A non-government entity
AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Patriot No Rx TX-MA06 (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 Patriot No Rx TX-MA06 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Patriot No Rx TX-MA06 (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 Patriot No Rx TX-MA06 (PPO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about AARP Medicare Advantage Patriot No Rx TX-MA06 (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 Patriot No Rx TX-MA06 (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 $75.00. 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.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
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 Patriot No Rx TX-MA06 (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
Prescription drugs are not covered by AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO).
Additional Benefits
The AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) plan offers affordable coverage with no copay or coinsurance for primary care visits, telehealth, annual physicals, and preventive screenings. Specialist visits feature a copay of $0 to $65, while emergency room visits require a $130 copay that is waived if you are admitted. For inpatient hospital stays, members pay a $450 daily copay for the first several days, followed by no copay for the remainder of the covered stay. Routine eye exams, dental cleanings, and annual hearing tests are covered with no copay, though prescription hearing aids require a copay and comprehensive dental is excluded. Skilled nursing facility stays feature no copay for the first 20 days, and home health services are provided with no copay or coinsurance. Additionally, durable medical equipment and dialysis services require a 20% coinsurance with no copay.
Inpatient Hospital See details
AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) partially covers inpatient hospital services with no coinsurance, requiring a $450 daily copay for days 1 through 6 of acute stays (no copay for days 7 through 999) and a $450 daily copay for days 1 through 5 of psychiatric stays (no copay for days 6 through 90). Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) with no coinsurance, featuring a copay of $0 to $450 for outpatient hospital services and a $450 daily copay for observation services. There is no copay or coinsurance for ambulatory surgical center and outpatient blood services, while outpatient substance abuse services require a copay of $0 to $25 per session with no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered under the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) plan with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance services under the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) are covered with a $140 copay and no coinsurance for both ground and air transportation, though prior authorization is required. Transportation services to plan-approved or other health-related locations are not covered under this plan.
Emergency Services See details
AARP Medicare Advantage Patriot No Rx TX-MA06 (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 feature a copay ranging from $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay or coinsurance.
Primary Care See details
AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) offers primary care and telehealth visits with no copay and no coinsurance, while specialist visits require a $0 to $65 copay with no coinsurance. Physical and occupational therapies require a $50 copay with no coinsurance, and although some chiropractic services are covered, routine and other chiropractic care are not covered.
Preventive Services See details
Preventive services are covered by the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) with no copay and no coinsurance for an annual physical, fitness benefits, kidney education, and screenings. However, these benefits are only partially covered, as services such as 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, smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, home safety modifications, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) plan with no coinsurance for all covered services, offering one annual routine hearing exam with no copay, though fitting evaluations and inner, outer, or over-the-ear prescription hearing aids are not covered. Up to two covered prescription hearing aids per year require a copay of $199 to $1,249, while up to two over-the-counter (OTC) hearing aids require a copay of $199 to $829.
Vision Services See details
Vision services are partially covered by the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) with no deductible and no coinsurance. Routine eye exams, contact lenses, and eyeglass frames are offered with no copay, while eyeglass lenses have a $0 to $153 copay up to a $150 combined limit every two years, but other eye exams and upgrades are not covered.
Dental Services See details
Dental services are partially covered by the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO), which offers preventive care like cleanings and exams 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, maxillofacial prosthetics, adjunctive general, and orthodontic services—are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs carry no coinsurance to 20% coinsurance, while Medicare Part B insulin drugs require a $35 copay and up to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical equipment is covered by the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) plan, with no copay and a 20% coinsurance for durable medical equipment, prosthetics, and medical supplies. Diabetic supplies are available with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for these services.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) with no coinsurance, though prior authorization is required. Members pay no copay for lab services and diagnostic radiology, a $5 copay for outpatient X-rays and diagnostic tests, and a copay of at least $25 for therapeutic radiology.
Home Health Services See details
Home Health Services are covered under the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) does not cover Cardiac Rehabilitation Services, as standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage Patriot No Rx TX-MA06 (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 beyond the Medicare limit.
Other Services See details
Other Services are not covered under the AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO), meaning there is no coverage for acupuncture, over-the-counter (OTC) items, or meal benefits. Since these benefits are not covered, members are responsible for the full cost of these services with no copay or coinsurance options available.
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