


Analyzing Covered Services and Benefits

UnitedHealthcare’s Medicare Advantage plans offer an extensive range of services and benefits, including:


  • Hospital care
  • Prescription drugs
  • Dental services
  • Vision services
  • Hearing services


Coverage is comprehensive and designed to meet the needs of Medicare beneficiaries, offering all the features required for their healthcare.


Unitedhealthcare ct providers



In addition to these, UnitedHealthcare Medicare Advantage plans also provide coverage for preventive services, which include screenings and annual wellness exams. Members may be required to pay a copay or coinsurance for some of these services, depending on their specific plan.

Furthermore, mental health services are part of the coverage, and specialized plans for nursing home residents may cover long-term care services.

Prescription Drug Coverage with UnitedHealthcare

Prescription drug coverage is an integral part of Medicare Advantage plans. UnitedHealthcare’s Medicare Advantage Part D prescription drug plan helps cover medication expenses via several coverage options.

It also provides methods to minimize out-of-pocket costs, with potential copays as low as $0 when choosing home delivery options.

A key aspect of this coverage is the formulary, a compilation of prescription drugs that are eligible for coverage. The UnitedHealthcare Medicare Advantage plans feature a tiered structure for prescription drug coverage, encompassing:


  • Tier 1: mostly generic and cost-effective options
  • Tier 2: generic and specific brand-name drugs at a higher cost
  • Tier 3: mainly higher-priced brand-name drugs


Dental Coverage Perks

Dental coverage is another significant benefit of UnitedHealthcare Medicare Advantage plans. They offer coverage for a wide range of dental services, from preventive care like cleanings and fluoride treatments to comprehensive services like fillings, crowns, root canals, and extractions.


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While Original Medicare Advantage plans typically do not include coverage for preventive and routine dental services, certain UnitedHealthcare Medicare Advantage plans in Connecticut offer out-of-network dental care without the need for referrals for specialty care.

However, the presence of orthodontic care in these plans may vary, so it’s essential for members to refer to their specific plan’s terms of service or evidence of coverage to ascertain the inclusion of orthodontic care.


Understanding Costs: Premiums and Out-of-Pocket Expenses

Awareness of the costs associated with Medicare Advantage plans is essential for informed decision-making. On average, the monthly premium for UnitedHealthcare Medicare Advantage Plans in Connecticut is $17.66. Premiums can differ, with some plans charging an additional premium.

Thus, estimating the total out-of-pocket costs becomes necessary for effective plan comparison.

Out-of-pocket costs in UnitedHealthcare Medicare Advantage Plans include:


  • Premiums
  • Deductibles
  • Copays
  • Coinsurance


Additionally, these plans have an annual out-of-pocket maximum limit of $8,850. Once this limit is reached, the plan will cover all Medicare-approved costs for the rest of the year.


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In conclusion, UnitedHealthcare offers a variety of Medicare Advantage plans in Connecticut that cater to a wide range of needs.

From the types of plans available to the services and benefits covered, to the costs and eligibility criteria, all the way to the experiences of current members and updates for 2025, this comprehensive guide provides all the information you need to make an informed decision.

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Frequently Asked Questions


What changes are coming to United Healthcare in 2025?

In 2025, UnitedHealthcare (UHC) will be changing the name of their plan to UHC Dual Complete ME-S001 (PPO D- SNP) and will issue new member ID cards.


What is the disadvantage of UnitedHealthcare?

The disadvantage of UnitedHealthcare is its middle-of-the-road customer satisfaction ratings, despite having a reasonably large network of providers. Consider this factor when making a decision about your healthcare provider.


Is UnitedHealthcare Medicare Advantage a good plan?

Yes, UnitedHealthcare Medicare Advantage is a good plan, especially for those with complex health needs or chronic conditions, as it provides extensive disease management programs to help manage these conditions.


What are the differences between UnitedHealthcare Medicare Advantage and Original Medicare?

UnitedHealthcare Medicare Advantage plans offer coverage for all services provided by Original Medicare, with added benefits such as dental, vision, and fitness services. Original Medicare does not include these additional benefits.


What dental services are encompassed within the UnitedHealthcare Medicare Advantage plans in Connecticut?

UnitedHealthcare Medicare Advantage plans in Connecticut encompass dental services such as cleanings, fluoride treatments, fillings, crowns, root canals, and extractions. This coverage includes preventive and comprehensive services.

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Compare Medicare Plans

Find a plan to fit your needs


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TTY 711

Mon-Fri : 8am-9pm ET