UCare Medicare Supplement Plans
UCare offers three statewide Medicare Supplement plans. Explore our plans and choose one that’s right for you.
What is a Medicare Supplement (or Medigap) plan?
- Medicare Supplement plans help pay for costs Original Medicare doesn’t cover, like copays, coinsurance and deductibles.
- Medicare Supplement plans don’t include Medicare Part D outpatient prescription drug coverage. If you want prescription drug coverage, you’ll need to purchase a stand-alone Part D plan.
Why choose a UCare Medicare Supplement Plan?
UCare offers a range of Medicare Supplement plans and premiums to fit your needs and budget:
- No network: See any Medicare provider, no referrals needed.
- Goes where you go: You’re covered anywhere in the United States when you visit any doctor that accepts Medicare.
- Fitness and wellness benefits: One Pass fitness program with more than 20,000 locations nationwide. Plus a tobacco and nicotine quit line.
- Guaranteed renewable policy: Your plan and benefits are guaranteed as long as you pay the premium.
UCare Medicare Supplement Plans and Outlines of Coverage
UCare Medicare Supplement Basic
$183 premium for non-tobacco users
$210 premium for tobacco users
After Medicare pays its share, your plan covers:
- Part A inpatient hospitalization, after you meet the deductible
- Skilled nursing facility care up to 100 days per benefit period
- Part B eligible expenses, after you meet the deductible
- 80% of covered charges for emergency care while traveling outside U.S.
- First three pints of blood
- 100% of Part B charges for covered immunizations and routine screenings
- Cost sharing for eligible Part A hospice and respite care expenses
- One Pass fitness program, including gym membership, online classes, at home fitness kits, brain training, and social events.
See the Outline of Coverage (PDF)
UCare Medicare Supplement Extended Basic
$228 premium for non-tobacco users
$262 premium for tobacco users
Includes UCare Medicare Supplement Basic coverage plus:
- Medicare Part A deductible
- Annual physical and/or preventive services (up to $120 maximum)
- 80% of covered charges for non-emergency medical care while traveling outside U.S.
- 100% coverage after you spend $1,000 out-of-pocket costs for a calendar year
- One Pass fitness program, including gym membership, online classes, at home fitness kits, brain training, and social events.
See the Outline of Coverage (PDF)
UCare Medicare Supplement with $20/$50 Copay
$200 premium for non-tobacco users
$230 premium for tobacco users
Includes UCare Medicare Supplement Basic coverage plus:
- Part A coinsurance and inpatient hospital stay up to 365 days after Medicare benefits are used up
- $20 office visit (Primary care, specialists, chiropractic and podiatry)
- $50 emergency room visit (waived if admitted to hospital)
- Immunizations (Flu, pneumonia and Hepatitis B)
- One Pass fitness program, including gym membership, online classes, at home fitness kits, brain training, and social events.
See the Outline of Coverage (PDF)
| Available to all applicants | must be first eligible for medicare before 2020 | |||
| UCare Medicare Supplement Basic |
UCare Medicare Supplement Extended Basic** |
UCare Medicare Supplement with $20/$50 copay |
UCare Medicare Supplement Extended Basic** |
|
| 2022 monthly premium |
Non-Smoker: $183 |
Non-Smoker: $228 |
Non-Smoker: $200 |
Non-Smoker: $244 |
| Part A skilled nursing facility copay |
✓ | ✓ | ✓ | ✓ |
| Part A inpatient hospital deductible |
Optional rider |
✓ | ✓ | ✓ |
| Part B deductible |
Optional rider* | Not available |
Not available |
✓ |
| Part B coinsurance or copay |
✓ | ✓ | Copays apply |
✓ |
| Part B excess charges |
Optional rider | ✓ | Not available |
✓ |
| Foreign travel care |
80%** | 80% | 80%** | 80% |
| Preventive medical care (non-Medicare covered) | Optional rider $120 maximum |
$120 maximum | Not available |
$120 maximum |
| Immunizations (not covered under Medicare Part D) | ✓ | ✓ | Not available |
✓ |
| Routine screening procedures for cancer, including mammograms and Pap smears | ✓ | ✓ | ✓ | ✓ |
| One Pass™ fitness program |
✓ | ✓ | ✓ | ✓ |
| Out-of-pocket maximum |
Not available |
$1,000 per calendar year |
Not available |
$1,000 per calendar year |
With the exception of the preventive medical care rider, optional riders cover at 100%.
*Medicare rules limit this benefit to those first eligible for Medicare before 1/1/2020.
**Benefits limited to charges incurred as a result of a medical emergency.