S5921-396: AARP Medicare Rx Preferred from UHC – 2025 Medicare Part D Plan Available in Indiana
S5921-396: AARP Medicare Rx Preferred from UHC – 2025 Medicare Part D Plan Available in Indiana
CMS 5-Star Rating: (2.0 out of 5 stars*)
For 2025, the AARP Medicare Rx Preferred from UHC Part D plan (S5921-396) is listed in the CMS Landscape dataset for Indiana, including premium, deductible, and rating details.
* The Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
| Part D Plan Overview | |
|---|---|
| Part D Plan ID: | S5921-396 |
| Plan Year: | 2025 |
| Total Part D Premium: | $89.20 |
| Annual Deductible: | $0.00 |
| Part D Benefit Type: | Enhanced |
| No Deductible Drug Tier: | Not Applicable |
| Low Income Subsidy: | Yes |
| Insured By: | UnitedHealthcare® |
Plan Costs
Premium Details
| Basic Part D Premium: | $38.70 |
| Supplemental Part D Premium: | $50.50 |
| Total Part D Premium: | $89.20 |
| Low Income Premium Subsidy: | $49.58 |
| Low Income Premium Subsidy CMS Pays: | $38.70 |
| Low Income Subsidy Premium: | $50.50 |
IMPORTANT: If you qualify for the Low-Income Subsidy (LIS) program, also called "Extra Help," you may get help paying your Medicare Part D plan costs in Indiana. Learn more at the Social Security Extra Help page.
Deductible
CMS data lists the deductible for the 2025 AARP Medicare Rx Preferred from UHC PDP (S5921-396) as $0.00.
Out-of-Pocket Costs
| Drug Tier | Retail | Mail Order | |
|---|---|---|---|
| Preferred Generic | $5.00 | $0.00 | |
| Generic | $10.00 | $0.00 | |
| Preferred Brand | $47.00 | $0.00 | |
| Non-Preferred Drug | 40.00% | 45.00% | |
| Specialty Tier | 33.00% | 33.00% | |
| *Deductible does not apply. | |||
CMS 5-Star Rating Data for Plan S5921-396
Each year CMS rates Medicare Part D plans from 1 to 5 stars. Ratings cover customer service, complaints, member experience, and drug pricing accuracy.
| CMS Measure | Star Rating |
|---|---|
| Overall Plan Rating | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact UnitedHealthcare®
| Website: | UnitedHealthcare® Plan Page |
|---|---|
| Formulary: | UnitedHealthcare® Formulary Page |
| Pharmacy: | UnitedHealthcare® Pharmacy Page |
| Prospective Part D Members: | (800)753-8004 |
| Prospective Part D TTY Users: | 711 |
Last update: .