Notice: This Medicare plan won’t be offered in 2024
This is a courtesy notice to let you know that beginning January 1, 2024, Advantage U Signature (PPO), Advantage U Signature Buyback (PPO) and Advantage U for University of Utah Retirees (PPO) will not be offered. This means you will need to obtain coverage from another Medicare plan for 2024.
Welcome to Advantage U for University of Utah Retirees (PPO)
With so many Medicare coverage options out there, it can be hard to know which plan to choose.
Thankfully, there’s a plan you can trust that was born right in our backyard, created for U of U Retirees like you. A new plan developed by Utahns with extensive health care experience and a dedication to providing Utahns like you with affordable coverage, benefits designed with you in mind and a network of doctors and hospitals you already know and trust.
That plan is Advantage U for University of Utah Retirees.
Advantage U for University of Utah Retirees (PPO) is available for Medicare beneficiaries that are eligible retirees of the University of Utah residing in Davis, Salt Lake, Tooele, Utah, and Weber Counties.
![Resources for Coronavirus](/sites/g/files/zrelqx536/files/styles/freeform_wide/public/media/images/2023/advantageu-covid-small-frontpage.png)
CORONAVIRUS UPDATES AND COVERAGE DETAILS
During the national public health emergency period, Screening and/or testing for COVID-19 is covered in-network and out-of-network for a $0 copay.
Advantage U for University of Utah Retirees (PPO) includes
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Hospital and Medical Coverage
Advantage U offers the $0 Premium Advantage U Signature (PPO) plan.
- $0 Monthly Premium (you must continue to pay your Part B Premium)
- $0 Copay for In-network Primary Care Physician (PCP)
- $25 Copay for In-network Specialist Visit
For a complete listing of benefits please see Summary of Benefits.
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Prescription Drug Coverage
Our plan features a formulary (or drug list) with a broad number of prescription drugs on Tier 1 and Tier 2, so you can save more.
See Summary of Benefits for additional prescription drug coverage information.
Retail Cost-Sharing Tier 30-Day Supply 60-Day Supply 100-Day Supply Tier 1 (Preferred Generics) $3 copay $6 copay $0 copay Tier 2 (Generics) $10 copay $20 copay $20 copay Tier 3 (Preferred Brands) $47 copay $94 copay $141 copay Tier 4 (Non-Preferred Drugs) $100 copay $200 copay $300 copay Tier 5 (Specialty Medications) 29% coinsurance Not offered Not Offered Senior Savings Model: For Select Insulins, $28 copay for one-month supply is applicable in the Deductible, Initial Coverage and Coverage Gap phases of the Part D Benefit.
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Dental
Our plan includes preventive dental coverage with a $0 copay and comprehensive dental coverage for fillings, extractions, crowns, implants or adjunctive periodontal care. Up to $1,500 annual benefit for comprehensive coverage. Authorization rules apply.
See Summary of Benefits for additional dental benefits.
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Vision
We offer a $0 copay for routine vision exam along with coverage for eyeglasses or contact lenses ($120 limit on eyeglasses and contacts).
See Summary of Benefits for additional vision benefits.
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Hearing
Our plan includes a $0 copay for routine hearing exams through TruHearing along with hearing aid coverage.
See Summary of Benefits for additional hearing benefits.
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Fitness
Enjoy a Fitness Center Membership to participating fitness centers and choose to receive Home Fitness Kit.
You can visit a participating fitness center near you. You also have access to a variety of Home Fitness Kits.
The Silver&Fit® program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). Silver &Fit® is a federally registered trademark of ASH and used with permission herein. Kits are subject to change. Participating facilities and fitness chains may vary by location and are subject to change.
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Over-the-Counter (OTC)
With our plan, members receive a $50 allowance each quarter to use for the purchase of select OTC products.
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Hospital and Medical Coverage
Advantage U offers the $0 Premium Advantage U Signature (PPO) plan.
- $0 Monthly Premium (you must continue to pay your Part B Premium)
- $0 Copay for In-network Primary Care Physician (PCP)
- $25 Copay for In-network Specialist Visit
For a complete listing of benefits please see Summary of Benefits.
-
Prescription Drug Coverage
Our plan features a formulary (or drug list) with a broad number of prescription drugs on Tier 1 and Tier 2, so you can save more.
See Summary of Benefits for additional prescription drug coverage information.
Retail Cost-Sharing Tier 30-Day Supply 60-Day Supply 100-Day Supply Tier 1 (Preferred Generics) $3 copay $6 copay $0 copay Tier 2 (Generics) $10 copay $20 copay $20 copay Tier 3 (Preferred Brands) $47 copay $94 copay $141 copay Tier 4 (Non-Preferred Brands) $100 copay $200 copay $300 copay Tier 5 (Specialty Medications) 29% coinsurance Not offered Not Offered Senior Savings Model: For Select Insulins, $28 copay for 30-day supply is applicable in the Deductible, Initial Coverage and Coverage Gap phases of the Part D Benefit.
-
Dental
Our plan includes preventive dental coverage with a $0 copay and comprehensive dental coverage for fillings, extractions, crowns, implants or adjunctive periodontal care. Up to $1,500 annual benefit for comprehensive coverage. Authorization rules apply.
See Summary of Benefits for additional dental benefits.
-
Vision
We offer a $0 copay for routine vision exam along with coverage for eyeglasses or contact lenses ($120 limit on eyeglasses and contacts).
See Summary of Benefits for additional vision benefits.
-
Hearing
Our plan includes a $0 copay for routine hearing exams through TruHearing along with hearing aid coverage.
See Summary of Benefits for additional hearing benefits.
-
Fitness
Enjoy a Fitness Center Membership to participating fitness centers and choose to receive Home Fitness Kits.
You can visit a participating fitness center near you. You also have access to a variety of Home Fitness Kits.
The Silver&Fit® program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). Silver &Fit® is a federally registered trademark of ASH and used with permission herein. Kits are subject to change. Participating facilities and fitness chains may vary by location and are subject to change.
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Over-the-Counter (OTC)
With our plan, members receive a $30 allowance each quarter to use for the purchase of select OTC products.
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