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AARP Medicare Advantage Giveback from UHC TX-41 (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-41 (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-41 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Giveback from UHC TX-41 (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-41 (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-41 (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-41 (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 $55.00. 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 $8500.00 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 Giveback from UHC TX-41 (HMO-POS)
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Drug Coverage
The AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) drug plan has an annual drug deductible of $600. For Tier 1 preferred generic drugs, there is no copay for a 1-month or 3-month supply at standard pharmacies or through mail order. Tier 2 generic drugs carry a $12 copay for a 1-month supply at standard pharmacies, though a 3-month supply has no copay when filled through preferred mail order. Tier 3 preferred brand drugs require a 15% coinsurance for 1-month and 3-month fills at standard pharmacies and through mail order. Tier 4 non-preferred drugs carry a 36% coinsurance, while Tier 5 specialty tier drugs require a 26% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) offers comprehensive coverage for everyday medical needs, featuring no copays and no coinsurance for primary care visits, telehealth, and routine preventive care. For more intensive care, inpatient hospital stays require a $485 copay for the first few days with no copay for subsequent days, while emergency room visits carry a $115 copay that is waived upon admission. Outpatient services and diagnostic tests generally feature no coinsurance, with copays ranging from no copay up to $485 depending on the specific service. Specialty benefits include routine dental, vision, and hearing exams with no copay and no coinsurance, alongside a $150 eyewear allowance every two years. While comprehensive dental and routine transportation are not covered, the plan covers home health services with no copay and provides durable medical equipment and dialysis services with no copay and a 20% coinsurance. Additionally, skilled nursing facility stays are covered with no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
Inpatient hospital services under the AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) are partially covered with no coinsurance, requiring a $485 copay for days 1 to 5 of acute stays and days 1 to 4 of psychiatric stays, with no copay for subsequent days. Upgrades, non-Medicare-covered stays, and additional days for psychiatric stays are not covered.
Outpatient Services See details
Outpatient services are covered by AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) with no coinsurance, featuring copays ranging from $0 to $485 for outpatient hospital services and a $485 daily copay for observation services. Ambulatory surgical center and blood services require no copay and no coinsurance, while outpatient substance abuse sessions carry a copay of $0 to $25, with prior authorization and referrals required for most services.
Partial Hospitalization See details
Partial hospitalization is covered by the AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) with a $55.00 copay and no coinsurance. This benefit requires both a referral and prior authorization.
Ambulance and Transportation Services See details
Ambulance services are covered by the AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) with a $270 copay and no coinsurance for both ground and air transport, which require prior authorization. Routine transportation services to plan-approved or other health-related locations are not covered.
Emergency Services See details
AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a $0 to $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care benefits under the AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) are covered with no copay and no coinsurance for primary care provider visits and telehealth services. Other services, such as specialist visits and outpatient therapies, range from no copay up to a $55 copay with no coinsurance, while chiropractic services are not covered in practice.
Preventive Services See details
Preventive services are covered by the AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) with no copay and no coinsurance, including annual physical exams, kidney disease education, and a fitness benefit. However, additional preventive services are only partially covered, excluding benefits such as health education, in-home safety assessments, personal emergency response systems, and medical nutrition therapy.
Hearing Services See details
AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) partially covers hearing services, offering one routine hearing exam per year with no copay and no coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids are covered with a $199 to $1,249 copay and OTC hearing aids with a $199 to $829 copay, both with no coinsurance, but inner ear, outer ear, and over the ear prescription models are not covered.
Vision Services See details
Vision Services offered by AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) are partially covered, providing annual routine eye exams and select eyewear with no copay and no coinsurance up to a $150 combined limit every two years. While contact lenses and frames feature no copay, eyeglass lenses carry a copay of $0 to $153, and other eye exam services, upgrades, and combined 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-41 (HMO-POS) plan, offering preventive care like cleanings, exams, and x-rays with no copay and no coinsurance, and Medicare-covered dental with no copay and a 20% coinsurance. Comprehensive services, including restorative, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics, are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) with no copay, though prior authorization is required. Covered Part B chemotherapy, insulin, and other drugs carry a coinsurance ranging from no coinsurance to 20%, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered under the AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) with no copay and a 20% coinsurance. Prior authorization and a referral are required for these services.
Medical Equipment See details
AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) covers medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic therapeutic shoes or inserts, with no copay and 20% coinsurance. Diabetic supplies are also covered with no copay, and prior authorization is required for most of these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by the AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS), with prior authorization and referrals required. Diagnostic tests carry a $50 copay with no coinsurance, lab and diagnostic radiological services have no copay, outpatient X-rays have a $30 copay, and therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
Home health services are covered by the AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) with no copay and no coinsurance. 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-41 (HMO-POS) plan, which excludes coverage for standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) rehabilitation services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS) with no coinsurance and no required prior three-day hospital stay. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and prior authorization and referrals are required.
Other Services See details
Other services are partially covered under the AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS), which includes a chronic illness meal benefit with no copay and no coinsurance, though prior authorization is required. Acupuncture and over-the-counter (OTC) items are not covered under this plan.
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