Aetna medicare over the counter

Feb 11, 2022 · Score: 5/5 (57 votes) . Many Aetna Medicare Advantage plans feature an over-the-counter (OTC) benefit. It allows you to get select items like cold medicine and more at no extra cost.

Aetna medicare over the counter. What is OTC? Optimum HealthCare provides its members an Over-the-Counter (OTC) program that makes ordering non-prescription drugs quick and easy at no cost to you. The Over-the-Counter (OTC) Catalog contains 167 items that can help you save between $240 to $1500 over the course of a year.

Discover Aetna Medicare Advantage plans with added benefits like dental, vision, hearing, and low premiums. 1-800-891-6309 TTY 711, 24/7 Get started . Aetna ® is ... An allowance for select over-the-counter (OTC) items; Worldwide …

As an Aetna® member, you have an OTC benefit through NationsBeneits. You can use the benefit allowance you receive with your Aetna Medicare Advantage plan to buy certain OTC products online, by phone or through the mail. This catalog lists the OTC products you can order online, by phone or through the mail.On the Go? New users can register to access and existing members can log in to Aetna's secure member website to manage their health benefits. Track your claims, view your member ID card, refill prescriptions or find a nearby doctor or hospital.We would like to welcome you and thank you for choosing Aetna Better Health® of Ohio (Medicare-Medicaid Plan). As a valued member, you have an OTC benefit through NationsOTC®. This gives you access to a wide variety of OTC products. Placing an order is easy. You have five ways to use your benefit allowance and get 2021 Over-the-Counter (OTC) Health Solutions (OTCHS) Product Catalog. Keep this booklet where you can easily get to it. You’ll want to reference this often and use it to help you order. Use this to place an OTC order between January 1, 2021 and December 31, 2021. AETNA NRT AetnaMedicare.com Y0001_NR_0009_21983a_2021_CBased on the sample results, inspectors concluded that Aetna received at least $25.5 million in overpayments for 2015 and 2016. Last week, diagnostic codes were also at the center of a lawsuit ...

Learn More about Aetna Inc. Aetna Medicare Value Plan (HMO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. ... Over-the-counter items: In Network: |Over-the-counter (OTC) items:|$120 quarterly amount ...Learn More about Aetna Inc. Aetna Medicare Value Plus (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. ... Over-the-counter items: In Network: |Over-the-counter (OTC) items:|$120 quarterly amount (allowance) to purchase approved OTC health ...Oct 1, 2022 · Aetna Medicare Extra Benefits Card (new): Select plans will include a new, preloaded debit card with a quarterly allowance that can be used towards the purchase of over-the-counter (OTC) items and/or a combination of support services 6 such as: healthy foods; utilities (including water, electricity, gas, phone and internet service); and ... We want to make sure you get the care you need. That’s why we encourage you to complete your annual health survey. Get started online: Take your health survey. Or call 1-866-409-1221 (TTY: 711) and press option 2 to reach a Health Survey Specialist. They’re available Monday to Friday, 8:30 AM to 5:00 PM local time.OTCHS Login Welcome Aetna ® and Allina Health | Aetna Medicare members Did you know? As of 7/1, you can use your OTC Benefit at over 7000 CVS locations (excluding Target and Schnucks stores). Use the store locator to find the store nearest you. First-time visitor?OTCHS Login Welcome Aetna ® and Allina Health | Aetna Medicare members Did you know? As of 7/1, you can use your OTC Benefit at over 7000 CVS locations (excluding Target and Schnucks stores). Use the store locator to find the store nearest you. First-time visitor? The Aetna Medicare Eagle plan is a Medicare Advantage plan for veterans, which will now be available to over 6.1 million seniors. The option is a zero-dollar premium plan with zero-dollar copays ...Simply log in to start using your benefits. Don't have an account? Sign up Remember, you must be a member to log in.

Share. Each quarter you will receive an allowance that you can use toward health-related over-the-counter (OTC) items and drugs that are not covered by Medicare Part A, B or D. Simply use your preloaded debit card to purchase these items. Use it anytime you need to purchase eligible OTC items like cold and allergy medicine, vitamins, first aid ...OTCHS OTC Health Solutions Aetna Medicare Solutions Phone Number / Member Services TOLL FREE : 1-833-331-1573 (TTY: 711) This benefit is available for CDPHP Medicare Advantage HMO and PPO individual plans only. (Medicare Advantage plans through an employer do not cover this benefit.) ... The OTC benefit offers you an easy way to get generic over-the-counter health and wellness products by going to any OTC Health Solutions-enabled CVS Pharmacy® store. You can ...CDPHP Individual Medicare Advantage members get a prepaid benefits card with up to $100 per quarter to spend on over-the-counter (OTC) supplies at thousands of ...Anthem Blue Cross and Blue Shield is a D-SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. Learn about your Anthem Blue Cross Blue Shield over-the-counter (OTC) benefits card - how to activate, accessing benefits, and much more.With Aetna Medicare Advantage PPO plans, you can visit any doctor in or out of our provider network who accepts Medicare and our plan terms. Learn more about our Medicare Advantage PPO plans. ... Over-the-counter (OTC) benefit. Yes, in most plans. Meals-at-home program (meals delivered after an inpatient hospital or skilled nursing facility stay)

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To view your OTC Catalog online please visit the applicable links below: Aetna® Medicare members: https://www.aetnamedicare.com/otccatalog To access your catalog ... With Aetna Medicare Advantage HMO plans, you choose an in-network primary care provider (PCP). Your PCP works with you to help you get the right care at the right time so you can achieve your best health. ZIP CODE. Continue to …Call UnitedHealthcare at 1-877-596-3258 / TTY 711, 8 a.m. to 8 p.m. 7 days a week. 1 The UnitedHealthcare Medicare Plan Expert is a licensed sales agent/producer. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may …Company Summary: In 2023, Aetna continues to be a prominent player in the Medicare Advantage landscape, offering comprehensive healthcare coverage to seniors across the United States. As a subsidiary of CVS Health, Aetna leverages its vast resources and network to provide a range of innovative and personalized healthcare solutions to its ...Over-the-counter (OTC) benefit Fitness benefits Flu shots Pharmacy & prescriptions . Pharmacy & prescription center Check our drug list Find a pharmacy ... Visit AetnaMedicare.com to learn more about the 2024 Aetna Medicare plans. Or call 1-844-588-0041 ${tty}, ${hours}. The Medicare Annual Enrollment Period runs from October 15 through ...

Copays. You may have a small copay for some services or prescriptions. If you’re unsure, you can check with Member Services. Just call us at 1-800-822-2447 (TTY: 711). Approval for services. Some services need approval, or prior authorization (PA), before you get them. We base all our decisions on whether the service is:Aetna. Go Back. Ordering Healthy Foods. Has Never Been Easier! As a valued Aetna member, you have a grocery benefit through NationsBenefits® that can help you get the nutrition you need for a well-balanced diet. You can use your benefit allowance towards a variety of brand-name and generic healthy food products.aetna better health® over the counter (otc) product list . all otc products require a prescription . note: certain products on this list may have quantity limits (qll), step therapy, or prior authorization requirements. these requirements are provided next to the covered product. 4 . covered otc drug . reference drug name . requirements/limits Feb 11, 2022 · Blue Cross: Availability. Aetna and Blue Cross both sell health insurance in all 50 states and Washington, D.C. However, specific plan types and coverage limits will vary depending on location. Many Aetna Medicare Advantage plans feature an over-the-counter (OTC) benefit. It allows you to get select items like cold medicine and more at no extra ... Do you need over-the-counter (OTC) products for your health and wellness? As a member of Aetna Better Health of Virginia HMO SNP, you can get up to $100 per month to spend on eligible items. Check out the OTC catalog (PDF) to see what you can order and how to get them delivered to your home for free.Do you need over-the-counter (OTC) products for your health and wellness? As a member of Aetna Better Health of Virginia HMO SNP, you can get up to $100 per month to spend on eligible items. Check out the OTC catalog (PDF) to see what you can order and how to get them delivered to your home for free.The Aetna Medicare Payment Card is a preloaded debit card that Aetna Medicare members received on or before January 1, 2023. The purpose of this card is to make it easier for members to pay for medical services or, for certain plans, medical services and over-the-counter (OTC) expenses. On the first day of every quarter, PayFlex® will load ... Just call CVS Specialty® pharmacy at 1-800-237-2767 (TTY/TDD: 1-800-863-5488 ), Monday through Friday, 7:30 AM to 9:00 PM. Here’s a list of specialty medications (PDF). Your provider may need to get prior authorization for some medications on this list. Informed consent.Aetna patients can go to any pharmacy, but they’ll get a better deal at CVS, which acquired the insurer in 2018. Blue Cross Blue Shield clients have a similar setup …Get OTC products with NationsBeneits Hello, valued member: As an Aetna® member, you have an OTC benefit through NationsBeneits. You can use the benefit allowance you …• Go to Aetna.NationsBenefits.com to find a participating store. • Use the in-store shopping guide in this catalog to see eligible product categories. You can also search for eligible products at Aetna.NationsBenefits.com or scan a product UPC barcode to see if it’s eligible using the MyBenefits app. Simply log in to start using your benefits. Don't have an account? Sign up Remember, you must be a member to log in.

Choose Aetna Medicare Advantage PPO plans for freedom in doctor selection for low premiums. 1-800-891-6309 TTY 711, 24/7 Get started . Aetna ® is committed to making health insurance simpler and ... An allowance for certain over-the-counter (OTC) items like vitamins and cold medicine;

Are COVID-19 over-the-counter (OTC) test kits covered by my plan? Does Aetna's cost share coverage of COVID-19 testing apply to pre-admission testing? Can a pharmacist order a COVID-19 test? Will Aetna cover other virus testing if those services are for the purposes of COVID-19 testing? Additional FAQs We're here to support you Find out how2022 Over-the-Counter (OTC) Health Solutions (OTCHS) Product Catalog Keep this booklet where you can easily get to it. You’ll want to reference this often and use it to help you place an OTC order. Use this to place an OTC order between January 1, 2022 and December 31, 2022. AETNA NATIONAL AetnaMedicare.com Y0001_NR_27721_2021_C Get OTC products delivered to you at no extra cost! Aetna.NationsBenefits.com 1201151-09-01 Shop easier, healthier and happier Hello, valued member: We would like to welcome …Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D-SNP plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rat. Expand …Over-the-counter (OTC) benefit Fitness benefits Flu shots Pharmacy ... Caremark.com is the secure website where Aetna Medicare SilverScript members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, ...What is the Over-the-Counter (OTC) benefit? The OTC benefit offers you an easy way to get generic over-the-counter health and wellness products by going to any OTC Health Solutions-enabled CVS Pharmacy® store. You can also order by …We would like to show you a description here but the site won’t allow us.Using your over-the-counter (OTC) benefit. Over-the-counter (OTC) benefits help cover the cost of eligible OTC health and wellness products. This benefit is …An OTC benefit falls under additional plan benefits. The Over-the-counter allowance allows Medicare beneficiaries to purchase certain health-related items that are considered over-the-counter. Some items available include pain relievers, toothpaste, compression socks, and more. Check your plan’s evidence of coverage for additional …

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When it comes to healthcare expenses, every penny counts. As a Medicare beneficiary, you may already be familiar with the various coverage options available to help you manage your medical costs.114 plans with an increased over-the-counter (OTC) allowance. We’re working fast and furiously to update our First Look website to show off these benefit upgrades. Plan to revisit www.firstlook.aetna.com for a 2nd look at 2024 plans and many enhanced benefits – the week of August 28. . In the meantime, make sure you’re ready …Best for variety: Best Buy. Best for hearing customization: Walgreens. Best for rechargeable devices: CVS. Best for a budget: Walmart. Best for in-store shopping: Hy-Vee. Hearing loss is on the ...The new CHPA report, “Using the Medicare Advantage Over-the-Counter (OTC) Medicines Program as a Consumer Engagement Tool,” is the result of research conducted by Pareto Intelligence and HealthScape Advisors showing that enrollees who use OTC program benefits have greater healthcare needs, and health plans see lower …Are you a recipient of Aetna Medicaid? If so, you may be wondering how to find healthcare providers and specialists within the Aetna Medicaid network. Aetna Medicaid is a managed care organization that offers comprehensive healthcare covera...Expanded footprint: For 2024, Aetna will offer MAPD plans in 46 states plus Washington, D.C. We added 255 new counties across the country, providing 2.2 million more Medicare-eligible beneficiaries access to an Aetna plan. In total, Aetna will offer MAPD plans in 2,269 counties in 2024, accessible by 58 million Medicare-eligible beneficiaries. 2.Over-the-Counter (OTC) Catalog Medicare Advantage Plan 2023 Y0020_WCM_100412E1_M CMS Accepted 09062022 ©Wellcare 2022 . NA3WCMOTC00412E_0000. ... The OTC benefit offers you an easy way to get generic over-the-counter health and wellness products by going to any OTC Health Solutions …Extra benefits. One of the main advantages of MA plans is that many include vision, dental and hearing coverage. With most Aetna MA plans, you have a network benefit or an allowance to pay for these services. This coverage may include: Dental coverage, including annual cleanings, X-rays and fillings. Annual routine eye exam and coverage for ...OTCHS OTC Health Solutions Aetna Medicare Solutions Phone Number / Member Services TOLL FREE : 1-833-331-1573 (TTY: 711) With Healthy Benefits+, you get access to benefits that can help you live a healthier lifestyle. Best of all, your benefits are applied instantly at checkout! To view the benefits you are eligible for and how you can shop, log in to your program website. You can find your program website information in the welcome materials you received in the ...The Aetna Medicare Payment Card is a preloaded debit card that Aetna Medicare members received on or before January 1, 2023. The purpose of this card is to make it easier for members to pay for medical services or, for certain plans, medical services and over-the-counter (OTC) expenses. On the first day of every quarter, PayFlex® will load ... ….

2021 Over-the-Counter (OTC) Health Solutions (OTCHS) Product Catalog. Keep this booklet where you can easily get to it. You’ll want to reference this often and use it to help you order. Use this to place an OTC order between January 1, 2021 and December 31, 2021. AETNA NRT AetnaMedicare.com Y0001_NR_0009_21983a_2021_CDo you need over-the-counter (OTC) products for your health and wellness? As a member of Aetna Better Health of Virginia HMO SNP, you can get up to $100 per month to spend on eligible items. Check out the OTC catalog (PDF) to see what you can order and how to get them delivered to your home for free.An OTC benefit falls under additional plan benefits. The Over-the-counter allowance allows Medicare beneficiaries to purchase certain health-related items that are considered over-the-counter. Some items available include pain relievers, toothpaste, compression socks, and more. Check your plan’s evidence of coverage for additional details ...You'll use your card to pay for eligible expenses like office visits, deductibles, copays and coinsurance, prescriptions and certain over-the-counter items. Use your card at qualified merchants who can process health care cards. These merchants include doctors offices, hospitals, pharmacies and hearing and vision care centers.Aetna Better Health® Premier Plan MMAI (Medicare-Medicaid Plan) 2023 Over-the-Counter Item Catalog Catálogo de Artículos de venta libre (OTC)2023 Aetna Better Health Kids Over-the-Counter( OTC) Item Catalog Catálogo de Artículos de venta libre (OTC) Please keep this booklet nearby. You will need it to look up the OTC items you want to order. It has steps on how to order online, by phone or in store. The booklet in Spanish can be found on page 16.Oct 18, 2023 · Aetna D-SNP members have a regular allowance to use for certain Medicare-approved over-the-counter (OTC) products. When you enroll in your plan, you should receive an OTC catalog. (If you didn’t get yours, you can always find it online or ask your care team for one.) The catalog has hundreds of items. Based on the sample results, inspectors concluded that Aetna received at least $25.5 million in overpayments for 2015 and 2016. Last week, diagnostic codes were also at the center of a lawsuit ... Aetna medicare over the counter, Do you need over-the-counter (OTC) products for your health and wellness? As a member of Aetna Better Health of Virginia HMO SNP, you can get up to $100 per month to spend on eligible items. Check out the OTC catalog (PDF) to see what you can order and how to get them delivered to your home for free., Welcome to your Aetna ® Medicare Dual Eligible Special Needs Plan (D-SNP). This page has information to make using your benefits easier. ... All Aetna® D-SNP plans also come with a quarterly over-the-counter (OTC) allowance. This allowance can be used to buy approved wellness items, such as pain relievers, cold and flu medicines, first aid ..., What is an OTC Card? An OTC Medicare card is provided by private insurance carriers through Medicare Advantage plans. Not all Medicare Advantage plans offer OTC cards, and benefits may be limited by the carrier. You can use this card to purchase select over-the-counter products at participating locations., Your Medicare OTC card covers select over-the-counter medical products. Each year, Medicare OTC benefits become more popular as more seniors on Medicare Advantage plans enroll in a plan with these benefits. Many retail pharmacies partner with Medicare Advantage carriers to provide policyholders with discounts and OTC benefits., Over-the-counter drugs are not generally covered in a formulary. Brand-name drugs lose patent protection and generic versions become available. When this happens, the brand-name drug is likely to be covered at a higher cost, while generic versions may cost less. ... (PPO), Aetna Medicare Plan (HMO), all Aetna HealthFund ..., product - size. price. a2. 477066: allergy relief tablets - 24 ct. $4 : a3. 444238: cetirizine 10mg tablets - 30 ct. $10 : a5. 232642: loratadine 10mg 24 hr regular - 30 ct , Medicare continues to cover vaccines without cost sharing. You might have cost sharing for COVID-19 diagnostic tests. Medicare doesn't cover over-the-counter (OTC) tests, but as of September 25, 2023, you can visit COVID.gov/tests to place an order of 4 free at-home tests per household. Telehealth services continue through December …, Welcome to your Aetna ® Medicare Dual Eligible Special Needs Plan (D-SNP). This page has information to make using your benefits easier. ... All Aetna® D-SNP plans also come with a quarterly over-the-counter (OTC) allowance. This allowance can be used to buy approved wellness items, such as pain relievers, cold and flu medicines, first aid ..., Welcome Aetna ® and Allina Health | Aetna Medicare members. Did you know? As of 7/1, you can use your OTC Benefit at over 7000 CVS locations (excluding Target and Schnucks stores). Use the store locator to find the store nearest you. First-time visitor? If this is your first time visiting, you'll need to create an OTC Health Solutions account., Some Aetna Medicare plans include an over-the-counter (OTC) benefit. It offers members a convenient way to get generic OTC health and wellness products — up to a certain …, Discover Aetna Medicare Advantage plans with added benefits like dental, vision, hearing, and low premiums. 1-800-891-6309 TTY 711, 24/7 Get started . Aetna ® is ... An allowance for select over-the-counter (OTC) items; Worldwide …, Welcome Aetna Better Health of Florida members. Did you know? As of 7/1, you can use your OTC Benefit at over 7000 CVS locations (excluding Target and Schnucks stores). Use the store locator to find the store nearest you. First-time visitor? If this is your first time visiting, you'll need to create an OTC Health Solutions account., To view your OTC Catalog online please visit the applicable links below: Aetna® Medicare members: https://www.aetnamedicare.com/otccatalog To access your catalog ..., Your Aetna Medicare Advantage plan includes an over the counter (OTC) benefit. It offers a convenient way to get generic OTC health and wellness products delivered straight to your home. Your OTC allowance can be used on items like pain relief, cold and allergy remedies, first aid supplies, dental and eye care, vitamins and minerals and ..., To order over the phone, find the products you want to order in the catalog, have your member ID ready and call 888-628-2770 (TTY: 711) and speak to a live agent. Monday to Friday, from 9 AM to 8 PM ET. Call OTC Health Solutions® (OTCHS) at 888-628-2770, using your phone number on file with Advantage MD. When prompted, provide …, Medicare is a government program that provides health insurance coverage for individuals who are 65 years old or older, as well as certain younger individuals with disabilities. One of the benefits that Medicare offers its beneficiaries is ..., If you have any questions, please see your Evidence of Coverage or Cost Sharing Guide for the OTC allowance amount you get with your plan or call ConnectiCare Medicare Connect Concierge at 800-224-2273 (TTY: 711 ), 8 am. to 8 p.m., seven days a week. Plan. Frequency. OTC items by mail order. OTC items in retail store., Get OTC products delivered to you at no extra cost! Aetna.NationsBenefits.com 1201151-09-01 Shop easier, healthier and happier Hello, valued member: We would like to welcome …, Learn More about Aetna Inc. Aetna Medicare Value Plan (HMO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. ... Over-the-counter items: In Network: |Over-the-counter (OTC) items:|$120 quarterly amount ..., All 2022 Aetna Medicare Eagle plans will feature a $0 monthly plan premium, $0 primary care copay (including walk-in clinics), dental, vision, hearing, over-the-counter allowance, SilverSneakers ..., While Medicare Advantage plan availability, costs and benefits can vary from one area to another, the average premium for a Medicare Advantage plan with drug coverage in 2023 is $17.60 per month. There are 3,998 Medicare Advantage plans nationwide in 2023, which means the average Medicare beneficiary has access to 43 different Medicare ..., SilverScript® SmartSaver (PDP) Our SmartSaver (PDP) helps you get the medicine you need with: $0 copays* and $0 deductible on Tier 1 drugs. Nearly 600 drugs on Tiers 1 and 2 for no more than $5* — on our lowest premium plan. Reduced deductible of $280 for Tier 2 -5 drugs**., Register online. Or call us toll free at the number on your member ID card. Or complete this form, and mail it back to us at the address below: Mail Service Order Form. Mail Service Order Form (Español) CVS Caremark. PO BOX 659541. SAN ANTONIO, TX 78265-9541. Let us know how you want to pay for your order., It can be found on the front of your Aetna Better Health Kids ID card. What is the benefit? The OTC benefit offers you an easy way to get generic over-the-counter health and wellness items by going to any OTC Health Solutions-enabled CVS Pharmacy® store. You can also order by phone , Feb 11, 2022 · Blue Cross: Availability. Aetna and Blue Cross both sell health insurance in all 50 states and Washington, D.C. However, specific plan types and coverage limits will vary depending on location. Many Aetna Medicare Advantage plans feature an over-the-counter (OTC) benefit. It allows you to get select items like cold medicine and more at no extra ... , The Aetna Medicare Payment Card is a preloaded debit card that Aetna Medicare members received on or before January 1, 2023. The purpose of this card is to make it easier for members to pay for medical services or, for certain plans, medical services and over-the-counter (OTC) expenses. On the first day of every quarter, PayFlex® will load ... , Over-the-counter (OTC) benefit: Save money on wellness items. Many plans include an over-the-counter (OTC) benefit. Use the online catalog to see a list of health and wellness items that are included in the OTC benefit. You can learn more about your available items and how to order OTC products. , Prescription drug plan (PDP) Members with Aetna Medicare SilverScript prescription drug plans can log in or register for an account below. Through your secure, personal account at Caremark.com, you can view and manage prescriptions, including mail order delivery, and review your Explanation of Benefits (EOB). Log in for PDP Pay my premium, Learn More about Aetna Inc. Aetna Medicare Value Plan (HMO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. ... Over-the-counter items: In Network: |Over-the-counter (OTC) items:|$120 quarterly amount ..., 114 plans with an increased over-the-counter (OTC) allowance. We’re working fast and furiously to update our First Look website to show off these benefit upgrades. Plan to revisit www.firstlook.aetna.com for a 2nd look at 2024 plans and many enhanced benefits – the week of August 28. . In the meantime, make sure you’re ready …, We would like to welcome you and thank you for choosing Aetna Better HealthSM Premier Plan (Medicare-Medicaid Plan). As a valued member, you have an OTC benefit through NationsOTC®. This gives you access to a wide variety of OTC products. Placing an order is easy. You have five ways to use your benefit allowance and get, Call UnitedHealthcare at 1-877-596-3258 / TTY 711, 8 a.m. to 8 p.m. 7 days a week. 1 The UnitedHealthcare Medicare Plan Expert is a licensed sales agent/producer. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply., Copays. You may have a small copay for some services or prescriptions. If you’re unsure, you can check with Member Services. Just call us at 1-800-822-2447 (TTY: 711). Approval for services. Some services need approval, or prior authorization (PA), before you get them. We base all our decisions on whether the service is: