A non-government entity
AARP Medicare Advantage from UHC MI-0002 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC MI-0002 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on AARP Medicare Advantage from UHC MI-0002 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC MI-0002 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Michigan. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage from UHC MI-0002 (PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about AARP Medicare Advantage from UHC MI-0002 (PPO).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For AARP Medicare Advantage from UHC MI-0002 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $64.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $600.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $5400.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $5400.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for AARP Medicare Advantage from UHC MI-0002 (PPO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The AARP Medicare Advantage from UHC MI-0002 (PPO) plan features a $600 annual drug deductible. For Tier 1 preferred generic drugs, there is no copay for a 1-month or 3-month supply at standard pharmacies, nor for a 3-month supply through mail order. Tier 2 generic drugs cost $8 for a 1-month supply at standard pharmacies, but you can get a 3-month supply with no copay through preferred mail order. Higher tier prescription drugs transition to coinsurance costs under this plan. Tier 3 preferred brand drugs require a 17% coinsurance for standard pharmacy and mail order supplies. Non-preferred drugs in Tier 4 carry a 39% coinsurance, while Tier 5 specialty drugs require a 26% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage from UHC MI-0002 (PPO) plan offers robust coverage with no copay and no coinsurance for primary care visits, preventive services, and home health care. For specialized care, members can expect a copay ranging from no copay to $50 for specialist visits, a $130 copay for emergency room visits, and daily copays for inpatient hospital stays. Outpatient services and diagnostics generally feature no coinsurance, though some services require copays, such as $30 for X-rays. This plan also includes key supplemental benefits, providing routine dental, vision, and hearing exams with no copay and no coinsurance. Prescription hearing aids, eyewear, and comprehensive dental treatments are covered with varying copays or coinsurance, including up to 50% coinsurance for comprehensive dental services. Additionally, durable medical equipment and dialysis services are covered with no copay and a 20% coinsurance.
Inpatient Hospital See details
AARP Medicare Advantage from UHC MI-0002 (PPO) covers inpatient hospital services with no coinsurance, requiring a $425 daily copay for days 1-6 of acute stays (no copay for days 7 and beyond) and a $425 daily copay for days 1-5 of psychiatric stays (no copay for days 6-90). This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC MI-0002 (PPO) covers outpatient services with no coinsurance, including no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital copays range from no copay to $425, observation services cost a $425 daily copay, and outpatient substance abuse sessions require a copay of $15 for group or up to $25 for individual therapy.
Partial Hospitalization See details
Partial hospitalization is covered by AARP Medicare Advantage from UHC MI-0002 (PPO) with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Ambulance services are covered by AARP Medicare Advantage from UHC MI-0002 (PPO) with a $275 copay and no coinsurance for ground and air transport, which requires prior authorization. Transportation services are not covered by the plan, as rides to plan-approved or other health-related locations are not covered.
Emergency Services See details
AARP Medicare Advantage from UHC MI-0002 (PPO) covers emergency services with a $130 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services require a copay of $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care services are covered by AARP Medicare Advantage from UHC MI-0002 (PPO) with no copay and no coinsurance, alongside telehealth and opioid treatment which also feature no copays or coinsurance. Other services require no coinsurance but have copays, including specialist visits ($0 to $50 copay), therapy services ($50 copay), and podiatry ($45 copay), though routine chiropractic care is not covered.
Preventive Services See details
Preventive services are covered by AARP Medicare Advantage from UHC MI-0002 (PPO) with no copay and no coinsurance for annual physicals, kidney disease education, fitness benefits, and home safety devices. This benefit is partially covered because sub-services such as health education, personal emergency response systems, medical nutrition therapy, weight management, alternative therapies, nutritional/dietary benefits, in-home support, and counseling are not covered.
Hearing Services See details
AARP Medicare Advantage from UHC MI-0002 (PPO) offers partially covered hearing services, as fitting and evaluation exams along with inner ear, outer ear, and over the ear prescription hearing aids are not covered. Routine hearing exams are available with no copay and no coinsurance, while covered prescription hearing aids require a $199 to $1,249 copay and OTC hearing aids require a $199 to $829 copay, both with no coinsurance.
Vision Services See details
AARP Medicare Advantage from UHC MI-0002 (PPO) provides partially covered vision services, offering one annual routine eye exam with no copay or coinsurance, while other eye exams, upgrades, and bundled eyeglasses are not covered. Covered eyewear options like contact lenses and frames have no copay or coinsurance, while eyeglass lenses have a $0 to $153 copay, up to a combined limit of $200 every two years.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC MI-0002 (PPO), with implant services and orthodontics not covered. Diagnostic and preventive services are offered with no copay and no coinsurance up to a $1,500 annual limit, while Medicare-covered services carry no copay and 20% coinsurance, and other covered comprehensive services require no copay and 50% coinsurance.
Home Infusion bundled Services See details
AARP Medicare Advantage from UHC MI-0002 (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require no copay and a coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs have a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
AARP Medicare Advantage from UHC MI-0002 (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
AARP Medicare Advantage from UHC MI-0002 (PPO) covers durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, and prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC MI-0002 (PPO) covers diagnostic services with no coinsurance, featuring a $45 copay for tests and no copay for lab services. Covered radiological services require a $30 copay for X-rays, a 20% coinsurance for therapeutic radiology, and no copay for diagnostic radiology, with prior authorization required.
Home Health Services See details
Home Health Services are covered by AARP Medicare Advantage from UHC MI-0002 (PPO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage from UHC MI-0002 (PPO) plan, which includes no coverage for cardiac, intensive cardiac, pulmonary, or supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC MI-0002 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 copay for days 21 through 100. Prior authorization is required, a prior three-day hospital stay is not required, and additional days beyond the 100-day Medicare benefit period are not covered.
Other Services See details
Other services are partially covered by AARP Medicare Advantage from UHC MI-0002 (PPO), which provides over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit, and prior authorization is required for the meal benefit.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved