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AARP Medicare Advantage from UHC TX-0008 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC TX-0008 (PPO). 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 TX-0008 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC TX-0008 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Corpus Christi Metro Area. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage from UHC TX-0008 (PPO) 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 from UHC TX-0008 (PPO).
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 from UHC TX-0008 (PPO), 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 combined Maximum Out-Of-Pocket cost of $10100.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $10100.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 from UHC TX-0008 (PPO) plan features an annual drug deductible of $520. Under this plan, Tier 1 preferred generic drugs have no copay for one-month and three-month supplies at standard pharmacies or through mail order. Tier 2 generic drugs cost a $10 copay for a one-month supply at standard pharmacies, but you can pay no copay for a three-month supply filled via preferred mail order. For higher-tier medications, costs are based on coinsurance rather than flat copays. Tier 3 preferred brand drugs require a 17% coinsurance, while Tier 4 non-preferred drugs carry a 40% coinsurance for a one-month supply. Specialty medications in Tier 5 are covered with a 27% coinsurance for a one-month supply across standard pharmacies and mail-order options.
Additional Benefits
The AARP Medicare Advantage from UHC TX-0008 (PPO) offers coverage for essential medical needs, featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. For inpatient hospital stays, members pay a daily copay of $380 for the first five days and no copay for days six through 90. Outpatient services, emergency care, and specialist visits are also covered with varying copays and no coinsurance, though certain services like dialysis and durable medical equipment require a 20% coinsurance. Routine vision and preventive dental care are covered with no copay, while prescription hearing aids require a copay ranging from $199 to $1,249. Skilled nursing facility stays are covered with no copay for the first 20 days and a $218 daily copay for days 21 through 100. This plan provides predictable out-of-pocket costs with no coinsurance for most standard medical benefits, helping members manage their healthcare budget effectively.
Inpatient Hospital See details
AARP Medicare Advantage from UHC TX-0008 (PPO) covers inpatient acute and psychiatric hospital stays with no coinsurance and a copayment of $380 per day for days 1 through 5, and no copay for days 6 through 90. This benefit is partially covered because additional psychiatric days beyond 90 days, hospital upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC TX-0008 (PPO) covers outpatient services with no coinsurance, featuring outpatient hospital copays from $0 to $380 and a $380 daily copay for observation services. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse sessions carry a $0 to $25 copay and no coinsurance.
Partial Hospitalization See details
AARP Medicare Advantage from UHC TX-0008 (PPO) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC TX-0008 (PPO) covers ground and air ambulance services with a $130 copay and no coinsurance, subject to prior authorization. Transportation services are not covered, which includes trips to plan-approved or any other health-related locations.
Emergency Services See details
Emergency services are covered by AARP Medicare Advantage from UHC TX-0008 (PPO) with a $130 copay and no coinsurance, and this copay is waived if you are admitted to the hospital within 24 hours. Urgently needed services require 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 from UHC TX-0008 (PPO) covers primary care and telehealth services with no copay and no coinsurance, while chiropractic services are not covered. Other services, including specialist visits (copays up to $55), physical therapy ($20 copay), and mental health sessions (copays up to $25), are covered with no coinsurance and may require prior authorization.
Preventive Services See details
Preventive services are partially covered by AARP Medicare Advantage from UHC TX-0008 (PPO) with no copay and no coinsurance for covered benefits like annual physical exams, kidney disease education, fitness benefits, and glaucoma screenings. Several supplemental preventive services, including health education, nutritional therapy, in-home safety assessments, and personal emergency response systems, are not covered.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC TX-0008 (PPO), including one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids are covered with a copay of $199.00 to $1,249.00 and no coinsurance for up to two devices yearly, but inner ear, outer ear, and over the ear types are not covered. Up to two OTC hearing aids are also covered annually with a copay of $199.00 to $829.00 and no coinsurance.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage from UHC TX-0008 (PPO), featuring no coinsurance and no copay for annual routine eye exams, contact lenses, and eyeglass frames, while eyeglass lenses carry a $0 to $153 copay and no coinsurance up to a $150 limit every two years. Other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered under this plan.
Dental Services See details
Dental services are partially covered by the AARP Medicare Advantage from UHC TX-0008 (PPO) plan, which features no copay and no coinsurance for preventive care like exams, cleanings, and X-rays. Medicare-covered dental services are available with no copay and a 20% coinsurance, but comprehensive services such as restorative, endodontics, periodontics, prosthodontics, implants, and oral surgery are not covered.
Home Infusion bundled Services See details
AARP Medicare Advantage from UHC TX-0008 (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy, radiation, and other drugs, require no coinsurance to 20% coinsurance, while covered insulin carries a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by AARP Medicare Advantage from UHC TX-0008 (PPO) with no copay and a 20% coinsurance. Prior authorization is required before you can receive these services.
Medical Equipment See details
AARP Medicare Advantage from UHC TX-0008 (PPO) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage from UHC TX-0008 (PPO) with no coinsurance, though prior authorization is required. There is no copay for lab services, a $0 minimum copay for diagnostic radiological services, a $5 copay for diagnostic procedures and outpatient X-rays, and a minimum $20 copay for therapeutic radiological services.
Home Health Services See details
Home Health Services are covered under the AARP Medicare Advantage from UHC TX-0008 (PPO) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the AARP Medicare Advantage from UHC TX-0008 (PPO) plan with no copay and no coinsurance, though prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC TX-0008 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement. Patients will pay no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though prior authorization is required and additional days are not covered.
Other Services See details
Other services are partially covered by AARP Medicare Advantage from UHC TX-0008 (PPO), which offers over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture and meal benefits are not covered under this plan.
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