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AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Extras from UHC TX-27 (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 TX-27 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Texas. 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 TX-27 (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 Extras from UHC TX-27 (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 Extras from UHC TX-27 (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 $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 $4500.00 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:
Sign up for AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)
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Drug Coverage
The AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) plan has an annual drug deductible of $520. For Tier 1 preferred generic drugs, there is no copay for standard pharmacy fills or three-month mail orders. Tier 2 generic drugs have a $10 copay for a one-month standard pharmacy fill, but feature no copay for a three-month preferred mail-order supply. Tier 3 preferred brand drugs require a 15% coinsurance for both standard pharmacies and mail-order options. Higher-tier prescriptions involve coinsurance rather than copays, with Tier 4 non-preferred drugs requiring a 37% coinsurance and Tier 5 specialty drugs requiring a 27% coinsurance for a one-month supply. These details outline your expected out-of-pocket costs during the initial coverage phase.
Additional Benefits
The AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care visits, telehealth, and home health services. For emergency room visits, you will pay a $130 copay with no coinsurance, which is waived if you are admitted. Inpatient hospital stays require a $450 copay for the first several days of your stay with no coinsurance, while outpatient services range from no copay up to a $450 copay. Routine vision and hearing exams are available with no copay, and dental services are covered up to a $4,000 annual maximum with no copay for preventive care. For durable medical equipment and dialysis services, you can expect no copay and a 20% coinsurance. Additionally, skilled nursing facility stays feature no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
Inpatient hospital care is covered by AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) with no coinsurance, requiring a $450 copay for days 1 to 6 of acute stays and a $450 copay for days 1 to 5 of psychiatric stays. While unlimited additional acute days are covered with no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) covers outpatient services with no coinsurance, featuring copays ranging from $0 to $450 for outpatient hospital and daily observation services. Ambulatory surgical center and outpatient blood services have no copay, while outpatient substance abuse services range from a $0 to $25 copay, with referrals and prior authorizations required for most benefits.
Partial Hospitalization See details
AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization and a referral are required to access this benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) covers ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. Transportation services are not covered under this plan.
Emergency Services See details
Emergency services are covered by AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) with a $130 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services have a copay ranging from $0 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 Extras from UHC TX-27 (HMO-POS) covers primary care and telehealth visits with no copay and no coinsurance. Specialist visits, therapy services, and mental health sessions are covered with copays ranging from $0 to $40 and no coinsurance, while chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered under the AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) plan, offering covered services like annual physical exams, kidney disease education, and fitness benefits with no copay and no coinsurance. However, sub-services such as health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS), which provides 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 per year are covered with a $199 to $1,249 copay and no coinsurance, excluding inner ear, outer ear, and over-the-ear models. Up to two OTC hearing aids are also covered annually with a $199 to $829 copay and no coinsurance.
Vision Services See details
AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) partially covers vision services, offering routine eye exams with no copay and no coinsurance, and eyewear with no coinsurance and copays ranging from no copay to $153. A $250 maximum allowance is provided for eyewear every two years, but other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) partially covers dental services up to a $4,000 annual maximum, offering preventive and diagnostic care with no copay and no coinsurance. Medicare-covered dental services carry no copay and 20% coinsurance, while comprehensive services require no copay and 50% coinsurance, though implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and 0% to 20% coinsurance, while Part B insulin is covered with a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) covers dialysis services with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive this covered benefit.
Medical Equipment See details
AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are offered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS), with prior authorization and referrals required. Diagnostic services feature no coinsurance, offering lab services at no copay and diagnostic tests at a $60 copay. Radiological services include diagnostic radiology at no copay, outpatient X-rays for a $30 copay, and therapeutic radiology with a 20% coinsurance.
Home Health Services See details
The AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) plan covers Home Health Services with no copay and no coinsurance, although a referral and prior authorization are required.
Cardiac Rehabilitation Services See details
AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) does not cover Cardiac Rehabilitation Services. None of the associated sub-services, including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation, are covered under this plan.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization and referrals are required, though a prior three-day inpatient hospital stay is not, and additional days beyond the standard 100 days are not covered.
Other Services See details
Other Services are partially covered by AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS), which provides over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan's other services benefit.
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