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

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

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.

    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.

Tell Us How to Contact You

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Questions about Advantage U?

  • If you have questions, call toll-free
  • Monday through Friday 8am – 5pm MST
  • Toll-free: 1-833-951-4345 (TTY: 711)
  • Utah: 801-792-3268
  • 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 801-792-3268 (TTY 711).

Last Updated: 10/01/2021
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