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AARP Medicare Advantage from UHC WY-0001 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC WY-0001 (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 WY-0001 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC WY-0001 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Laramie and Natrona Counties. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage from UHC WY-0001 (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 WY-0001 (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 WY-0001 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $69.00. 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 $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 $5900.00 (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 $5900.00 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 WY-0001 (PPO) plan features an annual drug deductible of $600. For Tier 1 preferred generic drugs, members pay no copay for standard pharmacy fills and mail-order deliveries. Tier 2 generic drugs cost a $10 copay for a one-month supply at standard pharmacies, though choosing a three-month supply through preferred mail order results in no copay. Higher-tier medications under this plan transition from copays to coinsurance during the initial coverage phase. Tier 3 preferred brand drugs require a 16% coinsurance, while Tier 4 non-preferred drugs have a 38% coinsurance for one-month supplies. Specialty medications in Tier 5 carry a 26% coinsurance across standard pharmacy and mail-order options.
Additional Benefits
The AARP Medicare Advantage from UHC WY-0001 (PPO) plan offers strong medical coverage with no copay for primary care, telehealth, and annual preventive exams. Specialist visits and therapy services carry a copay ranging from no copay to $50, while emergency room visits require a $130 copay which is waived if admitted. Inpatient hospital stays require a $550 daily copay for the first several days, after which there is no copay. This plan also includes essential routine dental, vision, and hearing benefits with no copay for annual exams, cleanings, and basic eyewear frames. Prescription hearing aids are available with copays starting at $199, and Medicare-covered dental services require a 20% coinsurance. Additionally, members benefit from no copay on home health services, over-the-counter items, and home infusion services.
Inpatient Hospital See details
Inpatient hospital services are partially covered by AARP Medicare Advantage from UHC WY-0001 (PPO) with no coinsurance, as upgrades and non-Medicare-covered stays are not covered. Acute stays require a $550 daily copay for days 1 to 5 and no copay for days 6 and beyond, while psychiatric stays require a $550 daily copay for days 1 to 4 and no copay for days 5 to 90.
Outpatient Services See details
AARP Medicare Advantage from UHC WY-0001 (PPO) covers outpatient services with no coinsurance, including no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital services require a copay of $0 to $550 (with a $550 daily copay for observation services), while outpatient substance abuse sessions carry a copay of $0 to $25 for individual visits and $15 for group visits.
Partial Hospitalization See details
AARP Medicare Advantage from UHC WY-0001 (PPO) covers partial hospitalization with a $55.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC WY-0001 (PPO) covers ground and air ambulance services with a $290 copay and no coinsurance, though prior authorization is required. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
AARP Medicare Advantage from UHC WY-0001 (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 no copay to a $50 copay with no coinsurance, while worldwide emergency care, urgent care, and emergency transportation are covered with no copay and no coinsurance.
Primary Care See details
AARP Medicare Advantage from UHC WY-0001 (PPO) offers primary care and telehealth services with no copay and no coinsurance. Specialist visits, therapy services, and mental health sessions have copays ranging from $0 to $50 with no coinsurance, while routine podiatry is covered for a $45 copay with no coinsurance. Some chiropractic services are covered, but routine and other chiropractic services are not covered.
Preventive Services See details
Preventive Services are covered by AARP Medicare Advantage from UHC WY-0001 (PPO) with no copay and no coinsurance for annual physical exams, kidney disease education, and other preventive screenings. Additional preventive services are partially covered with no copay and no coinsurance for fitness benefits and home safety devices, but do not cover health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC WY-0001 (PPO), featuring one routine hearing exam per year with no copay and no coinsurance, though fitting and evaluation exams are not covered. Up to two prescription hearing aids (with a $199 to $1,249 copay and no coinsurance) and two OTC hearing aids (with a $199 to $829 copay and no coinsurance) are covered annually, but inner, outer, and over-the-ear prescription types are not covered.
Vision Services See details
Vision Services under AARP Medicare Advantage from UHC WY-0001 (PPO) are partially covered, featuring no coinsurance and no copay for one annual routine eye exam, contact lenses, and eyeglass frames. Eyeglass lenses are covered with no coinsurance and a copay of $0 to $153 up to a $300 eyewear limit every two years, but other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by the AARP Medicare Advantage from UHC WY-0001 (PPO) plan, offering preventive care like exams and cleanings with no copay and no coinsurance, and Medicare-covered dental services with no copay and a 20% coinsurance. However, comprehensive services 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 WY-0001 (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
AARP Medicare Advantage from UHC WY-0001 (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 from UHC WY-0001 (PPO) covers medical equipment, including durable medical equipment, prosthetics, and diabetic services, with no copay and a 20% coinsurance. Prior authorization is required for these covered items, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC WY-0001 (PPO) covers diagnostic and radiological services with no coinsurance, though prior authorization is required. There is no copay for lab services and diagnostic radiological services, while diagnostic procedures have a $5 copay, outpatient X-rays have a $30 copay, and therapeutic radiological services have a $60 copay.
Home Health Services See details
AARP Medicare Advantage from UHC WY-0001 (PPO) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
AARP Medicare Advantage from UHC WY-0001 (PPO) does not cover Cardiac Rehabilitation Services. This includes no coverage for cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC WY-0001 (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 and a $218 copay for days 21 through 100, though additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
AARP Medicare Advantage from UHC WY-0001 (PPO) offers partially covered other services, excluding acupuncture. Covered benefits include over-the-counter (OTC) items and meal benefits for chronic illnesses, both of which feature no copay and no coinsurance, though meals require prior authorization.
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