United Healthcare 2010 Annual Report Download - page 7

UnitedHealthcare Medicare & Retirement provides health care coverage for seniors and other eligible Medicare
beneficiaries primarily through the Medicare Advantage program administered by CMS, including Medicare
Advantage HMO plans, preferred provider organization (PPO) plans, Special Needs Plans, Point-of-Service
(POS) plans and Private-Fee-for-Service plans. Under the Medicare Advantage programs, UnitedHealthcare
Medicare & Retirement provides health insurance coverage to eligible Medicare beneficiaries in exchange for a
fixed monthly premium per member from CMS that varies based on the geographic areas in which members
reside; demographic factors such as age, gender, and institutionalized status; and the health status of the
individual. UnitedHealthcare Medicare & Retirement offers Medicare Advantage products in all 50 states and the
District of Columbia. As of December 31, 2010, UnitedHealthcare Medicare & Retirement had approximately
2.1 million enrolled individuals in its Medicare Advantage products.
Additionally, UnitedHealthcare Medicare & Retirement provides the Medicare prescription drug benefit (Part D)
to beneficiaries throughout the United States and its territories. Among the several Part D plans it offers,
UnitedHealthcare Medicare & Retirement provides Medicare Part D coverage plans with the AARP brand.
UnitedHealthcare Medicare & Retirement provides Part D drug coverage through its Medicare Advantage
program, Special Needs Plans (covering individuals who live in an institutional long-term care setting,
individuals dual-eligible for Medicaid and Medicare services or individuals with severe or disabling chronic
conditions) and stand-alone Part D plans. As of December 31, 2010, UnitedHealthcare Medicare & Retirement
had enrolled approximately 6.5 million members in the Part D program, including approximately 4.5 million
members in the stand-alone Part D plans and approximately 2.0 million members in Medicare Advantage plans
incorporating Part D coverage.
In association with AARP, UnitedHealthcare Medicare & Retirement provides a range of member funded
standardized Medicare supplement and hospital indemnity insurance offerings from its insurance company
affiliates to approximately 3.7 million AARP members. Additional UnitedHealthcare Medicare & Retirement
services include a nurse healthline service, a lower cost standardized Medicare supplement offering that provides
consumers with a national hospital network, 24-hour access to health care information, and access to discounted
health services from a network of physicians.
UnitedHealthcare Medicare & Retirement also provides complete, individualized care planning and care benefits
for aging, disabled and chronically ill individuals. UnitedHealthcare Medicare & Retirement serves
approximately 196,000 individuals enrolled in Medicare Advantage products across the nation in long-term care
settings including nursing homes, community-based settings and private homes. UnitedHealthcare Medicare &
Retirement offers innovative care management and clinical programs, integrating federal, state and personal
funding through a continuum of products from Special Needs Plans to hospice care. UnitedHealthcare
Medicare & Retirement serves people in 30 states and in the District of Columbia in home, community and
nursing home settings serving members primarily through nurse practitioners, nurses and care managers.
UnitedHealthcare Medicare & Retirement also offers a comprehensive eldercare service program providing
service coordination, consultation, claim management and information resources nationwide. Proprietary,
automated medical record software enables clinical care teams to capture and track patient data and clinical
encounters, creating a comprehensive set of care information that bridges across home, hospital and nursing
home care settings for high-risk populations. UnitedHealthcare Medicare & Retirement also operates hospice and
palliative care programs in 15 local markets in 11 states.
UnitedHealthcare Community & State
UnitedHealthcare Community & State provides solutions to states that care for the economically disadvantaged,
the medically underserved, and those without benefit of employer-funded health care coverage in exchange for a
monthly premium per member from the applicable state. As of December 31, 2010, UnitedHealthcare
Community & State offers health plans in 23 states and the District of Columbia, serving over 3.3 million
beneficiaries of acute and long-term care Medicaid plans, the Children’s Health Insurance Program (CHIP),
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