A non-government entity
AARP Medicare Advantage Giveback from UHC TX-31 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Giveback from UHC TX-31 (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 Giveback from UHC TX-31 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Giveback from UHC TX-31 (PPO) is a PPO 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 3.5 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage Giveback from UHC TX-31 (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 Giveback from UHC TX-31 (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 Giveback from UHC TX-31 (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. Additionally, this plan comes with a Part B Premium reduction of $60.00. 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 combined Maximum Out-Of-Pocket cost of $13900.00 (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 $13900.00 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 Giveback from UHC TX-31 (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 Giveback from UHC TX-31 (PPO) has an annual drug deductible of $600. Tier 1 preferred generic drugs offer savings with no copay for standard pharmacy and mail-order prescriptions. Tier 2 generic medications cost a $14 copay for a one-month supply at standard pharmacies, but you can avoid this cost entirely with no copay for a three-month supply through preferred mail order. For brand-name and specialty medications, costs are determined by coinsurance. Tier 3 preferred brand drugs require a 15% coinsurance, while Tier 4 non-preferred drugs carry a 38% coinsurance. Tier 5 specialty drugs require a 26% coinsurance for a one-month supply at both standard pharmacies and mail-order services.
Additional Benefits
The AARP Medicare Advantage Giveback from UHC TX-31 (PPO) plan offers affordable coverage with no copay and no coinsurance for primary care visits, telehealth, annual physicals, routine vision and hearing exams, and home health services. For specialized medical care, members will pay a $0 to $55 copay for specialist visits, a $115 copay for emergency room visits, and no copay for laboratory services. Inpatient hospital stays require a $485 copay for the first few days, after which there is no copay for the remainder of the stay. While preventive dental services feature no copay and no coinsurance, comprehensive dental care, eyewear, and cardiac rehabilitation are not covered under this plan. Additionally, dialysis services, durable medical equipment, and Medicare Part B drugs require a 20% coinsurance with no copay. Skilled nursing facility stays are also covered, featuring no copay for the first 20 days and a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
AARP Medicare Advantage Giveback from UHC TX-31 (PPO) covers inpatient hospital services with no coinsurance, though prior authorization is required. Acute care stays require a $485 copay for days 1 to 5 with no copay for days 6 and beyond, while psychiatric stays require a $485 copay for days 1 to 4 and no copay for days 5 to 90; however, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage Giveback from UHC TX-31 (PPO) covers outpatient services with no coinsurance, featuring copays ranging from $0 to $485 for outpatient hospital and observation services. Ambulatory surgical center and outpatient blood services are covered with no copay, while outpatient substance abuse sessions require a copay of $0 to $25.
Partial Hospitalization See details
Partial hospitalization is covered by the AARP Medicare Advantage Giveback from UHC TX-31 (PPO) 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 Giveback from UHC TX-31 (PPO) covers ground and air ambulance services with a $135.00 copay and no coinsurance, subject to prior authorization. For transportation benefits, some services are covered but transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
Emergency services are covered by the AARP Medicare Advantage Giveback from UHC TX-31 (PPO) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require 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
AARP Medicare Advantage Giveback from UHC TX-31 (PPO) offers primary care and telehealth visits with no copay and no coinsurance. Specialist visits require a $0 to $55 copay, physical, occupational, and speech therapies require a $30 copay, and mental health sessions require a $0 to $25 copay, all with no coinsurance. Some chiropractic services are covered with a $15 copay and no coinsurance, though routine and other chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by the AARP Medicare Advantage Giveback from UHC TX-31 (PPO) with no copay and no coinsurance for annual physicals, kidney disease education, fitness benefits, and select screenings. However, several supplemental services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, and weight management programs.
Hearing Services See details
AARP Medicare Advantage Giveback from UHC TX-31 (PPO) offers partially covered hearing services, including one annual routine exam with no copay and no coinsurance, though hearing aid fittings and evaluations are not covered. Prescription hearing aids have copays from $199 to $1,249 and no coinsurance for up to two devices per year, excluding inner ear, outer ear, and over the ear types, while up to two OTC hearing aids are covered annually with copays between $199 to $829 and no coinsurance.
Vision Services See details
AARP Medicare Advantage Giveback from UHC TX-31 (PPO) offers partially covered vision services, including one routine eye exam annually with no copay and no coinsurance, while other eye exams are not covered. For eyewear, some services are covered, but contact lenses, eyeglasses, lenses, frames, and upgrades are not covered.
Dental Services See details
AARP Medicare Advantage Giveback from UHC TX-31 (PPO) partially covers dental services, offering Medicare-covered dental care with no copay and 20% coinsurance, as well as preventive dental services with no copay and no coinsurance. Comprehensive dental 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 the AARP Medicare Advantage Giveback from UHC TX-31 (PPO) with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs have a coinsurance ranging from no coinsurance to 20%, while Part B insulin requires a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis services are covered by the AARP Medicare Advantage Giveback from UHC TX-31 (PPO) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
AARP Medicare Advantage Giveback from UHC TX-31 (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, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage Giveback from UHC TX-31 (PPO) with no coinsurance, though prior authorization is required. Lab services and diagnostic radiology have no copay, while diagnostic tests and outpatient X-rays require a $5 copay, and therapeutic radiology has a minimum copay of $60.
Home Health Services See details
Home health services are covered under the AARP Medicare Advantage Giveback from UHC TX-31 (PPO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage Giveback from UHC TX-31 (PPO) plan, as intensive cardiac, pulmonary, and supervised exercise therapy (SET) rehabilitation services are all excluded from coverage. Members will be responsible for the full cost of these services since they are not covered by the plan.
Skilled Nursing Facility (SNF) See details
The AARP Medicare Advantage Giveback from UHC TX-31 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, a prior three-day hospital stay is not necessary, and additional days beyond the standard 100 days are not covered.
Other Services See details
AARP Medicare Advantage Giveback from UHC TX-31 (PPO) partially covers other services, offering a meal benefit for chronic illness with no copay and no coinsurance, though prior authorization is required. Acupuncture and over-the-counter (OTC) items are not covered under this plan.
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