LSU First Medicare Retiree Plan
Administered by UnitedHealthcare
The LSU First Medicare Retiree Plan is a fully-insured Medicare Advantage plan. LSU First partners with UnitedHealthcare® to provide LSU First Medicare-eligible retirees and their Medicare-eligible dependents with the LSU First Medicare Retiree Plan for health and prescription drug coverage. This plan is designed to better meet the needs of retirees and to coordinate more effectively with Medicare. There is no annual deductible to meet. Generic drugs and providers who accept Medicare and file with UnitedHealthcare are covered at 100%.
Contact Information
UHC Customer Service
1-877-791-9968
To be eligible for this plan:
- Retired
- Medicare-eligible*
- Enrolled in Medicare Part A and B*
- Participants must continue to pay for Part B
*You and any covered dependents, if applicable, must be Medicare-eligible and enrolled in Medicare Part A and B.
LSU First Medicare Retiree Plan, administered by UnitedHealthcare, covers all Part A benefits – Inpatient hospital, skilled nursing and home health and all Part B benefits – doctor office visits, outpatient care, and labs, You continue to retain all the rights and privileges of Medicare, but your benefits and claims will be processed by UnitedHealthcare®. You are able to utilize doctors, clinics and hospitals across the United States for the same cost share - whether the provider is in-network or out-of-network, as long as they participate in Medicare and are willing to bill UnitedHealthcare.
- Primary Care Provider (PCP) Office Visit - $0 copay
- Specialist Office Visit - $0 copay
- Urgent Care - $0 copay
- Emergency Room* - $50 copay *Waived if admitted
- Inpatient Hospitalization - $0 copay
- Outpatient Surgery - $0 copay
LSU First Medicare Retiree Plan offers drug coverage through OptumRx. They have more than 67,000 network pharmacies nationwide, including drugstore chains and independent pharmacies.
There is no deductible under this plan, so co-pay will begin at enrollment. Participants can choose 30 or 90-day refills at retail pharmacies or 90-day refills through Mail Order. Co-pay amounts for a 30-day supply are:
- Tier 1 - Generic Medications - $0
- Tier 2 - Preferred Brand Name Medications - $40
- Tier 3 - Non-Preferred Brand Name - $70
- Tier 4 - Specialty Medications - $100
Additional Benefits
With a Medicare Advantage plan, LSU First is able to offer additional benefits to retirees that they previously did not have access to.
Participants can see providers using a computer, tablet, or smartphone.
- UnitedHealthcare’s Virtual Doctor Visits lets you choose to see and speak to specific doctors using your computer or a mobile device, like a tablet or smartphone. These doctors are special providers that have the ability to offer virtual medical visits.
- During a virtual visit, you can ask questions, get a diagnosis and the doctor can even prescribe medication that, if appropriate, can be sent to your pharmacy.
- There is no cost for these visits.
- Typical visits last 10 minutes.
- You can find a list of participating virtual medical doctors online.
Participants can have a clinical visit in the comfort of your own home.
- UnitedHealthcare’s HouseCalls is an optional annual health program offered to you at no cost.
- The program sends a Nurse Practitioner or Physician directly to your home. During the visit, they will check your medical history and current medications. It can also give you a chance to ask any health questions you may have. Once completed, HouseCalls will send a summary of your visit to your doctor so that he/she has this additional information regarding your health.
Participants have access to SilverSneakers®, a free health and fitness program designed for Medicare plan members. It includes a standard monthly membership at participating fitness locations plus online classes, workshops and more. Call 888-338-1722 or go online at or SilverSneakers.com to learn more and to get your SilverSneakers ID number.