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    801-893-6645 (TTY 711) or
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    Advantage U Medicare Advantage logo Online Enrollment
    A few things to know before you begin your enrollment.

    Help is a phone call away. Please contact the Advantage U Enrollment Center at (801) 843-6645 (TTY 711) if you prefer to complete enrollment over the phone instead of online.

    Enrollment center hours are 8:00 a.m. to 8:00 p.m., Mountain Time, 7 days a week. If you are calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays

    • The enrollment process should take about 15 minutes to complete. After your enrollment is processed, you will receive your plan materials along with a welcome call to answer any questions you might have.
    • You will need your Medicare number to enroll. Before you get started you will want to make sure you have your Medicare card (the red, white and blue card) or your letter from the Social Security Administration handy.
    • By completing this enrollment form you are sending an actual enrollment form to Advantage U. You will get an enrollment packet and a letter confirming your enrollment once your application has been approved by Medicare. Medicare beneficiaries may also enroll in the Advantage U Signature (PPO) plan through the Centers for Medicare and Medicaid Services (CMS) Medicare Plan finder at Medicare.gov/plan-compare.
    • Once you submit your enrollment successfully, you will be provided with a confirmation number. Record this number for your reference until you receive your plan information in the mail.

Resources for Coronavirus

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.

Learn More

Welcome to Advantage U

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. A 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.

Advantage U Signature (PPO) is available for Medicare beneficiaries in Davis, Salt Lake, Tooele, Utah, and Weber Counties.

Advantage U Signature (PPO) includes

    • 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.

      Search Eye Doctors

    • 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. You can receive up to 2 Home Fitness Kits per benefit year.

      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.

    • Over-the-Counter (OTC)

      With our plan, members receive a $30 allowance each quarter to use for the purchase of select OTC products.

    • 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)
      • $30 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 90-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 eligible insulins $35 copay for 30 days supply (eligible insulins not subject to Part D Deductible) This copay stays the same regardlesss of phase of benefit during the plan year.

    • Dental

      Our plan includes preventive dental coverage with a $0 copay and comprehensive dental coverage for fillings, extractions or adjunctive periodontal care. Up to $1,000 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.

      Search Eye Doctors

    • 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. You can receive up to 2 Home Fitness Kits per benefit year.

      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.

    • 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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Questions about Advantage U?

  • If you have questions, call toll-free
  • Seven (7) days a week, 8am - 8pm MST
  • Toll-free: 1-855-275-0374 (TTY: 711)
  • Utah: 801-893-6645
  • If you are calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays. Leave a message and your call will be returned the next business day.

Medicare Disclaimer

Advantage U is a PPO with a Medicare contract. Enrollment in Advantage U depends on contract renewal. Out-of-network/noncontracted providers are under no obligation to treat Advantage U members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services. For accommodations of persons with special needs at meetings call 801-893-6645 (TTY 711).

Last Updated: 10/01/2021
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