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AARP Medicare Advantage from UHC UT-0008 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC UT-0008 (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 UT-0008 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC UT-0008 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select counties in Utah. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage from UHC UT-0008 (PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about AARP Medicare Advantage from UHC UT-0008 (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 from UHC UT-0008 (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 $520.00 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 $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
The AARP Medicare Advantage from UHC UT-0008 (PPO) plan features an annual drug deductible of $520. For Tier 1 preferred generic drugs, there is no copay for a 1-month or 3-month supply at standard pharmacies and through mail order. Tier 2 generic drugs are available with a $10 copay for a 1-month supply at standard pharmacies, or with no copay for a 3-month supply when using preferred mail order. For higher-tier medications, costs are based on coinsurance percentages rather than flat copays. Tier 3 preferred brand drugs require a 15% coinsurance for standard pharmacies and mail order options. Tier 4 non-preferred drugs carry a 40% coinsurance, while Tier 5 specialty drugs require a 27% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage from UHC UT-0008 (PPO) plan offers affordable access to core healthcare, featuring no copay and no coinsurance for primary care, telehealth, annual physicals, and routine eye and hearing exams. For inpatient hospital stays, outpatient services, and emergency visits, members pay set copays with no coinsurance, such as a $130 emergency room copay and a $550 daily hospital copay for the first few days of a stay. Specialists and diagnostic tests are also covered with predictable copays and no coinsurance, helping you easily manage your medical expenses. For specialized care and equipment, the plan requires a 20% coinsurance for durable medical equipment, dialysis, and Medicare Part B drugs, while diabetic supplies and home health services are covered with no copay. Preventive dental care, home infusion, and select over-the-counter items are also covered with no copay and no coinsurance, though comprehensive dental services are not included. Hearing aids and eyewear are partially covered, offering valuable annual benefits with low-to-moderate copays and no coinsurance.
Inpatient Hospital See details
The AARP Medicare Advantage from UHC UT-0008 (PPO) plan covers inpatient hospital services with no coinsurance, requiring a $550 daily copay for days 1-5 of acute stays and days 1-4 of psychiatric stays, with no copay for subsequent days. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by AARP Medicare Advantage from UHC UT-0008 (PPO) with no coinsurance, featuring no copay for ambulatory surgical center and blood services. Outpatient hospital and observation services carry copays ranging from $0 to $550, while outpatient substance abuse sessions require copays up to $25, with prior authorization needed for most services.
Partial Hospitalization See details
AARP Medicare Advantage from UHC UT-0008 (PPO) covers partial hospitalization services with a $55 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by AARP Medicare Advantage from UHC UT-0008 (PPO), which offers ground and air ambulance services with a $290 copay and no coinsurance. Transportation services to plan-approved locations or any other health-related locations are not covered under this plan.
Emergency Services See details
AARP Medicare Advantage from UHC UT-0008 (PPO) covers emergency services with a $130 copay and no coinsurance, with the copay 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 from UHC UT-0008 (PPO) provides primary care, telehealth, and opioid treatment services with no copay and no coinsurance. Covered specialist visits ($0 to $50 copay), therapy services ($40 copay), podiatry ($45 copay), and mental health care ($0 to $25 copay) feature no coinsurance, while chiropractic services are not covered.
Preventive Services See details
AARP Medicare Advantage from UHC UT-0008 (PPO) partially covers preventive services with no copay and no coinsurance for covered benefits such as annual physical exams, kidney disease education, and diabetes self-management training. While fitness benefits and home safety devices are included at no cost, several additional services like health education, weight management, and nutritional benefits are not covered.
Hearing Services See details
AARP Medicare Advantage from UHC UT-0008 (PPO) hearing services are partially covered, offering one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids are partially covered with a $199 to $1,249 copay and no coinsurance for up to two devices per year, excluding inner ear, outer ear, and over the ear models. Up to two OTC hearing aids are also covered annually with a copay of $199 to $829 and no coinsurance.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage from UHC UT-0008 (PPO), featuring no copay and no coinsurance for yearly routine eye exams and select eyewear, which has a $300 combined limit every two years. Covered eyewear includes contact lenses and frames with no copay, and lenses with copays from $0 to $153, though upgrades, other eye exams, and combined eyeglass packages are not covered.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC UT-0008 (PPO), offering Medicare-covered dental with no copay and 20% coinsurance, and preventive care like cleanings and exams with no copay and no coinsurance. However, comprehensive services including restorative work, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
AARP Medicare Advantage from UHC UT-0008 (PPO) covers Home Infusion bundled Services with no copay, though prior authorization is required. Medicare Part B drugs, including chemotherapy, radiation, and insulin, feature no coinsurance to 20% coinsurance, with insulin also carrying a $35 copay.
Dialysis Services See details
AARP Medicare Advantage from UHC UT-0008 (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
AARP Medicare Advantage from UHC UT-0008 (PPO) covers medical equipment, including durable medical equipment (DME), prosthetics, 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 these benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC UT-0008 (PPO) covers diagnostic and radiological services, with prior authorization required. Diagnostic tests require a $45 copay with no coinsurance, outpatient X-rays have a $30 copay, and therapeutic radiological services incur 20% coinsurance, while lab and diagnostic radiological services are provided with no copay and no coinsurance.
Home Health Services See details
Home Health Services are covered by AARP Medicare Advantage from UHC UT-0008 (PPO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
AARP Medicare Advantage from UHC UT-0008 (PPO) covers cardiac rehabilitation services with no copay and no coinsurance, though prior authorization is required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by AARP Medicare Advantage from UHC UT-0008 (PPO) with no coinsurance, requiring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required and a prior three-day hospital stay is not needed, though additional days beyond the standard Medicare limit are not covered.
Other Services See details
Other services are partially covered by AARP Medicare Advantage from UHC UT-0008 (PPO), offering over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture, Dual Eligible SNPs, and other additional services are not covered.
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