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AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Giveback from UHC CA-19 (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 Giveback from UHC CA-19 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Los Angeles County. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage Giveback from UHC CA-19 (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 Giveback from UHC CA-19 (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 Giveback from UHC CA-19 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $35.00. You must continue to pay paying your reduced 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 $800.00 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 Giveback from UHC CA-19 (HMO-POS) plan features an Enhanced Alternative drug benefit with a $520 prescription drug deductible. After meeting this deductible, you will pay a $14 copay for Tier 1 preferred generics and an 18% coinsurance for Tier 2 standard generics at standard pharmacies. Tier 3 preferred brands and Tier 4 non-preferred drugs carry a 28% and 27% coinsurance respectively at standard pharmacies and through mail-order services. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Additionally, beneficiaries who qualify for the full low-income subsidy will have no premium for their Part D coverage.
Additional Benefits
The AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) plan features extensive coverage with no copay and no coinsurance for inpatient hospital stays, primary care, specialist visits, and routine physical exams. Outpatient hospital services, home health care, and preventive dental and vision exams are also available with no copay. For emergency care, members pay a $150 copay, which is waived upon admission, while ground and air ambulance services require a $195 copay. Routine hearing exams and annual eye exams are covered with no copay, and the plan provides a $150 eyewear allowance every two years alongside coverage for prescription hearing aids. While preventive dental care has no copay, comprehensive dental services and cardiac rehabilitation are not covered under this plan. For specialized medical needs, members pay a 20% coinsurance with no copay for dialysis and durable medical equipment, and skilled nursing facility stays have no copay for the first 20 days.
Inpatient Hospital See details
Inpatient hospital benefits are partially covered by AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS), offering Medicare-covered acute and psychiatric stays with no copay and no coinsurance. Prior authorization and doctor referrals are required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) covers outpatient services with no coinsurance, offering no copay for outpatient hospital, observation, ambulatory surgical center, and blood services. Outpatient substance abuse services are also covered with no coinsurance, featuring a $15 copay for group sessions and copays ranging from no copay up to $25 for individual sessions.
Partial Hospitalization See details
Partial hospitalization benefits are covered by the AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) plan with a $55 copay and no coinsurance. This benefit requires both prior authorization and a doctor referral.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered by the AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS), as transportation services to health-related locations are not covered. Covered ground and air ambulance services require a $195 copay and no coinsurance.
Emergency Services See details
AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are available for no copay to a $20 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary Care and related specialist services are covered by AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) with no copay and no coinsurance for primary care, specialist, physical therapy, podiatry, and telehealth visits. Mental health and psychiatric services are also covered, with group and individual sessions ranging from no copay up to a $25 copay and no coinsurance.
Preventive Services See details
Preventive services are partially covered by the AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) with no copays or coinsurance for covered care such as annual physical exams, fitness benefits, and kidney disease education. Several supplemental benefits are not covered, including health education, weight management programs, and personal emergency response systems.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS), offering one routine hearing exam per year with no copay and no coinsurance, while fitting and evaluation exams are not covered. Prescription hearing aids (all types) and OTC hearing aids are covered with no coinsurance and copays ranging from $199 to $1,249 and $199 to $829 respectively, though inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision services are covered by AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS), offering annual routine eye exams with no copay or coinsurance. Eyewear is partially covered up to a $150 limit every two years, providing contact lenses and frames with no copay or coinsurance, and lenses with a $0 to $153 copay and no coinsurance, while upgrades and packaged eyeglasses are not covered.
Dental Services See details
Dental services are partially covered by the AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS), offering covered preventive care like oral exams, cleanings, fluoride, and x-rays with no copay or coinsurance. However, several services are not covered under this plan, including restorative treatments, endodontics, periodontics, prosthodontics, oral surgery, implants, and orthodontics.
Home Infusion bundled Services See details
AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) covers home infusion bundled services, which require prior authorization and step therapy. Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while other covered chemotherapy, radiation, and Part B drugs require no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) with 20% coinsurance and no copay. Prior authorization and a doctor referral are required for these services.
Medical Equipment See details
Medical equipment benefits are covered under AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS), with durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts requiring a 20% coinsurance and no copay. Diabetic supplies are covered with no copay and no coinsurance, and prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) plan, requiring prior authorization and a doctor referral. Members pay no copay and no coinsurance for lab services, outpatient X-rays, and diagnostic tests, while diagnostic radiological services cost up to a $50 copay with no coinsurance, and therapeutic radiological services require a 20% coinsurance with no copay.
Home Health Services See details
Home health services are covered under the AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) plan with no copay and no coinsurance. Members must obtain prior authorization and a doctor referral to receive these services.
Cardiac Rehabilitation Services See details
AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) does not cover Cardiac Rehabilitation Services. Because none of the sub-services, including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation, are covered, there are no copays or coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS), requiring prior authorization and a doctor referral. There is no copay for days 1 to 20, a $100 copay for days 21 to 100, and no coinsurance, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by the AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) plan, which offers up to 20 acupuncture treatments per year with no copay and no coinsurance. However, over-the-counter (OTC) items, meal benefits, and Dual Eligible SNPs with highly integrated services are not covered.
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