Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC FL-001P (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 FL-001P (HMO-POS) in 2025, please refer to our full plan details page.
AARP Medicare Advantage from UHC FL-001P (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Florida. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that AARP Medicare Advantage from UHC FL-001P (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 FL-001P (HMO-POS).
The cost of a Medicare Advantage Plan is made up of four main parts.
For AARP Medicare Advantage from UHC FL-001P (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 $7.00. 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 $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 $2900.00 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 FL-001P (HMO-POS) plan has a $175 deductible for prescription drugs. After the deductible is met, you will pay a copay or coinsurance depending on the drug tier and pharmacy. For drugs in the Standard Pharmacy, you will pay a $0 copay for Preferred Generic drugs, a $47 copay for Standard Generic drugs, and a $100 copay for Preferred Brand drugs. Non-Preferred drugs have a 31% coinsurance. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for covered drugs.
The AARP Medicare Advantage from UHC FL-001P (HMO-POS) plan offers comprehensive coverage, including inpatient and outpatient hospital care with varying copays, and no copay for outpatient blood services. The plan also covers a range of services such as primary care, hearing and vision exams, dental, and home health services, often with no copay or low copays, but services like orthodontic and restorative dental work are not covered. This plan provides additional benefits like ambulance services with a copay, emergency services, and coverage for medical equipment with coinsurance. Preventive services, including Medicare-covered services and annual physical exams, are available with no copay, and some services like home infusion and dialysis services are covered with coinsurance.
Inpatient Hospital benefits, including Acute and Psychiatric, are covered by AARP Medicare Advantage from UHC FL-001P (HMO-POS). For Inpatient Hospital-Acute, you pay a $225 copay for days 1-5, and no copay for days 6-90, while Additional Days have no copay; Inpatient Hospital-Psychiatric has a $225 copay for days 1-5, and no copay for days 6-90, and Additional Days are not covered.
Outpatient Services include coverage for Outpatient Hospital Services with a copay between $0 and $225, Observation Services with a $225 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Services with a copay between $0 and $25 for individual sessions and a $15 copay for group sessions, and Outpatient Blood Services with no copay. Prior authorization is required for all services.
Partial Hospitalization is covered under the AARP Medicare Advantage from UHC FL-001P (HMO-POS) plan. This plan has a $55 copay for partial hospitalization services.
Ambulance and Transportation Services are covered under the AARP Medicare Advantage from UHC FL-001P (HMO-POS) plan. Ground and air ambulance services have a $290 copay, with no coinsurance, while transportation services to any health-related location are not covered.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services have a $140 copay, while Urgently Needed Services have a copay between $0 and $65; all have no coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay or coinsurance.
The AARP Medicare Advantage from UHC FL-001P (HMO-POS) plan covers primary care physician services, chiropractic services with a $20 copay, occupational therapy services with a copay between $0 and $20, and physician specialist services with a copay between $0 and $20. The plan also covers mental health specialty services, podiatry services with a $20 copay, other health care professional services with a copay between $0 and $20, psychiatric services, physical therapy and speech-language pathology services with a copay between $0 and $20, additional telehealth benefits with no copay, and opioid treatment program services with no copay. Routine chiropractic care is not covered.
Preventive Services include coverage for Medicare-covered services with no copay, and annual physical exams with no copay. Additional preventive services, including fitness benefits and home and bathroom safety devices, may have a copay. Other services like health education, in-home safety assessments, and counseling services are not covered.
Hearing exams have no copay, and routine hearing exams are covered once per year. Prescription hearing aids have a copay between $199 and $1249 per year. OTC hearing aids have a copay between $99 and $829, and the plan covers two hearing aids per year. 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.
Vision services include routine eye exams with no copay, and eyewear benefits including contact lenses, eyeglass lenses and eyeglass frames with no copay. Eyeglass lenses have a copay between $0 and $153, and the plan offers a combined maximum of $250 for eyewear every two years. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental services are covered by AARP Medicare Advantage from UHC FL-001P (HMO-POS), with a 20% coinsurance for Medicare dental services, and no copay for oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatment, and other preventive dental services. Orthodontic services, restorative services, and other services are not covered.
Home Infusion bundled Services are covered, and require prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay, and the coinsurance is between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, the coinsurance is between 0% and 20%.
Dialysis Services are covered under the AARP Medicare Advantage from UHC FL-001P (HMO-POS) plan, and require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Medical Supplies have a 20% coinsurance, and Medical Supplies have a 20% coinsurance. Diabetic Supplies have no copay, while Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services are covered, including Diagnostic Procedures/Tests with a $15 copay, Lab Services with no copay, Diagnostic Radiological Services with a copay up to $240, Therapeutic Radiological Services with a copay of $80, and Outpatient X-Ray Services with a $10 copay.
Home Health Services are covered under the AARP Medicare Advantage from UHC FL-001P (HMO-POS) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services are covered, but the plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) services are covered under this plan, but require prior authorization. There is no copay for days 1-20, and a $203 copay for days 21-100, with no coinsurance.
Other Services includes Over-the-Counter (OTC) Items and a Meal Benefit. OTC items have no copay, and the Meal Benefit also has no copay, but requires prior authorization. Acupuncture, Dual Eligible SNPs, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
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