Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC MN-0003 (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-0003 (PPO) in 2025, please refer to our full plan details page.
AARP Medicare Advantage from UHC MN-0003 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Minnesota. 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-0003 (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-0003 (PPO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For AARP Medicare Advantage from UHC MN-0003 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $18.00. 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 $570.00 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.
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The AARP Medicare Advantage from UHC MN-0003 (PPO) plan has a $570 deductible for prescription drugs. After you meet your deductible, you will pay a copay or coinsurance depending on the drug tier and pharmacy. For example, you will pay a $14 copay for standard generic drugs at a standard pharmacy, or 26% coinsurance for non-preferred drugs. Once your total yearly drug costs reach $2000, you will enter the catastrophic coverage phase, where you pay nothing for your Part D covered drugs.
The AARP Medicare Advantage from UHC MN-0003 (PPO) plan offers comprehensive coverage, including inpatient hospital stays with a $450 copay for the first few days, and no copay thereafter. Outpatient services, primary care, and preventive services often have no copay, while other services like hearing, vision, and dental have varying copays or coinsurance. Emergency services and ambulance services are covered with a copay, as well. This plan provides additional benefits such as home health services with no copay, and coverage for prescription hearing aids and eyewear. The plan also covers a variety of services with copays, including partial hospitalization, ambulance services, and diagnostic services. However, some services like additional hours of care and certain therapies may not be covered.
Inpatient Hospital benefits include coverage for Inpatient Hospital-Acute, with a $450 copay for days 1-4 and no copay for days 5-90, and Inpatient Hospital Psychiatric, with a $450 copay for days 1-3 and no copay for days 4-90. Additional Days for Inpatient Hospital-Acute are covered with no copay, but Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient services are covered, including outpatient hospital services with a copay between $0 and $450, observation services with a $450 copay, and Ambulatory Surgical Center (ASC) services with no copay. Outpatient substance abuse services include individual sessions with a copay between $0 and $15, and group sessions with a $15 copay. Outpatient blood services are also covered with no copay.
Partial Hospitalization is covered by the AARP Medicare Advantage from UHC MN-0003 (PPO) plan, with a $55 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services are covered by AARP Medicare Advantage from UHC MN-0003 (PPO). Both ground and air ambulance services have a $290 copay, with no coinsurance; however, transportation services to any health-related location are not covered.
Emergency Services, including Worldwide Emergency Services and Urgently Needed Services, are covered. Emergency Services have a $125 copay, and Urgently Needed Services have a copay between $0 and $55; both have no coinsurance. Worldwide Emergency Services, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
The AARP Medicare Advantage from UHC MN-0003 (PPO) plan covers primary care physician services with no copay, and chiropractic services with a $20 copay. Occupational therapy services have a copay between $0 and $30, while physician specialist services have a copay between $0 and $50. Mental health specialty services, psychiatric services, and podiatry services have varying copays depending on the specific service. Physical therapy and speech-language pathology services have a copay between $0 and $30, and additional telehealth benefits have no copay.
Preventive Services include coverage for Medicare-covered services with no copay, an annual physical exam with no copay, and additional preventive services, including Fitness Benefit with no copay for Memory Fitness and Activity Tracker, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit, all with no copay. 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, Remote Access Technologies, Home and Bathroom Safety Devices and Modifications, and Counseling Services are not covered.
Hearing exams are covered with no copay, and routine hearing exams are covered for one visit per year with no copay. Prescription hearing aids are covered with a copay between $199 and $1249 for two hearing aids every year, and OTC hearing aids are covered with a copay between $99 and $829. 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 include eye exams and eyewear, and you will pay no copay for routine eye exams, contact lenses, and eyeglass frames. Eyeglass lenses have a copay of $0-$153. Eyewear has a combined maximum of $300 every two years, and contact lenses are unlimited.
Dental services include coverage for Medicare dental services with 20% coinsurance, 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 AARP Medicare Advantage from UHC MN-0003 (PPO), including Medicare Part B Insulin Drugs with a $35 copay and coinsurance between 0% and 20%, and Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs with coinsurance between 0% and 20%. Prior authorization is required.
Dialysis Services are covered under the AARP Medicare Advantage from UHC MN-0003 (PPO) plan. There is a 20% coinsurance for this benefit.
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance and authorization required, 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 include coverage for diagnostic procedures and tests with a $45 copay, and lab services with no copay. Radiological services include a copay of up to $190 for diagnostic services, a 20% coinsurance for therapeutic services, and a $15 copay for outpatient X-ray services.
Home Health Services are covered by the AARP Medicare Advantage from UHC MN-0003 (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 the plan does not cover the sub-services, including Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services. Prior authorization is required.
Skilled Nursing Facility (SNF) services are covered by the AARP Medicare Advantage from UHC MN-0003 (PPO) plan, but require prior authorization. There is no copay for days 1-20, and a $203 copay for days 21-100.
The AARP Medicare Advantage from UHC MN-0003 (PPO) plan covers meal benefits with no copay, but requires prior authorization. Other services, including acupuncture, over-the-counter items, and many additional services like Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) 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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