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UCare Minnesota

Plan ID: H2459-1-0

UCare Value (HMO-POS)

2025 UCare Value (HMO-POS) H2459 — 001 — 0 is a Medicare Advantage plan . It has received a 4-out-of-5 star rating from CMS for 2025.

Learn more about UCare Value (HMO-POS) H2459 - 001 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.

4 / 5 stars for 2025

$0.00 /mo

Monthly premium

$3400.00

Out-of-pocket maximum

Enroll online

Call to enroll

OR

Get personalized help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week!

Overview Benefits & Costs Drug Coverage Additional Benefits

Plan Overview

2025 UCare Value (HMO-POS) H2459 — 001 — 0 is a HMO-POS offered in by UCare Minnesota. It has a monthly premium of $19.00.

Premium Breakdown

Standard Part B Premium

$185.00

Part B premium reduction

- $0

Monthly Plan Premium

$19.00

Total Premium:

$204.00

Note:

The standard Medicare Part B premium for 2025 is $185.00. Your premium may differ based on factors like late enrollment, income (IRMAA), or disability status. Most people enrolled in Medicare Part B are required to pay this premium.

Special needs plan type

No

Out-of-pocket maximum

$3400.00

Plan Organization:

UCare Minnesota

Plan Type:

HMO-POS

Location:

Drugs Covered:

No

Drug Formulary:

Not yet released

Pharmacies:

Not yet released

Doctor Choice:

Doctors Link:

Not yet released

Deductibles

The amount you must pay each year before your plan starts to pay for covered services or drugs.

Sign up for UCare Value (HMO-POS)

Enroll online

Call to enroll

Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Drug Coverage

UCare Value (HMO-POS) does not provide drug coverage. If drug coverage is something you need, you should consider shopping for other plans that do provide cost sharing on drugs.

Additional Benefits

UCare Value (HMO-POS) also provides the following benefits.

Note:

Limits, Authorizations, and Referrals may apply for the benefits below. Contact the plan for details.

Comprehensive dental

Adjunctive General Services

In-Network: 30 Coins - No Co pay

Out-Of-Network: 0-60% Coins - No Copay

Endodontics

In-Network: 30 Coins - No Co pay

Out-Of-Network: 0-60% Coins - No Copay

Implant Services

In-Network: 60 Coins - No Co pay

Out-Of-Network: 0-60% Coins - No Copay

Oral and Maxillofacial Surgery

In-Network: 30 Coins - No Co pay

Out-Of-Network: 0-60% Coins - No Copay

Periodontics

In-Network: 0-30 Coins - No Co pay

Out-Of-Network: 0-60% Coins - No Copay

Prosthodontics, fixed

In-Network: 60 Coins - No Co pay

Out-Of-Network: 0-60% Coins - No Copay

Prosthodontics, removable

In-Network: 60 Coins - No Co pay

Out-Of-Network: 0-60% Coins - No Copay

Restorative Services

In-Network: 30-60 Coins - No Co pay

Out-Of-Network: 0-60% Coins - No Copay

Preventive dental

Dental X-Rays

In-Network: No Coins - No Copay

Out-Of-Network: 0-60% Coins - No Copay

Fluoride Treatment

In-Network: No Coins - No Copay

Out-Of-Network: 0-60% Coins - No Copay

Oral Exams

In-Network: No Coins - No Copay

Out-Of-Network: 0-60% Coins - No Copay

Prophylaxis (cleaning)

In-Network: No Coins - No Copay

Out-Of-Network: 0-60% Coins - No Copay

Diagnostic procedures/lab services/imaging

Diagnostic radiology services

Diagnostic tests and procedures

In-Network: 10% coinsurance

Out-Of-Network: 20% coinsurance

Lab services

In-Network: $0 copay

Out-Of-Network: $0 copay

Outpatient x-rays

In-Network: 10% coinsurance

Out-Of-Network: 20% coinsurance

Doctor visits

Primary

In-Network: $0 copay

Out-Of-Network: $0 copay

Specialist

In-Network: $35 copay per visit

Out-Of-Network: $35 copay per visit

Emergency care/Urgent care

Emergency

$100 copay per visit (always covered)

Urgent care

$45 copay per visit (always covered)

Foot care (podiatry services)

Foot exams and treatment

In-Network: $35 copay

Out-Of-Network: $35 copay

Routine foot care

Not covered

Ground ambulance

All service types

In-Network: $100 copay

Out-Of-Network: $100 copay

Hearing

Hearing aids OTC

Not covered

Medicare-Covered Hearing Exam

In-Network: $35 copay

Out-Of-Network: 20% coinsurance

Fitting/evaluation

In-Network: $0 copay

Hearing aids

In-Network: $599-899 copay

Inpatient hospital coverage

All service types

In-Network: $200 per stay

Out-Of-Network: 20% per stay

Outpatient hospital coverage

All service types

In-Network: $250 copay per visit

Out-Of-Network: 20% coinsurance per visit

Optional benefits

All service types

No

Medical equipment/supplies

Durable medical equipment

Prosthetics

Diabetes supplies

In-Network: 0-20% coinsurance per item

Out-Of-Network: 20% coinsurance per item

Medicare Part B drugs

Other Part B drugs

In-Network: 0-20% coinsurance

Out-Of-Network: $35 copay or 0-20% coinsurance

Chemotherapy

In-Network: 0-20% coinsurance

Out-Of-Network: $35 copay or 0-20% coinsurance

Mental health services

Inpatient hospital - psychiatric

In-Network: $200 per stay

Out-Of-Network: 20% per stay

Outpatient group therapy visit with a psychiatrist

In-Network: $0 copay

Out-Of-Network: $0 copay

Outpatient individual therapy visit with a psychiatrist

In-Network: $0 copay

Out-Of-Network: $0 copay

Outpatient group therapy visit

In-Network: $0 copay

Out-Of-Network: $0 copay

Outpatient individual therapy visit

In-Network: $0 copay

Out-Of-Network: $0 copay

Preventive care

All service types

In-Network: $0 copay

Out-Of-Network: $0 copay

Rehabilitation services

Physical therapy and speech and language therapy visit

In-Network: $35 copay

Out-Of-Network: $35 copay

Occupational therapy visit

In-Network: $35 copay

Out-Of-Network: $35 copay

Skilled Nursing Facility

All service types

In-Network: $0 per day for days 1 through 20 $125 per day for days 21 through 100

Out-Of-Network: 20% per stay

Transportation

All service types

Not covered

Vision

Eyeglass lenses

In-Network: $0 copay

Out-Of-Network: $0 copay

Upgrades

In-Network: $0 copay

Out-Of-Network: $0 copay

Contact lenses

In-Network: $0 copay

Out-Of-Network: $0 copay

Eyeglass frames

In-Network: $0 copay

Out-Of-Network: $0 copay

Eyeglasses (frames and lenses)

In-Network: $0 copay

Out-Of-Network: $0 copay

Other

Not covered

Routine eye exam

In-Network: $0 copay

Wellness programs (eg, fitness, nursing hotline)

All service types

Covered

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

Get Personalized Help from a licensed insurance agent

1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

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