Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC CO-0006 (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 CO-0006 (PPO) in 2025, please refer to our full plan details page.
AARP Medicare Advantage from UHC CO-0006 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Colorado. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that AARP Medicare Advantage from UHC CO-0006 (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 from UHC CO-0006 (PPO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For AARP Medicare Advantage from UHC CO-0006 (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 $4.00. 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.
This plan has a $420.00 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 from UHC CO-0006 (PPO) plan has an enhanced alternative drug benefit. The plan has a $420 deductible. Once the deductible is met, you will pay a copay or coinsurance depending on the drug tier and pharmacy used. For example, you will pay a $10 copay for a preferred generic drug at a standard pharmacy, and 28% coinsurance for a non-preferred drug. After your yearly out-of-pocket drug costs reach $2000, you will pay nothing for Part D covered drugs.
The AARP Medicare Advantage from UHC CO-0006 (PPO) plan offers a range of benefits with varying costs. This plan includes inpatient hospital stays with a copay of $295 for the first six days, and no copay after. Outpatient services have copays that vary, while emergency services have a $110 copay. This plan covers primary care with no copay, and specialist services with a copay between $0 and $50. It also includes preventive services like annual physical exams with no copay. Vision and dental services are included, with no copay for eye exams and routine dental services, and a 20% coinsurance for Medicare Dental Services.
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. For days 1-6, the copay is $295, and days 7-90 have no copay, while additional days for Inpatient Hospital-Acute have no copay.
Outpatient Services, including Outpatient Hospital Services, Observation Services, Ambulatory Surgical Center (ASC) Services, Outpatient Substance Abuse Services, and Outpatient Blood Services, are covered. Outpatient Hospital Services have a copay between $0 and $295, Observation Services have a $295 copay per day, Ambulatory Surgical Center (ASC) Services and Outpatient Blood Services have no copay, while Individual Sessions for Outpatient Substance Abuse have a copay between $0 and $25, and Group Sessions for Outpatient Substance Abuse have a $15 copay.
Partial Hospitalization is covered, but requires prior authorization. The plan has a $55 copay for this benefit.
Ambulance and Transportation Services are covered, with prior authorization required for all ambulance services. Ground and air ambulance services have a $200 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 by AARP Medicare Advantage from UHC CO-0006 (PPO). Emergency Services have a $110 copay and no coinsurance, while Urgently Needed Services have a copay between $0 and $45 with no coinsurance. Worldwide Emergency, Urgent, and Transportation services have no copay and no coinsurance.
The AARP Medicare Advantage from UHC CO-0006 (PPO) plan covers primary care physician services with no copay, chiropractic services with a $15 copay, and occupational therapy services with a copay between $0 and $25. The plan also covers physician specialist services with a copay between $0 and $50, mental health specialty services with a copay between $0 and $25 for individual sessions and a $15 copay for group sessions, and podiatry services with a $40 copay. Additionally, the plan covers other health care professional services, psychiatric services with a copay between $0 and $25 for individual sessions and a $15 copay for group sessions, physical therapy and speech-language pathology services with a copay between $0 and $40, additional telehealth benefits with no copay, and opioid treatment program services with no copay.
Preventive Services include an annual physical exam with no copay, and other preventive services such as Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit, each with no copay. Additional preventive services like Health Education, In-Home Safety Assessment, and others are not covered.
Hearing Services include hearing exams, with a $0 copay for routine hearing exams, but fitting/evaluation for hearing aids are not covered. Prescription hearing aids and OTC hearing aids are not covered.
Vision Services include eye exams and eyewear benefits. Eye exams have no copay, and routine eye exams are covered with no copay for one visit every year. Eyewear has no copay, but eyeglasses (lenses and frames) and upgrades are not covered; contact lenses are covered with no copay, and eyeglass lenses have a copay of $0-$153.00, with a limit of one pair every two years; eyeglass frames are covered with no copay, with a limit of one frame every two years.
The AARP Medicare Advantage from UHC CO-0006 (PPO) plan covers dental services with a 20% coinsurance for Medicare Dental Services, and no copay for oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatment, and other preventive dental services. Orthodontic services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, implant services, oral and maxillofacial surgery, and orthodontics are not covered.
Home Infusion bundled Services are covered by the AARP Medicare Advantage from UHC CO-0006 (PPO) plan. For Medicare Part B Insulin Drugs, there is a $35 copay. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services are covered under the AARP Medicare Advantage from UHC CO-0006 (PPO) plan. This plan requires prior authorization and has a coinsurance of 20%.
Medical Equipment is covered by AARP Medicare Advantage from UHC CO-0006 (PPO), including Durable Medical Equipment (DME) with 20% coinsurance, Prosthetics/Medical Supplies with 20% coinsurance, and Diabetic Equipment. Diabetic Supplies have no copay, while Diabetic Therapeutic Shoes/Inserts have 20% coinsurance.
Diagnostic and Radiological Services are covered under the AARP Medicare Advantage from UHC CO-0006 (PPO) plan. Diagnostic Procedures/Tests have a $25 copay, while Lab Services have no copay. Diagnostic Radiological Services have a copay of at most $150, Therapeutic Radiological Services have a copay of at most $80, and Outpatient X-Ray Services have a $15 copay.
Home Health Services are covered by AARP Medicare Advantage from UHC CO-0006 (PPO) with no copay and no coinsurance, but Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services are covered, but specific services like Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD Services are not covered. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) services are covered by AARP Medicare Advantage from UHC CO-0006 (PPO), with a $0 copay for days 1-20 and a $203 copay for days 21-100. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services are not covered by the AARP Medicare Advantage from UHC CO-0006 (PPO) plan, including acupuncture, over-the-counter items, meal benefits, and more. No authorization or referrals are required for any additional services.
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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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