Skip to content

spark red

2024 UCare Medicare Supplement Plan Documents and Forms

UCare Medicare Supplement

Enrollment Form (PDF)
TruHearing Hearing Aid Benefit (PDF)
Online Enrollment Form

Basic

Policy (PDF)
Outline of Coverage (PDF)
Part A Deductible Rider (PDF)
Part B Deductible (PDF)
Part B Excess Charges Rider (PDF)
Preventive Care Rider (PDF)
2024 UCare Medicare Supplement Plans comparison chart (PDF)
2024 Rates (PDF)

Extended Basic

Policy (PDF)
Outline of Coverage (PDF)
2024 UCare Medicare Supplement Plans comparison chart (PDF)
2024 Rates (PDF)

$20/$50 Copay

Policy (PDF)
Outline of Coverage (PDF)
2024 UCare Medicare Supplement Plans comparison chart (PDF)
2024 Rates (PDF)