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AARP Medicare Advantage Giveback from UHC TX-40 (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 TX-40 (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 TX-40 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Giveback from UHC TX-40 (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 Giveback from UHC TX-40 (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 TX-40 (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 TX-40 (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 $78.00. 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 $600.00 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 $6700.00 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 TX-40 (HMO-POS) has an annual drug deductible of $600. Tier 1 preferred generic drugs feature no copay for 1-month and 3-month standard pharmacy purchases, as well as 3-month mail orders. For Tier 2 generic drugs, you will pay a $10 copay for a 1-month standard pharmacy supply, while a 3-month supply through preferred mail order has no copay. Higher-tier prescription drugs are covered under coinsurance. Tier 3 preferred brand drugs require an 18% coinsurance for both standard pharmacy and mail order fills. Tier 4 non-preferred drugs carry a 28% coinsurance, while Tier 5 specialty drugs have a 26% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) offers comprehensive medical coverage with no copays for primary care visits, home health services, and routine preventive care. For inpatient hospital stays, members pay a $550 daily copay for the first five days and no copay thereafter, while skilled nursing facility stays feature no copay for the first 20 days. Outpatient services, diagnostic labs, and emergency care are also covered with no coinsurance, though copays apply for specialist visits, urgent care, and ambulance services. Essential specialty benefits include routine dental, vision, and hearing exams with no copays, alongside a $150 eyewear allowance every two years. Durable medical equipment, dialysis, and Medicare-covered dental treatments require no copay but carry a 20% coinsurance. While prescription hearing aids are covered with copays, please note that comprehensive dental, cardiac rehabilitation, and over-the-counter items are not covered under this plan.
Inpatient Hospital See details
Inpatient hospital services are covered by AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) with no coinsurance, though prior authorization and referrals are required. For acute care, you pay a $550 daily copay for days 1-5 and no copay for days 6 and beyond, while psychiatric care requires a $550 daily copay for days 1-4 and no copay for days 5-90. Non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services under the AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) are covered with no coinsurance, featuring copays ranging from $0 to $550 for outpatient hospital and observation services. Ambulatory surgical center and outpatient blood services require no copay and no coinsurance, while outpatient substance abuse services have no coinsurance and copays ranging from $0 to $25.
Partial Hospitalization See details
AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) covers partial hospitalization services with a $55.00 copay and no coinsurance. Both prior authorization and a referral are required for these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services under the AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) include covered ground and air ambulance services with a $270 copay and no coinsurance. While some transportation services are covered, trips to plan-approved health-related locations and any other health-related locations are not covered.
Emergency Services See details
AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay of $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 Giveback from UHC TX-40 (HMO-POS) covers primary care, telehealth, and opioid treatment with no copay and no coinsurance. Other covered services feature no coinsurance, with copays ranging from $0 to $60 for specialists and therapy, $45 for podiatry, and up to $25 for mental health, while chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by the AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) with no copay and no coinsurance for annual physical exams, fitness benefits, kidney disease education, glaucoma screenings, diabetes self-management training, digital rectal exams, and EKGs. Sub-services that are not covered include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, home/bathroom safety modifications, and counseling services.
Hearing Services See details
Hearing services are partially covered by the AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) with no deductible and no coinsurance. Routine hearing exams have no copay, but fitting and evaluation exams, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered. Covered prescription hearing aids carry a copay of $199 to $1,249, and OTC hearing aids have a copay of $199 to $829, with both limited to two devices per year.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) with no deductibles or coinsurance, offering no copay for one annual routine eye exam, while other eye exam services are not covered. Eyewear is covered up to $150 every two years with no coinsurance, featuring contact lenses and frames with no copay and lenses with a $0 to $153 copay, though upgrades and eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental Services are partially covered by the AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) plan, which features preventive care like exams and cleanings with no copay and no coinsurance. Medicare-covered dental services are available with no copay and a 20% coinsurance, but comprehensive treatments such as restorative, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) covers home infusion bundled services with no copay, although prior authorization and step therapy are required. Under this benefit, chemotherapy, radiation, and other Part B drugs have no copay and require no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) covers dialysis services with no copay and a 20% coinsurance. Prior authorization and a referral are required to access these covered services.
Medical Equipment See details
AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) covers durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, and prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) covers diagnostic and radiological services with no coinsurance, although referrals and prior authorizations are required. Members pay no copay for lab services, a $20 copay for diagnostic procedures and tests, a $25 copay for outpatient X-rays, a $60 copay for therapeutic radiology, and diagnostic radiology copays starting at $0.
Home Health Services See details
AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) covers home health services with no copay and no coinsurance. Both prior authorization and a referral are required to access this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) plan, as no coverage, copay, or coinsurance benefits are provided for any of the cardiac, pulmonary, or supervised exercise therapy sub-services.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 to 20 and a $218 copay for days 21 to 100. This benefit is partially covered as additional days beyond the Medicare-covered limit are not covered, and prior authorization and referrals are required.
Other Services See details
Other services are not covered under the AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS) plan. This includes acupuncture, over-the-counter (OTC) items, and meal benefits, which are all excluded from coverage.
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