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AARP Medicare Advantage Giveback from UHC UT-9 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Giveback from UHC UT-9 (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 Giveback from UHC UT-9 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Giveback from UHC UT-9 (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 Giveback from UHC UT-9 (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 Giveback from UHC UT-9 (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 Giveback from UHC UT-9 (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 $55.00. 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 $600.00 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 $13900.00 (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 $13900.00 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 Giveback from UHC UT-9 (PPO) plan features an annual drug deductible of $600. For lower-tier prescription medications, the plan offers no copay on Tier 1 preferred generics at standard pharmacies and mail-order options. Tier 2 generic medications carry a $14 copay for a one-month supply at standard pharmacies, though a three-month supply is available with no copay through preferred mail order. For higher-tier medications, the plan utilizes coinsurance instead of flat copays. Tier 3 preferred brand drugs require an 18% coinsurance, while Tier 4 non-preferred drugs carry a 27% coinsurance. Tier 5 specialty medications require a 26% coinsurance for a one-month supply across standard pharmacies and mail-order services.
Additional Benefits
The AARP Medicare Advantage Giveback from UHC UT-9 (PPO) offers comprehensive medical coverage with no copays for primary care visits, telehealth, annual physicals, and home health services. For emergency care, there is a $115 copay with no coinsurance, which is waived if you are admitted, while inpatient hospital stays require a $610 daily copay for the first few days and no copay thereafter. Outpatient services and specialist visits are also highly affordable, featuring no coinsurance and low-to-no copays. This plan includes valuable routine benefits, featuring no copays or coinsurance for preventive dental care, routine annual eye exams, and routine hearing tests. While comprehensive dental is not covered, the plan provides a $150 eyewear allowance every two years and covers hearing aids with copays ranging from $199 to $1,249. Diagnostic lab services and diagnostic radiology also feature no copay, while durable medical equipment and dialysis services require a 20% coinsurance with no copay.
Inpatient Hospital See details
AARP Medicare Advantage Giveback from UHC UT-9 (PPO) covers inpatient hospital services with no coinsurance, requiring a $610 daily copay for days 1 through 4 of acute care (no copay for days 5 and beyond) and a $610 daily copay for days 1 through 3 of psychiatric care (no copay for days 4 through 90). Prior authorization is required, and non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage Giveback from UHC UT-9 (PPO) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services which also feature no copays. Outpatient hospital services require a copay of $0 to $610, while outpatient substance abuse services carry copays ranging from $0 to $25.
Partial Hospitalization See details
Partial hospitalization is covered by the AARP Medicare Advantage Giveback from UHC UT-9 (PPO) with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
AARP Medicare Advantage Giveback from UHC UT-9 (PPO) covers ground and air ambulance services with a $285 copay and no coinsurance, though prior authorization is required. Routine transportation services to plan-approved or other health-related locations are not covered.
Emergency Services See details
Emergency services are covered by the AARP Medicare Advantage Giveback from UHC UT-9 (PPO) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay of $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care benefits under the AARP Medicare Advantage Giveback from UHC UT-9 (PPO) are covered with no coinsurance, featuring no copay for primary care provider visits, telehealth, and opioid treatment. Specialist visits, mental health, physical therapy, and podiatry are also covered with no coinsurance and copays ranging from $0 to $55, while chiropractic services are not covered.
Preventive Services See details
AARP Medicare Advantage Giveback from UHC UT-9 (PPO) covers preventive services, including annual physical exams, kidney disease education, and select screenings, with no copay and no coinsurance. A fitness benefit is also included with no copay, though several additional services like health education, weight management, and nutritional benefits are not covered.
Hearing Services See details
Hearing services are partially covered by the AARP Medicare Advantage Giveback from UHC UT-9 (PPO), featuring no copay and no coinsurance for routine hearing exams, though fitting and evaluation exams, as well as inner ear, outer ear, and over the ear prescription hearing aids are not covered. Covered prescription and OTC hearing aids require no coinsurance and copays ranging from $199.00 to $1,249.00 depending on the device.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage Giveback from UHC UT-9 (PPO), providing one routine eye exam annually with no copay, no coinsurance, and no deductible, though other eye exam services are not covered. Covered eyewear has no deductible or coinsurance and includes a $150 combined limit every two years—with no copay for contact lenses and frames, and a $0 to $153 copay for lenses—while upgrades and eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services under the AARP Medicare Advantage Giveback from UHC UT-9 (PPO) are partially covered, featuring preventive care such as cleanings, exams, and x-rays with no copay and no coinsurance. Medicare-covered dental services require no copay and a 20% coinsurance, while comprehensive treatments such as restorative, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
The AARP Medicare Advantage Giveback from UHC UT-9 (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other Part B drugs have no copay and ranging from no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35 copay and ranging from no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the AARP Medicare Advantage Giveback from UHC UT-9 (PPO) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical Equipment covered by the AARP Medicare Advantage Giveback from UHC UT-9 (PPO) features a 20% coinsurance and no copay for durable medical equipment, prosthetic devices, medical supplies, and diabetic therapeutic shoes. Diabetic supplies feature no copay but are limited to select manufacturers, and prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage Giveback from UHC UT-9 (PPO) covers diagnostic and radiological services, with prior authorization required for all services. Diagnostic tests carry a $50 copay with no coinsurance, outpatient X-rays require a $20 copay, and therapeutic radiology has a 20% coinsurance, while lab services and diagnostic radiology are covered with no copay.
Home Health Services See details
The AARP Medicare Advantage Giveback from UHC UT-9 (PPO) plan covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
AARP Medicare Advantage Giveback from UHC UT-9 (PPO) does not cover Cardiac Rehabilitation Services, as intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all not covered. Since these services are not covered, there is no copay or coinsurance available.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage Giveback from UHC UT-9 (PPO) covers skilled nursing facility (SNF) services with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and while a prior three-day hospital stay is not required for admission, additional days beyond the standard 100-day limit are not covered.
Other Services See details
AARP Medicare Advantage Giveback from UHC UT-9 (PPO) partially covers other services, providing a chronic illness meal benefit with no copay and no coinsurance, subject to prior authorization. Acupuncture, Over-the-Counter (OTC) items, and other supplemental services are not covered.
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