Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Extras from UHC AZ-4 (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 Extras from UHC AZ-4 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Pima County. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage Extras from UHC AZ-4 (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 Extras from UHC AZ-4 (HMO-POS).
The cost of a Medicare Advantage Plan is made up of four main parts.
For AARP Medicare Advantage Extras from UHC AZ-4 (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.
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 $440.00 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 $3300.00 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 Extras from UHC AZ-4 (HMO-POS) plan features an Enhanced Alternative drug benefit with a $440 prescription drug deductible. After meeting this deductible, you will pay a $10 copay for Tier 1 preferred generics at standard pharmacies, while Tier 2 standard generics require a 15% coinsurance. Tier 3 preferred brands require a 38% coinsurance and Tier 4 non-preferred drugs require a 28% coinsurance through standard pharmacies and mail order. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and will have no copay for Medicare Part D covered drugs. Additionally, individuals who qualify for the low-income subsidy, or Extra Help, will have no copay for their Part D coverage.
The AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) plan offers comprehensive medical coverage with no copay for primary care visits, telehealth, preventive care, and home health services. Inpatient hospital stays require a $300 daily copay for the first seven days, after which there is no copay, while emergency room care incurs a $150 copay. Specialist visits and diagnostic services are also highly accessible, featuring low copays and no coinsurance. For specialty care, members enjoy no copay for routine annual eye and hearing exams, alongside preventive dental services. Prescription hearing aids require copays ranging from $199 to $1,249, while comprehensive dental services and durable medical equipment are subject to coinsurance up to 50% and 20%, respectively. The plan also provides over-the-counter items and meal benefits with no copay or coinsurance.
Inpatient hospital benefits are partially covered by AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS), requiring a $300 daily copay for days 1 through 7 and no copay or coinsurance for days 8 and beyond. Prior authorization is required, and the plan does not cover upgrades, non-Medicare-covered stays, or additional days for psychiatric stays.
Outpatient Services are covered by AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) with no coinsurance required for any services. Copays range from no copay for ambulatory surgical center and blood services, to $0 to $300 for outpatient hospital visits, and $300 per day for observation services.
AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) covers partial hospitalization benefits with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services are partially covered by AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS), featuring a $275 copay and no coinsurance for ground and air ambulance services. Transportation Services - Plan Approved Health-related Location and Transportation Services - Any Health-related Location are not covered.
AARP Medicare Advantage Extras from UHC AZ-4 (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 a copay ranging from no copay to $65 with no coinsurance, while worldwide emergency, urgent, and transportation services are fully covered with no copay and no coinsurance.
Primary care benefits are covered by AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) with no copay or coinsurance for primary care doctor visits, telehealth, and opioid treatment. Specialist visits, chiropractic care, therapies, and mental health services are also covered with copays ranging from $0 to $40 and no coinsurance.
AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) covers preventive services with no copay and no coinsurance, including annual physicals, kidney disease education, glaucoma screenings, diabetes training, and fitness benefits. The plan only partially covers additional preventive services, excluding health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, and counseling.
Hearing services are partially covered by AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS), which features no deductible or coinsurance. Covered services include one annual routine hearing exam with no copay, OTC hearing aids with a $199 to $829 copay, and general prescription hearing aids with a $199 to $1,249 copay; however, fitting/evaluation exams and inner, outer, or over-the-ear prescription hearing aids are not covered.
AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) partially covers Vision Services, offering annual routine eye exams with no copay, deductible, or coinsurance. Eyewear is also partially covered with no deductible or coinsurance and a $300 limit every two years, providing contact lenses and frames with no copay and lenses with a $0 to $153 copay, while upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental services are partially covered by the AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) plan, which does not cover implant services and orthodontics. Preventive services are available with no copay and no coinsurance, while covered Medicare dental services require a 20% coinsurance with no copay, and comprehensive restorative services require a 50% coinsurance with no copay up to a $5,000 annual maximum.
AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) covers home infusion bundled services with prior authorization, featuring no copay and 0% to 20% coinsurance for chemotherapy, radiation, and other Part B drugs. Medicare Part B insulin drugs are covered under this benefit with a $35 copay and 0% to 20% coinsurance.
Dialysis Services are covered under the AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical equipment is covered by AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS), with durable medical equipment, prosthetics, and diabetic therapeutic shoes requiring a 20% coinsurance and no copay. Diabetic supplies are covered with no copay and no coinsurance, and prior authorization is required for most of these benefits.
Diagnostic and radiological services are covered by AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) with no coinsurance, though prior authorization is required. Members pay no copay for lab services, a $5 copay for outpatient X-rays, a $25 copay for diagnostic tests, an $80 copay for therapeutic radiology, and between no copay and a $250 copay for diagnostic radiological services.
AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) plan, as none of the associated sub-services, including intensive cardiac, pulmonary, and supervised exercise therapy, are covered in practice.
AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) partially covers Skilled Nursing Facility (SNF) services with prior authorization, though additional days beyond the Medicare-covered limit are not covered. Patients pay no copay and no coinsurance for days 1 through 20, and a $218 daily copay with no coinsurance for days 21 through 100.
Other Services are partially covered by AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS), which provides over-the-counter items and meal benefits with no copay and no coinsurance. Acupuncture and dual-eligible SNP highly integrated services are not covered.
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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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