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AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Patriot No Rx GA-MA01 (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 GA-MA01 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Georgia. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage Patriot No Rx GA-MA01 (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 GA-MA01 (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 GA-MA01 (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 $150.00. 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:
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Drug Coverage
Prescription drugs are not covered by AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO).
Additional Benefits
The AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) offers comprehensive medical coverage featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. For specialist visits, copays range from $0 to $50, while inpatient hospital stays require a $445 copay per day for days 1 through 6 and no copay for days 7 and beyond. Emergency care is available with a $130 copay, which is waived if you are admitted, and outpatient hospital services range from no copay up to a $445 copay. This plan also features valuable dental, vision, and hearing benefits, including a $1,500 annual maximum for dental care with no copay for preventive services. Vision benefits feature no copay for annual exams and a $200 eyewear allowance, while hearing aids are available with copays starting at $199. Additionally, diagnostic labs require no copay, while durable medical equipment and dialysis services carry a 20% coinsurance with no copay.
Inpatient Hospital See details
AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) covers inpatient acute hospital stays with no coinsurance and a $445 copay for days 1 through 6, with no copay for days 7 and beyond. Inpatient psychiatric hospital stays are also covered with no coinsurance and a $445 copay for days 1 through 5, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services covered by the AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) feature no coinsurance, with no copay required for ambulatory surgical center and outpatient blood services. Outpatient hospital services carry a copay ranging from $0 to $445, while outpatient substance abuse services range from no copay up to a $25 copay.
Partial Hospitalization See details
Partial hospitalization is covered under the AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) plan with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Ambulance services are covered under the AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) with a $290 copay and no coinsurance for ground and air transport, which requires prior authorization. Although transportation services are technically covered, trips to plan-approved or any health-related locations are not covered.
Emergency Services See details
AARP Medicare Advantage Patriot No Rx GA-MA01 (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 require a copay of $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) provides primary care physician visits, telehealth, and opioid treatment with no copay and no coinsurance. Specialist visits, mental health, and therapy services are covered with no coinsurance and copays ranging from $0 to $50, while routine chiropractic care is not covered.
Preventive Services See details
Preventive services are partially covered by AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) with no copay and no coinsurance for covered services, which include annual physical exams, fitness benefits, kidney disease education, and other screenings. However, the plan does not cover health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, home safety modifications, and counseling.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) with no deductible and no coinsurance for all covered services. Routine exams are covered with no copay, prescription hearing aids carry a copay of $199.00 to $1,249.00, and OTC hearing aids require a $199.00 to $829.00 copay; however, fitting/evaluation services and inner ear, outer ear, or over-the-ear prescription hearing aids are not covered.
Vision Services See details
Vision Services are partially covered by AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO), featuring no deductibles, no coinsurance, and no copays for one routine annual eye exam, contact lenses, and eyeglass frames. The plan provides a $200 combined eyewear allowance every two years, with eyeglass lenses carrying a $0 to $153 copay, while other eye exams, upgrades, and complete eyeglasses packages are not covered.
Dental Services See details
Dental services are partially covered by the AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) plan, which offers a $1,500 annual maximum benefit for combined in-network and out-of-network care. Preventive services have no copay and no coinsurance, Medicare-covered services have no copay and a 20% coinsurance, and covered comprehensive services have no copay and a 50% coinsurance, though implants and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by the AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) plan with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require no copay and 0% to 20% coinsurance, while Part B insulin drugs have a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered under the AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) plan with no copay and a 20% coinsurance, and prior authorization is required.
Medical Equipment See details
AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) covers durable medical equipment, prosthetic devices, 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 equipment.
Diagnostic and Radiological Services See details
AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) covers diagnostic and radiological services with prior authorization, offering lab and diagnostic radiological services with no copay and no coinsurance. Diagnostic procedures and tests require a $45 copay with no coinsurance, outpatient X-rays require a $30 copay, and therapeutic radiological services require 20% coinsurance.
Home Health Services See details
The AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) covers home health services with no copay and no coinsurance. Prior authorization is required for these covered services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) with no copay and no coinsurance, subject to prior authorization. However, only some services are covered, as standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered in practice.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, though additional days beyond this period are not covered.
Other Services See details
Other services are partially covered by the AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO), which includes 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 benefit.
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