A non-government entity
AARP Medicare Advantage from UHC IN-0001 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC IN-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 IN-0001 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC IN-0001 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Indiana. 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 IN-0001 (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 IN-0001 (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 IN-0001 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $39.00. 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 $440.00 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 $6300.00 (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 $6300.00 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 IN-0001 (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 IN-0001 (PPO) plan features an annual prescription drug deductible of $440. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies, as well as for 3-month supplies through mail order. Tier 2 generic drugs cost an $8 copay for a 1-month supply at standard pharmacies, but you can receive a 3-month supply with no copay when using preferred mail order. For higher-tier medications, this plan utilizes coinsurance rather than flat copays. Tier 3 preferred brand drugs require an 18% coinsurance for both standard pharmacy and mail order fills. Tier 4 non-preferred drugs carry a 42% coinsurance, while Tier 5 specialty drugs require a 28% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage from UHC IN-0001 (PPO) plan offers comprehensive coverage featuring no copay and no coinsurance for primary care visits, telehealth, annual physicals, and home health services. Specialist visits require no copay to a $45 copay, while emergency room visits carry a $150 copay that is waived upon hospital admission. For hospital stays, inpatient care requires a $375 daily copay for the first six days, followed by no copay for days seven through ninety. Supplemental benefits include routine vision and preventive dental care with no copay or coinsurance, offering up to a $2,500 annual dental limit and a $300 eyewear allowance every two years. Routine hearing exams also require no copay, while prescription hearing aids have copays ranging from $199.00 to $1,249.00. Diagnostic lab tests and diagnostic radiology are available with no copay, whereas dialysis and durable medical equipment require a 20% coinsurance.
Inpatient Hospital See details
AARP Medicare Advantage from UHC IN-0001 (PPO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $375 daily copay for days 1 through 6 and no copay for days 7 through 90. While unlimited additional acute care days are covered at no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC IN-0001 (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 of $0 to $375, while outpatient substance abuse services have a copay of $0 to $25 depending on the session type.
Partial Hospitalization See details
AARP Medicare Advantage from UHC IN-0001 (PPO) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by AARP Medicare Advantage from UHC IN-0001 (PPO), with ground and air ambulance services requiring prior authorization, a $175 copay, and no coinsurance. While some transportation services are covered, transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
AARP Medicare Advantage from UHC IN-0001 (PPO) covers emergency services with a $150 copay and no coinsurance, and this copay is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay ranging from $0 to $65 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
Primary care benefits under the AARP Medicare Advantage from UHC IN-0001 (PPO) plan feature no copay and no coinsurance for primary care visits and telehealth services, while specialist visits range from a $0 to $45 copay with no coinsurance. Other services like physical, occupational, and speech therapy require a $20 copay with no coinsurance, and chiropractic care is partially covered at a $20 copay with no coinsurance, excluding routine and other chiropractic services.
Preventive Services See details
Preventive Services are partially covered by the AARP Medicare Advantage from UHC IN-0001 (PPO) plan with no copay and no coinsurance for covered options like annual physicals and fitness benefits. Sub-services that are not covered include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, additional smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, home safety modifications, and counseling.
Hearing Services See details
AARP Medicare Advantage from UHC IN-0001 (PPO) features partially covered hearing services, offering annual routine hearing exams with no copay or coinsurance, while fitting and evaluation exams are not covered. Prescription and OTC hearing aids are covered with no coinsurance and copays ranging from $199.00 to $1,249.00, though inner ear, outer ear, and over the ear prescription aids are not covered.
Vision Services See details
Vision Services are partially covered by AARP Medicare Advantage from UHC IN-0001 (PPO) with no deductible, no coinsurance, and no copay for annual routine eye exams, contact lenses, and eyeglass frames. Eyeglass lenses are covered with a $0 to $153 copay and no coinsurance under a $300 combined eyewear limit every two years, while other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC IN-0001 (PPO), excluding implant services and orthodontics. Preventive dental care has no copay and no coinsurance up to a $2,500 annual limit, while Medicare-covered dental services carry a 20% coinsurance and covered comprehensive services carry a 50% coinsurance, both with no copay.
Home Infusion bundled Services See details
AARP Medicare Advantage from UHC IN-0001 (PPO) covers home infusion bundled services with no copay, subject to prior authorization. Medicare Part B chemotherapy, insulin, and other drugs have cost-sharing ranging from no coinsurance to 20% coinsurance, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis services are covered by AARP Medicare Advantage from UHC IN-0001 (PPO) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical equipment is covered by AARP Medicare Advantage from UHC IN-0001 (PPO) with no copay and 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts. Diabetic supplies are covered with no copay, though prior authorization is required for most equipment and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage from UHC IN-0001 (PPO) with no coinsurance, although prior authorization is required. Members pay no copay for lab services and diagnostic radiology, a $5 copay for outpatient x-rays and diagnostic tests, and a $60 copay for therapeutic radiological services.
Home Health Services See details
Home Health Services are covered under the AARP Medicare Advantage from UHC IN-0001 (PPO) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage from UHC IN-0001 (PPO) plan. This includes cardiac, intensive cardiac, pulmonary, and SET for PAD services, which are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered under AARP Medicare Advantage from UHC IN-0001 (PPO) with no coinsurance, requiring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and the plan does not cover additional days beyond the standard Medicare-covered limit.
Other Services See details
Other services are partially covered by AARP Medicare Advantage from UHC IN-0001 (PPO), featuring a meal benefit for chronic illness with no copay and no coinsurance, though prior authorization is required. Acupuncture and over-the-counter (OTC) items are 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