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AARP Medicare Advantage Giveback from UHC TX-34 (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-34 (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-34 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Giveback from UHC TX-34 (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-34 (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-34 (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-34 (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 $82.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan has a $400.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
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:
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Drug Coverage
The AARP Medicare Advantage Giveback from UHC TX-34 (PPO) plan features an annual drug deductible of $600. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies and mail-order services. Tier 2 generic drugs cost a $14 copay for a 1-month supply at standard pharmacies, but you can receive a 3-month supply with no copay through preferred mail order. Tier 3 preferred brand drugs require a 16% coinsurance for 1-month and 3-month supplies at standard pharmacies and mail order. Tier 4 non-preferred drugs carry a 34% coinsurance, while Tier 5 specialty drugs require a 26% coinsurance for a 1-month supply. These coinsurance rates apply across standard pharmacies as well as standard and preferred mail-order options.
Additional Benefits
The AARP Medicare Advantage Giveback from UHC TX-34 (PPO) offers robust coverage for essential medical services, featuring no copay and no coinsurance for primary care visits, preventive care, and home health services. For inpatient hospital stays, members pay a $405 daily copay for the first few days and no copay thereafter, with no coinsurance required. Outpatient services, diagnostic labs, and emergency care are also highly accessible, with emergency visits requiring a $115 copay that is waived upon admission. Routine hearing and vision exams are covered with no copay, though dental coverage is limited to preventive services with no copay and Medicare-covered dental with a 20% coinsurance. Members will also pay a 20% coinsurance with no copay for durable medical equipment and dialysis services. Additionally, skilled nursing facility stays require no copay for the first 20 days, followed by a $218 daily copay up to day 100.
Inpatient Hospital See details
Inpatient hospital services are partially covered by the AARP Medicare Advantage Giveback from UHC TX-34 (PPO) with no coinsurance, requiring a $405 daily copay for days 1 to 6 of acute stays (no copay for days 7 and beyond) and days 1 to 5 of psychiatric stays (no copay for days 6 to 90). Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage Giveback from UHC TX-34 (PPO) covers outpatient services with no coinsurance, featuring a copay ranging from no copay to $405 for outpatient hospital services, a $405 daily copay for observation services, and no copay for ambulatory surgical center and blood services. Outpatient substance abuse services also require no coinsurance, with individual sessions ranging from no copay to a $25 copay, and group sessions requiring a $15 copay.
Partial Hospitalization See details
AARP Medicare Advantage Giveback from UHC TX-34 (PPO) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access this covered benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage Giveback from UHC TX-34 (PPO) covers Medicare-covered ground and air ambulance services with a $135 copay and no coinsurance, requiring prior authorization. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Emergency services are covered by the AARP Medicare Advantage Giveback from UHC TX-34 (PPO) with a $115 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 $40 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 Giveback from UHC TX-34 (PPO) covers primary care and telehealth services with no copay and no coinsurance, while specialist visits carry a copay of $0 to $55 and no coinsurance. Therapy services, including physical, occupational, and speech, require a $20 copay and no coinsurance, though chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by AARP Medicare Advantage Giveback from UHC TX-34 (PPO) with no copayments and no coinsurance for covered benefits like annual physical exams, kidney disease education, and a fitness benefit. Sub-services that are not covered include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access, home modifications, and counseling.
Hearing Services See details
AARP Medicare Advantage Giveback from UHC TX-34 (PPO) covers annual routine hearing exams with no copay or coinsurance, although hearing aid fitting and evaluations are not covered. Prescription and OTC hearing aids are covered with no coinsurance and copays ranging from $199.00 to $1,249.00, though inner, outer, and over-the-ear prescription hearing aids are excluded.
Vision Services See details
Vision Services under the AARP Medicare Advantage Giveback from UHC TX-34 (PPO) are partially covered, providing one routine eye exam per year with no copay and no coinsurance, subject to prior authorization. Other eye exam services and all eyewear—including contact lenses, eyeglass lenses, frames, and upgrades—are not covered.
Dental Services See details
Dental services are partially covered by the AARP Medicare Advantage Giveback from UHC TX-34 (PPO), offering preventive care like exams and cleanings 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
AARP Medicare Advantage Giveback from UHC TX-34 (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Under this plan, Medicare Part B chemotherapy, radiation, and other drugs require coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs carry a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
The AARP Medicare Advantage Giveback from UHC TX-34 (PPO) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
AARP Medicare Advantage Giveback from UHC TX-34 (PPO) covers 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 are covered with no copay and a 20% coinsurance.
Diagnostic and Radiological Services See details
AARP Medicare Advantage Giveback from UHC TX-34 (PPO) covers diagnostic and radiological services with no coinsurance, though prior authorization is required. Lab services and diagnostic radiological services require no copay, while diagnostic procedures and outpatient X-rays have a $5 copay, and therapeutic radiological services carry a $60 copay.
Home Health Services See details
Home health services are covered under the AARP Medicare Advantage Giveback from UHC TX-34 (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the AARP Medicare Advantage Giveback from UHC TX-34 (PPO) with no copay and no coinsurance, although prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage Giveback from UHC TX-34 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, with no coverage provided for additional days.
Other Services See details
AARP Medicare Advantage Giveback from UHC TX-34 (PPO) partially covers other services, which includes a meal benefit for chronic illness with no copay and no coinsurance, subject to prior authorization. Acupuncture and over-the-counter (OTC) items are not covered under this benefit.
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