AARP Medicare Rx Preferred from UHC: Part D Plan S5921-402 Details for Louisiana
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 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 |
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