Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC MN-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 MN-0001 (PPO) in 2025, please refer to our full plan details page.
AARP Medicare Advantage from UHC MN-0001 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Twin Cities Metro Area. 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 MN-0001 (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 MN-0001 (PPO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For AARP Medicare Advantage from UHC MN-0001 (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 $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 $8400.00 (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 $8400.00 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 MN-0001 (PPO) plan has an "Enhanced Alternative" drug benefit. The plan has a deductible of $420. Once the deductible is met, you will pay a copay or coinsurance for your prescriptions. During the initial coverage phase, you will pay a copay for your prescriptions, depending on the drug tier and pharmacy. For example, you'll pay a $12 copay for preferred generic drugs at a standard pharmacy, and a $100 copay for preferred brand drugs at a standard pharmacy. After your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for Part D covered drugs.
The AARP Medicare Advantage from UHC MN-0001 (PPO) plan offers a range of benefits, including inpatient hospital care with a copay, outpatient services with varying copays, and emergency services with a $125 copay. The plan also covers primary care, preventive services, hearing, vision, and dental services, and home health services, often with no copay or a small copay. Other benefits include ambulance services, partial hospitalization, skilled nursing facility, and medical equipment.
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, but Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered. For Inpatient Hospital-Acute, you will pay a $355 copay for days 1-5, and no copay for days 6-90, while for Inpatient Hospital Psychiatric, you will pay a $355 copay for days 1-4, and no copay for days 5-90.
Outpatient Services, including all outpatient hospital services and outpatient blood services, are covered by AARP Medicare Advantage from UHC MN-0001 (PPO), with copays ranging from $0 to $355. Individual sessions for outpatient substance abuse have a copay between $0 and $15, while group sessions have a $15 copay, and Ambulatory Surgical Center (ASC) Services have no copay.
Partial Hospitalization is covered by the AARP Medicare Advantage from UHC MN-0001 (PPO) plan, with a $55 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services are covered under the AARP Medicare Advantage from UHC MN-0001 (PPO) plan. 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, including urgently needed services and worldwide emergency services, are covered. Emergency services have a $125 copay, while urgently needed services have a copay between $0 and $55. Worldwide emergency services have a $0 copay for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation.
The AARP Medicare Advantage from UHC MN-0001 (PPO) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, occupational therapy services with a $0-$30 copay, physician specialist services with a $0-$40 copay, mental health specialty services with a $0-$15 copay for individual sessions and a $15 copay for group sessions, podiatry services with a $40 copay, other health care professional services with a $0-$40 copay, psychiatric services with a $0-$15 copay for individual sessions and a $15 copay for group sessions, physical therapy and speech-language pathology services with a $0-$30 copay, additional telehealth benefits with no copay, and opioid treatment program services with no copay. Routine chiropractic care is not covered.
Preventive Services include Medicare-covered services with no copay, and an annual physical exam with no copay. Additional preventive services, kidney disease education services, and other preventive services are covered, with specific services such as Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), 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 Benefit, 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, and Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline) not covered.
Hearing exams are covered with no copay, routine hearing exams are covered once per year with no copay, and OTC hearing aids are covered with a copay between $99 and $829. Prescription hearing aids are partially covered, and fitting/evaluation for hearing aids, and prescription hearing aids (inner ear, outer ear, and over the ear) are not covered.
Vision services include eye exams and eyewear. Eye exams have no copay, and routine eye exams are covered once per year. Eyewear is covered, with a combined maximum of $300 every two years for contact lenses, eyeglass lenses, and eyeglass frames; however, eyeglasses and upgrades are not covered.
Dental Services are covered, with a 20% coinsurance for Medicare Dental Services. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, and other preventive dental services have no copay. Restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable), maxillofacial prosthetics, and oral and maxillofacial surgery have no copay. Prosthodontics (removable) and prosthodontics (fixed) have a coinsurance of 0% to 50%. Implant services and orthodontics are not covered.
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. Insulin has a $35 copay, with a coinsurance between 0% and 20%, while all other services have a coinsurance between 0% and 20%.
Dialysis Services are covered with prior authorization, and have a coinsurance of 20%.
Medical Equipment benefits are covered, including Durable Medical Equipment (DME) with 20% coinsurance and authorization required, Prosthetics/Medical Supplies with 20% coinsurance, and Diabetic Equipment. Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have 20% coinsurance.
Diagnostic and Radiological Services include coverage for all diagnostic services, with a $50 copay for diagnostic procedures and tests, and no copay for lab services. Diagnostic radiological services have a copay of up to $250, and therapeutic radiological services have a 20% coinsurance, while outpatient X-ray services have a $20 copay.
Home Health Services are covered by the AARP Medicare Advantage from UHC MN-0001 (PPO) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services are covered by AARP Medicare Advantage from UHC MN-0001 (PPO), but prior authorization is required. However, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered.
Skilled Nursing Facility (SNF) services are covered under the AARP Medicare Advantage from UHC MN-0001 (PPO) plan, but require prior authorization. There is no copay for days 1-20, and a $203 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered SNF stays are not covered.
The AARP Medicare Advantage from UHC MN-0001 (PPO) plan covers Over-the-Counter (OTC) Items and Meal Benefits, with no copay for either. Acupuncture, 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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