P lan Guide 2021 - Florida

Plan Guide 2021

Take advantage of all your Medicare Advantage plan has to offer.

STATE OF FLORIDA

MyFlorida Group Medicare Advantage (PPO) Group Number: 13988

Effective: January 1, 2021 through December 31, 2021

Table of Contents

Introduction..................................................................................................................................... 3

Plan Information

Benefit Highlights...................................................................................................................6 Plan Information................................................................................................................... 11 Summary of Benefits........................................................................................................... 22

Drug List

Drug List............................................................................................................................... 40 Additional Drug Coverage...................................................................................................63

What's Next

Here's What You Can Expect Next..................................................................................... 70 Statements of Understanding.............................................................................................71

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UHEX21MP4713484_000

Introducing the Plan

MyFlorida Group Medicare Advantage (PPO) plan

Dear Retiree, The State Group Insurance Program has added the MyFlorida Group Medicare Advantage (PPO) plan, a UnitedHealthcare? Group Medicare Advantage (PPO) plan, as an option for health care coverage for all Medicare-eligible retirees. As a member, you'll have a team committed to understanding your needs and helping you get the care you need.

Let us help you:

? Get tools and resources to help you be in more control of your health ? Find ways to save money on health care so you can focus more on

what matters to you ? Get access to care when you need it

In this book you will find:

? A description of this plan and how it works ? Information on benefits, programs and services -- and how much

they cost ? What you can expect after your enrollment If you want to enroll in this plan, you may do so online by visiting or by calling 1-866-663-4735, TTY 1-866-221-0268. People First will forward your enrollment information to UnitedHealthcare.

Important information

The term "retiree" is used throughout these materials to refer to individuals who are eligible for Medicare and meet the eligibility requirements as determined by your former employer or plan sponsor, including whether or not the individual is retired from employment.

Take advantage of healthy extras with UnitedHealthcare

HouseCalls

Gym Membership

Health & Wellness Experience

Questions? We're here to help.

MyFlorida

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Call toll-free 1-877-352-7794, TTY 711, 8 a.m. ? 8 p.m. local time, 7 days a week

UHEX21PP4716341_000 SPRJ55312

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Plan Information

UHEX21MP4713485_000

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