Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC CA-37 (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-37 (HMO-POS) in 2026, please refer to our full plan details page.
This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.
AARP Medicare Advantage from UHC CA-37 (HMO-POS) is a HMO-POS plan offered by UHC of California available for the 2026 plan year 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 from UHC CA-37 (HMO-POS) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Below are a few key facts and commonly-asked questions about AARP Medicare Advantage from UHC CA-37 (HMO-POS).
The cost of a Medicare Advantage Plan is made up of four main parts.
For AARP Medicare Advantage from UHC CA-37 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $75.00. 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
Health deductible: information not available.
This plan has a $355.00 drug deductible that applies only to drugs in certain tiers. You pay this amount toward covered prescriptions in those tiers before the plan's cost sharing begins; drugs in the other tiers are not subject to the deductible. See the full plan details page for the tier table.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $800.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $800.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
The AARP Medicare Advantage from UHC CA-37 (HMO-POS) plan features an Enhanced Alternative drug benefit with a $355.00 prescription drug deductible. During the initial coverage phase, Tier 1 preferred generic drugs have no copay at standard pharmacies, while Tier 2 standard generic drugs require an 18% coinsurance. For higher tiers, standard pharmacy costs include a 42% coinsurance for Tier 3 preferred brand drugs and a 29% coinsurance for Tier 4 non-preferred drugs. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Additionally, if you qualify for the low-income subsidy, your Part D premium can be reduced from $75.00 to $63.00. This plan offers structured prescription drug coverage to help manage your healthcare expenses throughout the year.
The AARP Medicare Advantage from UHC CA-37 (HMO-POS) plan offers robust coverage with no copay and no coinsurance for many essential medical services, including inpatient hospital stays, primary and specialist doctor visits, and outpatient hospital services. For emergency care, members pay a $150 copay, which is waived if admitted, while ambulance rides require a $200 copay. Other outpatient care, such as partial hospitalization, carries a $55 copay, and skilled nursing facility stays require a $100 daily copay only for days 21 through 100. Routine dental, vision, and hearing exams are covered with no copays, though prescription hearing aids and eyeglass lenses require copayments. Durable medical equipment, dialysis, and therapeutic radiological services require a 20% coinsurance with no copay, while diabetic supplies are fully covered with no copay. Additionally, the plan provides up to 36 free one-way transportation trips per year to approved health locations and covers up to 20 acupuncture treatments with no copay.
AARP Medicare Advantage from UHC CA-37 (HMO-POS) partially covers inpatient hospital benefits with no copay and no coinsurance for Medicare-covered acute and psychiatric stays. However, upgrades, non-Medicare-covered stays, and additional days for psychiatric care are not covered, and prior authorization and referrals are required for covered stays.
Outpatient services are covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS) with no coinsurance, featuring no copay for outpatient hospital, observation, ambulatory surgical center, and blood services. Outpatient substance abuse services are also covered with no coinsurance, requiring a $15 copay for group sessions and a $0 to $25 copay for individual sessions.
AARP Medicare Advantage from UHC CA-37 (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 are covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS), requiring a $200 copay and no coinsurance for both ground and air ambulance services. Transportation services are partially covered, providing up to 36 one-way trips per year to plan-approved health-related locations with no copay or coinsurance, though transportation to any health-related location is not covered.
AARP Medicare Advantage from UHC CA-37 (HMO-POS) covers emergency services with a $150 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay to a $20 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care benefits are covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS) with no copay and no coinsurance for primary care, specialist, therapy, podiatry, and telehealth visits. Mental health and psychiatric individual sessions range from no copay to a $25 copay, while group sessions have a $15 copay, both with no coinsurance.
Preventive Services are partially covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS) with no copays and no coinsurance for covered services like annual physical exams, fitness benefits, and kidney disease education. However, several supplemental benefits, such as health education, weight management programs, and in-home safety assessments, are not covered under this plan.
Hearing services are partially covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS), which features one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. Up to two prescription hearing aids (all types) and two OTC hearing aids are covered yearly with copays ranging from $199 to $1,249 and $199 to $829, respectively, and no coinsurance, but inner ear, outer ear, and over-the-ear prescription models are not covered.
AARP Medicare Advantage from UHC CA-37 (HMO-POS) partially covers vision services, offering routine eye exams, contact lenses, eyeglass lenses, and eyeglass frames with no coinsurance, while upgrades and combined eyeglasses (lenses and frames) are not covered. Routine exams, contact lenses, and frames feature no copay, whereas eyeglass lenses have a copay of $0 to $153, all subject to a $300 combined eyewear maximum every two years.
Dental services are partially covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS), which features no copay or coinsurance for Medicare dental services, oral exams, cleanings, fluoride, and x-rays. However, the plan does not cover restorative, endodontic, periodontic, prosthodontic, implant, oral surgery, orthodontic, maxillofacial prosthetic, and adjunctive general services.
Home Infusion bundled Services are covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS), subject to prior authorization and step therapy. Covered Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs require no copay and no coinsurance to 20% coinsurance.
Dialysis Services are covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS) with no copay and a 20% coinsurance. Prior authorization and a doctor referral are required to receive these covered services.
Medical equipment is covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS), with prior authorization required for most items. Durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes require a 20% coinsurance and no copay, while diabetic supplies are covered with no copay and no coinsurance.
Diagnostic and radiological services are covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS), with prior authorization and doctor referrals required. Members pay no copay or coinsurance for lab services, diagnostic tests, diagnostic radiology, and outpatient X-rays, while therapeutic radiological services require a 20% coinsurance.
Home Health Services are covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS) with no copay and no coinsurance. Prior authorization and a doctor referral are required to receive these services.
Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage from UHC CA-37 (HMO-POS) plan, meaning there is no coverage, copay, or coinsurance for cardiac, intensive cardiac, pulmonary, or SET for PAD rehabilitation.
Skilled Nursing Facility (SNF) benefits are partially covered by AARP Medicare Advantage from UHC CA-37 (HMO-POS), requiring prior authorization and a doctor referral. Covered days 1 through 20 have no copay and no coinsurance, days 21 through 100 require a $100 daily copay and no coinsurance, and additional days beyond Medicare-covered SNF care are not covered.
AARP Medicare Advantage from UHC CA-37 (HMO-POS) partially covers other services, providing acupuncture with no copay and no coinsurance for up to 20 treatments per year. Over-the-counter items, meal benefits, and dual eligible SNPs with highly integrated services are not covered.
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
SMID: MULTIPLAN_HCIHNMEDADVRX27_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 or 1-800-MEDICARE 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.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
© 2026 Dog Media Solutions LLC. All rights reserved