A non-government entity
AARP Medicare Advantage from UHC FL-0026 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC FL-0026 (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 FL-0026 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC FL-0026 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Palm Beach County. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage from UHC FL-0026 (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 FL-0026 (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 FL-0026 (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 $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 $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:
Sign up for AARP Medicare Advantage from UHC FL-0026 (PPO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The AARP Medicare Advantage from UHC FL-0026 (PPO) plan features an annual drug deductible of $600. 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 services. Tier 2 generic drugs have a $12 copay for a 1-month supply at standard pharmacies, but you can lower your costs with no copay for a 3-month supply through preferred mail order. Higher-tier medications under this plan utilize coinsurance instead of flat copays. Tier 3 preferred brand drugs require a 15% coinsurance for both 1-month and 3-month supplies across standard pharmacies and mail order. Tier 4 non-preferred drugs have a 39% coinsurance, while Tier 5 specialty tier drugs carry a 26% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage from UHC FL-0026 (PPO) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care and telehealth visits, as well as preventive care. Specialist visits require a copay of $0 to $60, while emergency room visits carry a $130 copay that is waived upon hospital admission. For inpatient hospital stays, there is no coinsurance, though patients pay a $550 daily copay for the first five days of an acute stay. Additional benefits include routine dental, vision, and hearing care with no copay and no coinsurance for annual exams and cleanings. Prescription hearing aids and eyewear are covered with varying copays, while durable medical equipment and Medicare-covered dental services require a 20% coinsurance. Home health services and cardiac rehabilitation are also covered with no copay and no coinsurance.
Inpatient Hospital See details
AARP Medicare Advantage from UHC FL-0026 (PPO) covers inpatient hospital services with no coinsurance, requiring a $550 daily copay for days 1 to 5 of an acute stay (no copay for days 6 and beyond) and a $550 daily copay for days 1 to 4 of a psychiatric stay (no copay for days 5 to 90). This benefit is partially covered, as upgrades and non-Medicare-covered stays are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC FL-0026 (PPO) covers outpatient services with no coinsurance, including no copay for ambulatory surgical center and blood services. Outpatient hospital and observation services require a copay ranging from $0 to $550, while outpatient substance abuse sessions carry a copay of $0 to $25, with prior authorization required for most outpatient services.
Partial Hospitalization See details
Partial hospitalization is covered by AARP Medicare Advantage from UHC FL-0026 (PPO) with a $55.00 copayment and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC FL-0026 (PPO) covers ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. Transportation services to plan-approved or other health-related locations are not covered under this plan.
Emergency Services See details
AARP Medicare Advantage from UHC FL-0026 (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 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care benefits are covered by AARP Medicare Advantage from UHC FL-0026 (PPO) with no copay and no coinsurance for primary care provider and telehealth visits. Specialist visits require a $0 to $60 copay, physical therapy is $60, occupational therapy is $50, and mental health, psychiatric, and podiatry services have copays ranging up to $45, all with no coinsurance. Some chiropractic services are covered, but routine chiropractic care and other chiropractic services are not covered.
Preventive Services See details
AARP Medicare Advantage from UHC FL-0026 (PPO) offers partially covered preventive services with no copay and no coinsurance for covered care, including annual physicals, fitness benefits, and diabetes training. Several additional services are not covered under this plan, including health education, weight management, and in-home support.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC FL-0026 (PPO) with no deductible and no coinsurance. One routine annual hearing exam is covered with no copay, though fitting and evaluation exams are not covered. Prescription hearing aids (excluding inner ear, outer ear, and over-the-ear types) and OTC hearing aids are covered up to two per year with no coinsurance, requiring copays ranging from $199.00 to $1,249.00 and $199.00 to $829.00 respectively.
Vision Services See details
AARP Medicare Advantage from UHC FL-0026 (PPO) partially covers vision services, offering one routine eye exam per year with no copay and no coinsurance. Covered eyewear, including contacts, frames, and lenses, features no coinsurance and copays ranging from no copay up to $153, up to a $150 maximum benefit every two years. Other eye exams, upgrades, and packaged eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC FL-0026 (PPO), offering Medicare-covered dental services with no copay and a 20% coinsurance, and preventive services like exams, cleanings, and x-rays with no copay and no coinsurance. However, orthodontic, restorative, endodontic, periodontic, prosthodontic, implant, oral surgery, and other diagnostic dental services are not covered.
Home Infusion bundled Services See details
AARP Medicare Advantage from UHC FL-0026 (PPO) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Covered Medicare Part B chemotherapy, radiation, and other drugs incur no coinsurance to 20% coinsurance, while Medicare Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
AARP Medicare Advantage from UHC FL-0026 (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive this covered benefit.
Medical Equipment See details
Medical equipment is covered under the AARP Medicare Advantage from UHC FL-0026 (PPO) plan, featuring no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts. Diabetic supplies are also covered with no copay, and prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC FL-0026 (PPO) covers diagnostic services with no coinsurance, featuring no copay for lab services and a $50 copay for diagnostic procedures and tests. Covered radiological services include diagnostic radiology with no copay, outpatient X-rays with a $30 copay, and therapeutic radiology with a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by AARP Medicare Advantage from UHC FL-0026 (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by AARP Medicare Advantage from UHC FL-0026 (PPO) with no copay and no coinsurance, although prior authorization is required. While some services are covered, the specific sub-services of cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC FL-0026 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, and additional days beyond the standard 100-day benefit period are not covered.
Other Services See details
AARP Medicare Advantage from UHC FL-0026 (PPO) partially covers other services, providing over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved