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AARP Medicare Advantage from UHC CA-33 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC CA-33 (HMO-POS). 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 CA-33 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC CA-33 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Solano County. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage from UHC CA-33 (HMO-POS) 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 CA-33 (HMO-POS).
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 CA-33 (HMO-POS), 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 $520.00 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 Maximum Out-Of-Pocket cost of $5900.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
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:
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Drug Coverage
The AARP Medicare Advantage from UHC CA-33 (HMO-POS) plan features an Enhanced Alternative drug benefit with an annual prescription drug deductible of $520.00. During the initial coverage phase, standard pharmacy copays for a 30-day supply of Tier 1 preferred generics are $12.00, while Tier 2 standard generics require a 16% coinsurance. Tier 3 preferred brands and Tier 4 non-preferred drugs carry a 36% and 27% coinsurance respectively, which also applies to mail-order options. Once your yearly out-of-pocket drug costs reach $2,100.00, you transition into the catastrophic coverage phase. In this phase, you will have no copay and pay nothing for Medicare Part D covered drugs. Individuals who qualify for Extra Help can also receive a reduced Part D premium of $37.20.
Additional Benefits
The AARP Medicare Advantage from UHC CA-33 (HMO-POS) plan offers comprehensive medical coverage featuring no copays or coinsurance for primary care visits, preventive services, and home health care. For specialist visits, patients can expect copays up to $25, while inpatient hospital stays require a $395 daily copay for the first five to six days and no copay for additional days. Emergency room visits carry a $130 copay, which is waived if you are admitted, and worldwide emergency services are provided with no copay. Routine dental, vision, and hearing exams are covered with no copay, though prescription hearing aids and certain eyewear lenses require copayments. For specialized needs, dialysis services and durable medical equipment require a 20% coinsurance with no copay. Additionally, covered Medicare Part B drugs, including insulin, feature a $35 copay or up to 20% coinsurance.
Inpatient Hospital See details
AARP Medicare Advantage from UHC CA-33 (HMO-POS) partially covers inpatient hospital services with no coinsurance, though upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered. For covered acute stays, you will pay a $395 daily copay for days 1 to 6 and no copay for additional days, while psychiatric stays require a $395 daily copay for days 1 to 5 and no copay for days 6 to 90.
Outpatient Services See details
AARP Medicare Advantage from UHC CA-33 (HMO-POS) covers outpatient services with no coinsurance, featuring no copays for ambulatory surgical center and blood services. Outpatient hospital and observation services require copays up to $395, while outpatient substance abuse sessions range from no copay to $25.
Partial Hospitalization See details
AARP Medicare Advantage from UHC CA-33 (HMO-POS) covers partial hospitalization benefits with a $55 copay and no coinsurance. Prior authorization and a doctor referral are required to receive these covered services.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC CA-33 (HMO-POS) partially covers ambulance and transportation services, offering ground and air ambulance coverage with a $290 copay and no coinsurance. Transportation services to plan-approved or any health-related locations are not covered.
Emergency Services See details
Emergency services are covered by AARP Medicare Advantage from UHC CA-33 (HMO-POS) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from no copay to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
AARP Medicare Advantage from UHC CA-33 (HMO-POS) covers primary care visits, telehealth, and opioid treatment with no copay or coinsurance. Other services like specialist visits, therapy, and mental health care require copays up to $25 and no coinsurance, though chiropractic benefits are only partially covered because routine chiropractic care is not covered.
Preventive Services See details
Preventive services are partially covered by AARP Medicare Advantage from UHC CA-33 (HMO-POS) with no copay and no coinsurance for covered options like annual physicals, kidney disease education, and glaucoma screenings. Additional services such as fitness benefits, weight management, health education, nutritional training, and in-home support are not covered.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC CA-33 (HMO-POS), featuring routine hearing exams with no copay and no coinsurance, while fitting and evaluation exams are not covered. Prescription hearing aids require a $199.00 to $1,249.00 copay and OTC hearing aids require a $199.00 to $829.00 copay with no coinsurance for either, though inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage from UHC CA-33 (HMO-POS) with no deductible, no coinsurance, and no copays for routine eye exams, contact lenses, and frames, while eyeglass lenses have a copay of $0 to $153. Upgrades and combined eyeglasses (lenses and frames) are not covered, and there is a $150 maximum benefit limit for eyewear every two years.
Dental Services See details
AARP Medicare Advantage from UHC CA-33 (HMO-POS) partially covers dental services, offering preventive care like exams, cleanings, and x-rays with no copay and no coinsurance. Medicare-covered dental services require a 20% coinsurance and no copay, while restorative services, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
AARP Medicare Advantage from UHC CA-33 (HMO-POS) covers home infusion bundled services, which require prior authorization. Covered Part B insulin drugs have a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs feature no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the AARP Medicare Advantage from UHC CA-33 (HMO-POS) plan with no copay and a 20% coinsurance. Prior authorization and a doctor referral are required to receive these covered services.
Medical Equipment See details
AARP Medicare Advantage from UHC CA-33 (HMO-POS) covers durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes with a 20% coinsurance and no copay. Diabetic supplies are covered with no copay and no coinsurance, though prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by AARP Medicare Advantage from UHC CA-33 (HMO-POS), requiring prior authorization and a doctor referral. Diagnostic tests, procedures, and lab services have no copay and no coinsurance, while diagnostic radiological services range from a $0 to $260 copay (no coinsurance), outpatient X-rays cost a $30 copay (no coinsurance), and therapeutic radiological services require a 20% coinsurance (no copay).
Home Health Services See details
Home Health Services are covered by AARP Medicare Advantage from UHC CA-33 (HMO-POS) with no copay and no coinsurance. Prior authorization and a doctor referral are required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under AARP Medicare Advantage from UHC CA-33 (HMO-POS), as none of the sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are covered. Consequently, there are no copays or coinsurance costs because these services are excluded from coverage.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC CA-33 (HMO-POS) partially covers Skilled Nursing Facility (SNF) services, requiring prior authorization and a doctor referral, while excluding coverage for additional days beyond the Medicare limit. Patients pay no copay and no coinsurance for days 1 through 20, and a $218 daily copay and no coinsurance for days 21 through 100.
Other Services See details
Other Services, including acupuncture, over-the-counter (OTC) items, meal benefits, and dual eligible SNPs with highly integrated services, are not covered under the AARP Medicare Advantage from UHC CA-33 (HMO-POS) plan.
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