AARP Medicare Rx Preferred from UHC: Part D Plan S5921-402 Details for Louisiana
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AARP Medicare Rx Preferred from UHC is a 2025 Medicare Part D plan from UnitedHealthcare® that's available to individuals enrolled in a Medicare Advantage plan without prescription drug plan benefits or Medicare Part A and/or Part B
This Part D plan has a monthly premium of $90.20, an initial coverage limit of $2,000, and a $0.00 deductible that must be paid at the pharmacy before cost-sharing begins. *This plan has an overall rating of 2 (Below Average) out of 5 stars.
See more Medicare Part D Plans in Louisiana.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S5921-402 |
| Plan Type: | PDP |
| Plan Year: | 2025 |
| Premium: | $90.20/mo |
| Deductible: | $0.00/yr |
| Benefit Type: | Enhanced |
| Low Income Subsidy: | Yes |
| Availability: | Louisiana |
| Insured By: | UnitedHealthcare® |
Prescription Drug Premium with Extra Help
Although AARP Medicare Rx Preferred from UHC's monthly premium is bundled with the total plan cost, some plans may receive low-income subsidy (LIS) assistance known as Extra Help. The following table outlines the LIS available through this UnitedHealthcare® plan (if any).
| Low Income Premium Subsidy: | $55.63 |
| Low Income Premium Subsidy CMS Pays: | $37.90 |
| Low Income Subsidy Premium: | $52.30 |
The Social Security Extra Help page has more information about the Low-Income Subsidy (“Extra Help”) program.
Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $0.00. You must pay this amount at the pharmacy before UnitedHealthcare® begins paying its share
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, AARP Medicare Rx Preferred from UHC has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $5.00 | $0.00 | |
| Generic | $10.00 | $0.00 | |
| Preferred Brand | $47.00 | $0.00 | |
| Non-Preferred Drug | 40.00% | 45.00% | |
| Specialty Tier | 33.00% | 33.00% | |
| *Deductible does not apply. | |||
2025 CMS Rating Marks
The following table shows the quality ratings for this UnitedHealthcare® plan. Each year CMS rates drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating of less than 3.0.
| CMS Measure | Star Rating |
|---|---|
| Overall Plan Rating | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Every plan covers drugs differently, so it's important to look at your total cost.
Contact Us About UnitedHealthcare®
| Plan Website: | UnitedHealthcare® |
|---|---|
| Formulay Information: | UnitedHealthcare® Formulary Information |
| Pharmacy Information: | UnitedHealthcare® Pharmacy Information |
| Prospective Part D Members: | (800)753-8004 |
| Prospective Part D TTY Users: | 711 |
If you qualify for Original Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program at www.medicare.gov.
Citations & References
- UnitedHealthcare®, "http://AARPMedicarePlans.com", Last Accessed March 1, 2025
- Medicare.gov, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Benefits.gov, "Medicare Prescription Drug Plans", Last Accessed March 1, 2024
- Medicare.gov, "Costs for Medicare drug coverage", Last Accessed March 3, 2024
- Medicare.gov, "Help with drug costs", Last Accessed February 19, 2024
- CMS.gov, "Landscape Source Files", Last Accessed March 1, 2025
- CMS.gov, "Medicare Part C & D Performance", Last Accessed March 1, 2025
- CMS.gov, "Benefits Data", Last Accessed March 1, 2025
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.