A non-government entity
AARP Medicare Advantage from UHC NE-0002 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC NE-0002 (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 NE-0002 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC NE-0002 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Iowa and Nebraska. 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 NE-0002 (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 NE-0002 (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 NE-0002 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $30.00. 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:
Sign up for AARP Medicare Advantage from UHC NE-0002 (PPO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The AARP Medicare Advantage from UHC NE-0002 (PPO) prescription drug plan features an annual drug deductible of $520. Tier 1 preferred generic drugs are highly affordable, offering no copay for 1-month and 3-month supplies at standard pharmacies or via mail order. Tier 2 generic drugs require a $14 copay for a 1-month supply at standard pharmacies, though you can secure a 3-month supply with no copay through preferred mail order. For brand-name and specialty medications, costs transition to percentage-based coinsurance. Tier 3 preferred brand drugs carry a 17% coinsurance, while Tier 4 non-preferred drugs require a 41% coinsurance for a 1-month supply. Specialty medications in Tier 5 are covered with a 27% coinsurance for a 1-month supply at standard pharmacies and through mail order.
Additional Benefits
The AARP Medicare Advantage from UHC NE-0002 (PPO) plan offers comprehensive coverage with no copay and no coinsurance for primary care, telehealth, routine preventive services, and home health care. For specialized care, patients can expect fixed copayments with no coinsurance, such as no copay to $55 for specialists, a $130 copay for emergency care, and a $150 copay for ambulance services. Inpatient hospital stays require a $455 daily copay for the first five or six days, followed by no copay for subsequent days. Routine hearing and vision exams are covered with no copay and no coinsurance, alongside coverage for hearing aids and eyewear with set copays and no coinsurance. While preventive dental care is covered with no copay, comprehensive dental treatments, transportation, and cardiac rehabilitation services are not covered by this plan. For other medical needs like dialysis and durable medical equipment, members will pay no copay and a 20% coinsurance.
Inpatient Hospital See details
AARP Medicare Advantage from UHC NE-0002 (PPO) offers partially covered inpatient hospital services with no coinsurance, requiring a $455 daily copay for days 1 to 6 of acute stays and days 1 to 5 of psychiatric stays, followed by no copay for subsequent days. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC NE-0002 (PPO) covers outpatient services with no coinsurance, featuring a $0 to $455 copay for outpatient hospital services and a $455 daily copay for observation services. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse services carry no coinsurance and a $0 to $5 copay.
Partial Hospitalization See details
Partial hospitalization is covered by the AARP Medicare Advantage from UHC NE-0002 (PPO) plan with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC NE-0002 (PPO) covers Medicare-approved ground and air ambulance services with a $150 copay and no coinsurance, subject to prior authorization. Transportation services to plan-approved or other health-related locations are not covered.
Emergency Services See details
AARP Medicare Advantage from UHC NE-0002 (PPO) 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 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 from UHC NE-0002 (PPO) covers primary care and telehealth with no copay and no coinsurance, while specialists range from $0 to $55 and mental health services range from $0 to $5, both with no coinsurance. Physical, occupational, and speech therapies require a $35 copay with no coinsurance, but chiropractic services are only partially covered, with routine and other chiropractic care not covered.
Preventive Services See details
AARP Medicare Advantage from UHC NE-0002 (PPO) offers preventive services with no copay and no coinsurance for covered care, including annual physical exams, diabetes self-management training, glaucoma screenings, and a fitness benefit. This benefit is only partially covered, as additional services such as health education, nutritional benefits, and in-home safety assessments are not covered.
Hearing Services See details
AARP Medicare Advantage from UHC NE-0002 (PPO) partially covers hearing services, offering one routine annual exam with no deductible, no copay, and no coinsurance, though hearing aid fittings and evaluations are not covered. Up to two prescription hearing aids (excluding inner, outer, and over the ear types) and two OTC hearing aids are covered per year with no coinsurance, requiring copays of $199 to $1,249 and $199 to $829 respectively.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage from UHC NE-0002 (PPO), featuring one annual routine eye exam with no copay and no coinsurance, though other exam types are not covered. Eyewear is covered up to a $300 combined limit every two years with no coinsurance, offering contact lenses and frames with no copay and lenses with a $0 to $153 copay, while upgrades and pre-packaged eyeglasses are not covered.
Dental Services See details
Dental Services are partially covered by AARP Medicare Advantage from UHC NE-0002 (PPO), offering Medicare-covered dental with no copay and 20% coinsurance, and preventive care like cleanings, exams, and x-rays with no copay and no coinsurance. However, 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 from UHC NE-0002 (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Part B chemotherapy, radiation, and other drugs have no copay and a coinsurance ranging from no coinsurance up to 20%, while Part B insulin requires a $35 copay and a coinsurance ranging from no coinsurance up to 20%.
Dialysis Services See details
AARP Medicare Advantage from UHC NE-0002 (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for this covered benefit.
Medical Equipment See details
AARP Medicare Advantage from UHC NE-0002 (PPO) covers medical equipment, including durable medical equipment (DME), 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, with prior authorization required for most items.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage from UHC NE-0002 (PPO) with no coinsurance, though prior authorization is required. Under this plan, there is no copay for lab services, a $5 copay for diagnostic procedures and outpatient X-rays, and copays starting at $0 for diagnostic radiological services and $60 for therapeutic radiological services.
Home Health Services See details
Home health services are covered by the AARP Medicare Advantage from UHC NE-0002 (PPO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered in practice under the AARP Medicare Advantage from UHC NE-0002 (PPO) plan. While the plan technically lists no coinsurance, all specific sub-services, including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation, are not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC NE-0002 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement, though prior authorization is required. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services for the AARP Medicare Advantage from UHC NE-0002 (PPO) plan are partially covered, offering a limited-duration meal benefit for chronic illnesses with no copay and no coinsurance, subject to prior authorization. Acupuncture and Over-the-Counter (OTC) items are not covered under this benefit.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved