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Standalone Part D · PDP
UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY
Plan year 2026

AARP Medicare Rx Preferred from UHC S5921-413 (PDP)

2.0 · 2026 Star Rating · source: CMS · Ratings are updated annually
Monthly premium
$165.40
per month
Annual deductible
$130
Does not apply to Tiers 1 and 2
Generic copay
$5
Tier 1 preferred
Drug out-of-pocket limit
$2,100
then $0 for covered Part D drugs

Drug costsHow your drug costs work in 2026Part D uses a deductible (when applicable), initial coverage, and catastrophic coverage.

Three coverage phases during the year
  • Deductible (when it applies). The $130 deductible applies to Tiers 3, 4, and 5. Tiers 1 and 2 are not subject to it.
  • Initial coverage.After any applicable deductible, you pay the copay or coinsurance shown for your drug's tier. The amount can differ by pharmacy and supply length.
  • Catastrophic coverage. After $2,100 in qualifying out-of-pocket costs for covered Part D drugs, you pay $0 for covered Part D drugs through December 31. Premiums and drugs that are not on the plan's formulary do not count toward this limit.
Covered insulin costs no more than $35 for a month's supply, and recommended vaccines (like shingles) are $0 all year. If a big pharmacy bill would be tough to handle at once, you can spread your costs into equal monthly payments at no extra charge — ask about the Medicare Prescription Payment Plan.

Your plan's drug tiers30-day supply at a preferred network pharmacy · deductible applies to Tiers 3, 4, and 5 · covered insulin capped at $35

Tier 1
$5
Preferred Generic· deductible does not apply
Tier 2
$10
Generic· deductible does not apply
Tier 3
15%
Preferred Brand· after deductible
Tier 4
31%
Non-Preferred Drug· after deductible
Tier 5
31%
Specialty· after deductible

Plan and formulary data: CMS, 2026 plan year. Coverage, restrictions, and pharmacy costs can change; verify current details with the plan.

Your coverageCheck your coverageFrom the prescriptions and pharmacy you added

Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Summary of Benefits (PDF)
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Evidence of Coverage (PDF)
Complete plan details and rules
Check your prescriptions
Use our tool to check your drugs against this plan
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Helpful next steps

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Plan benefits, premiums, and copays may vary by county and plan. You must continue to pay your Medicare Part B premium. Benefits and costs may vary by service area. Contact the plan or CMS for complete details.

We do not offer every plan available in your area. Currently we represent a limited number of organizations which offer a limited number of products in your area. Please contact Medicare.gov, 1-800-MEDICARE (TTY: 1-877-486-2048), or your local State Health Insurance Program (SHIP) to get information on all of your options.

Every year, Medicare evaluates plans based on a 5-star rating system. Star ratings are based on 2026 data and may change annually.

The plan formulary, pharmacy network, and/or copays may change at any time. You will receive notice when necessary.

Benefits shown are based on CMS public plan data. Actual benefits vary by county. Not all plans available in all areas. Speak with a licensed agent before enrolling.

  1. The Pocket Protector represents Medicare Advantage HMO, PPO, and PFFS organizations and stand-alone PDP prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal.
  2. The Pocket Protector is not connected with or endorsed by the United States government or the federal Medicare program.

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AARP Medicare Rx Preferred from UHC (PDP) - UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | The Pocket Protector