Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Extras from UHC GA-8 (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 Extras from UHC GA-8 (PPO) in 2025, please refer to our full plan details page.
AARP Medicare Advantage Extras from UHC GA-8 (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 3.5 out of 5 stars in 2025.
It's important to know that AARP Medicare Advantage Extras from UHC GA-8 (PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Below are a few key facts and commonly-asked questions about AARP Medicare Advantage Extras from UHC GA-8 (PPO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For AARP Medicare Advantage Extras from UHC GA-8 (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.
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 $495.00 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 $14000.00 (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 $14000.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The AARP Medicare Advantage Extras from UHC GA-8 (PPO) plan has a $495.00 deductible for prescription drugs. After the deductible, you will pay a copay for your prescriptions depending on the drug tier and pharmacy. For example, you will pay a $14.00 copay for a preferred generic drug at a standard pharmacy, and a $100.00 copay for a preferred brand drug. Once your total drug costs reach $2000.00, you enter the catastrophic coverage phase where you will pay nothing for covered drugs.
The AARP Medicare Advantage Extras from UHC GA-8 (PPO) plan offers a range of benefits with varying costs. Inpatient hospital stays have a copay of $425 for the first few days, then no copay. Outpatient services can have copays from $0 to $425, while emergency services have a $110 copay. Primary care, hearing, vision, and dental services are covered, with some services having no copay, and others with copays or coinsurance. The plan also includes coverage for ambulance, home health, and skilled nursing facility services, with some services requiring prior authorization. Preventive services like annual physical exams have no copay, and other services like fitness benefits are covered with no copay. The plan also covers medical equipment and diagnostic services with coinsurance or copays, and offers a meal benefit with no copay.
Inpatient Hospital benefits include coverage for inpatient hospital-acute and inpatient hospital psychiatric services, with a copay of $425 for days 1-4 and days 1-3, respectively, then no copay for subsequent days. Additional days for inpatient hospital-acute are covered with no copay, while non-Medicare-covered stays and upgrades for inpatient hospital-acute, and additional days and non-Medicare-covered stays for inpatient hospital psychiatric are not covered.
Outpatient Services, including outpatient hospital services, observation services, and outpatient blood services, are covered. Outpatient Hospital Services have a copay between $0 and $425, while Observation Services have a copay of $425. Ambulatory Surgical Center (ASC) Services and Outpatient Blood Services have no copay, and Individual Sessions for Outpatient Substance Abuse have a copay between $0 and $25, while Group Sessions have a copay of $15.
Partial Hospitalization is covered with a $55 copay. Prior authorization is required.
Ambulance and Transportation Services are covered by AARP Medicare Advantage Extras from UHC GA-8 (PPO). Ground and Air Ambulance Services have a $290 copay, and there is no coinsurance. Transportation Services to any health-related location are not covered.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services have a $110 copay, while Urgently Needed Services have a copay between $0 and $45. Worldwide Emergency Services have no copay for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation.
Primary Care Physician Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services are covered, with varying copays depending on the service. Chiropractic Services are partially covered, with a $15 copay for routine care, which requires prior authorization. Podiatry Services are covered with a $40 copay for Medicare-covered services and routine foot care, and other health care professional services have a copay between $0 and $45.
Preventive services include annual physical exams with no copay, and additional preventive services, with some services requiring a copay. Health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, weight management programs, alternative therapies, therapeutic massage, adult day health services, nutritional/dietary benefits, home-based palliative care, in-home support services, support for caregivers of enrollees, additional sessions of smoking and tobacco cessation counseling, enhanced disease management, telemonitoring services, home and bathroom safety devices and modifications, and counseling services are not covered. Other benefits like fitness benefits, remote access technologies, kidney disease education services, glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following Welcome Visit are covered with no copay.
Hearing exams are covered with no copay, and routine hearing exams are covered with no copay for one visit per year. Prescription hearing aids are covered with a copay between $199 and $1249 for two hearing aids every year, while OTC hearing aids have a copay between $99 and $829 for two hearing aids per year. Fitting/evaluation for hearing aids, prescription hearing aids - inner ear, prescription hearing aids - outer ear, and prescription hearing aids - over the ear are not covered.
Vision Services includes coverage for eye exams with no copay. Routine eye exams are covered with no copay, and you are eligible for one exam every year. Eyewear benefits include no copay for contact lenses and eyeglass frames, but eyeglass lenses have a copay of $0 to $153.00. However, eyeglasses (lenses and frames) and upgrades are not covered. The plan has a combined maximum of $300.00 for all eyewear, every two years.
Dental Services includes coverage for Medicare Dental Services with 20% coinsurance. Other Dental Services include oral exams, dental x-rays, other diagnostic dental services, cleaning, fluoride treatment, and other preventive dental services with no copay, and restorative services, adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, and oral and maxillofacial surgery with no copay. Prosthodontics (removable and fixed) have coinsurance between 0% and 50%. Implant Services and Orthodontics are not covered.
Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, you'll pay a $35 copay and between 0% and 20% coinsurance. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, you will pay between 0% and 20% coinsurance.
Dialysis Services are covered under the AARP Medicare Advantage Extras from UHC GA-8 (PPO) plan, with a coinsurance of 20%. Prior authorization is required for this benefit.
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance, Prosthetic Devices with 20% coinsurance, Medical Supplies with 20% coinsurance, and Diabetic Supplies with no copay, as well as Diabetic Therapeutic Shoes/Inserts with 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services include coverage for all diagnostic services, diagnostic procedures/tests with a $40 copay, and lab services with no copay. The plan also covers all radiological services, including diagnostic radiological services with a copay of up to $150, therapeutic radiological services with a minimum 20% coinsurance, and outpatient X-ray services with a $15 copay.
Home Health Services are covered under the AARP Medicare Advantage Extras from UHC GA-8 (PPO) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services are covered, but Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered. Prior authorization is required, and the copay information is available in the plan details.
Skilled Nursing Facility (SNF) services are covered, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $203.
Other Services includes a meal benefit with no copay, but acupuncture, over-the-counter items, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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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.
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