Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC NV-0002 (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 NV-0002 (HMO-POS) in 2025, please refer to our full plan details page.
AARP Medicare Advantage from UHC NV-0002 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Clark and Nye Counties. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that AARP Medicare Advantage from UHC NV-0002 (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 NV-0002 (HMO-POS).
The cost of a Medicare Advantage Plan is made up of four main parts.
For AARP Medicare Advantage from UHC NV-0002 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $15.80. 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 $175.00 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 $900.00 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.
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The AARP Medicare Advantage from UHC NV-0002 (HMO-POS) plan has a $175 deductible for prescription drugs. After the deductible, you will pay a copay or coinsurance depending on the drug tier and pharmacy used. For example, the copay for a standard generic drug is $8.00, while the coinsurance for a non-preferred drug is 31%. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for covered drugs. If you qualify for the low-income subsidy, you may pay a reduced premium of $15.80.
The AARP Medicare Advantage from UHC NV-0002 (HMO-POS) plan offers comprehensive coverage, including inpatient and outpatient hospital services with no copay for many services. The plan covers a wide range of services such as primary care, preventive care, vision, and dental, often with no copay. You can also expect coverage for ambulance services, emergency services, and home health services. This plan also provides additional benefits such as hearing exams, prescription and OTC hearing aids, and various services like acupuncture and over-the-counter items with no copay. However, some services, like cardiac rehabilitation and certain vision and dental procedures, may have copays or are not covered. Medical equipment, diagnostic and radiological services, and dialysis services are covered with a coinsurance.
Inpatient Hospital benefits, including Acute and Psychiatric, are covered, with no copay for a Medicare-covered stay. Additional days for Inpatient Hospital-Acute are covered with no copay, but Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services, including all outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services, are covered under this plan. Outpatient Hospital Services, Observation Services, Ambulatory Surgical Center Services, and Outpatient Blood Services have no copay. Individual Outpatient Substance Abuse Sessions have a copay between $0 and $15, and Group Sessions have a $10 copay.
Partial Hospitalization is covered, but requires prior authorization and a doctor referral. There is a $55 copay for this benefit.
Ambulance and Transportation Services are covered, including ground and air ambulance services, both with a $275 copay. Transportation Services to plan-approved health-related locations are covered with no copay, up to 36 one-way trips per year via taxi or medical transport.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the AARP Medicare Advantage from UHC NV-0002 (HMO-POS) plan. For Emergency Services, there is a $140 copay, and for Urgently Needed Services, the copay ranges from $0 to $40; all services have no coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
The AARP Medicare Advantage from UHC NV-0002 (HMO-POS) plan covers primary care physician services, chiropractic services, occupational therapy services, physician specialist services, mental health specialty services, podiatry services, other health care professional, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services. Primary care physician services, chiropractic services, physician specialist services, physical therapy and speech-language pathology services, and additional telehealth benefits have no copay. Mental health specialty services, podiatry services, other health care professional, psychiatric services, and opioid treatment program services have a $0 to $15 copay depending on the service.
Preventive Services include coverage for Medicare-covered preventive services with no copay, annual physical exams with no copay, and additional preventive services. Additional preventive services include Fitness Benefit and Home and Bathroom Safety Devices and Modifications with no copay, while Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, and Remote Access Technologies are not covered.
Hearing services include hearing exams and prescription and OTC hearing aids. Routine hearing exams have no copay, while prescription hearing aids have a copay of $199-$1249, and OTC hearing aids have a copay of $99-$829. Fitting/evaluation for hearing aids, prescription hearing aids - inner ear, prescription hearing aids - outer ear, and prescription hearing aids - over the ear are not covered.
The AARP Medicare Advantage from UHC NV-0002 (HMO-POS) plan covers vision services, including routine eye exams with no copay. Eyewear is covered, with no copay for contact lenses and eyeglass frames, but eyeglass lenses may have a copay between $0 and $153. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental services include coverage for exams, x-rays, and other services with no copay, as well as prophylaxis cleaning and fluoride treatment with no copay, and restorative services with a $0 copay. Prosthodontics, removable and fixed, are covered with a 0% to 50% coinsurance. Implants and orthodontics are not covered.
Home Infusion bundled Services are covered, including insulin, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%.
Dialysis Services are covered by the AARP Medicare Advantage from UHC NV-0002 (HMO-POS) plan. This benefit requires prior authorization and a doctor referral, and has a 20% coinsurance.
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance, Prosthetic Devices with a 20% coinsurance, Medical Supplies with 20% coinsurance, and Diabetic Equipment. Durable Medical Equipment for use outside the home is not covered, and Diabetic Supplies have no copay.
Diagnostic and Radiological Services are covered, including all diagnostic services, diagnostic procedures/tests, lab services, all radiological services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services. Diagnostic Procedures/Tests have no copay, and Lab Services have no copay. Diagnostic Radiological Services have a copay of up to $125, Therapeutic Radiological Services have a copay of up to $80, and Outpatient X-Ray Services have a $15 copay.
Home Health Services are covered by AARP Medicare Advantage from UHC NV-0002 (HMO-POS) with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services are not covered by the AARP Medicare Advantage from UHC NV-0002 (HMO-POS) plan. Prior authorization and a doctor's referral are required for this benefit.
Skilled Nursing Facility (SNF) services are covered by AARP Medicare Advantage from UHC NV-0002 (HMO-POS), but require prior authorization and a doctor's referral. There is no copay for days 1-20, and a $203 copay for days 21-100; additional days beyond Medicare-covered SNF stays and non-Medicare-covered stays are not covered.
Other Services includes acupuncture with no copay, up to 12 treatments per year, and over-the-counter items with no copay, including nicotine replacement therapy and naloxone. The plan also offers a meal benefit with no copay, but it requires prior authorization. Some services are not covered, including Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, and others.
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* 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.
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