Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC IN-0002 (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-0002 (PPO) in 2025, please refer to our full plan details page.
AARP Medicare Advantage from UHC IN-0002 (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 2025.
It's important to know that AARP Medicare Advantage from UHC IN-0002 (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 IN-0002 (PPO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For AARP Medicare Advantage from UHC IN-0002 (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 $420.00 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 $6200.00 (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 $6200.00 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 IN-0002 (PPO) plan has a $420 deductible for prescription drugs. After you meet your deductible, you will pay a copay or coinsurance depending on the drug tier and the pharmacy you use. For example, you will pay an $8 copay for preferred generic drugs at a standard pharmacy. For preferred brand drugs, you will pay a $100 copay. You will pay 28% coinsurance for non-preferred drugs. Once your total drug costs reach $2,000, you enter the catastrophic coverage phase where you pay nothing for covered drugs.
The AARP Medicare Advantage from UHC IN-0002 (PPO) plan provides comprehensive coverage with a focus on outpatient and preventive services. Many services, including primary care visits, outpatient substance abuse, preventive services, vision exams, and home health services, are covered with no copay. Hospital stays, ambulance services, and emergency services have copays, while dental services are covered with coinsurance.
Inpatient Hospital coverage includes acute and psychiatric care, with a $385 copay for days 1-5 and no copay for days 6-90. Additional days for Inpatient Hospital-Acute are covered with no copay, while non-Medicare-covered stays and upgrades are not covered.
Outpatient Services, including all outpatient hospital services, are covered. Outpatient Hospital Services have a copay between $0 and $385, Observation Services have a $385 copay, Ambulatory Surgical Center (ASC) Services have no copay, and Outpatient Blood Services have no copay. Individual Sessions for Outpatient Substance Abuse have a copay between $0 and $25, and Group Sessions for Outpatient Substance Abuse have a $15 copay.
Partial Hospitalization is covered under this plan, with a $55 copay. Prior authorization is required.
Ambulance and Transportation Services are covered under the AARP Medicare Advantage from UHC IN-0002 (PPO) plan. Ground and air ambulance services each have a $275 copay, and there is no coinsurance. Transportation services to health-related locations are not covered.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the AARP Medicare Advantage from UHC IN-0002 (PPO) plan. Emergency Services have a $140 copay, and Urgently Needed Services have a copay between $0 and $65; both have no coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
The AARP Medicare Advantage from UHC IN-0002 (PPO) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, occupational therapy services with a copay between $0 and $20, physician specialist services with a copay between $0 and $30, and mental health specialty services with a copay between $0 and $25 for individual sessions and $15 for group sessions. This plan also covers podiatry services with a $30 copay, other health care professional services with a copay between $0 and $30, psychiatric services with a copay between $0 and $25 for individual sessions and $15 for group sessions, physical therapy and speech-language pathology services with a copay between $0 and $20, additional telehealth benefits with no copay, and opioid treatment program services with no copay. Routine chiropractic care is not covered.
Preventive services include an annual physical exam with no copay. Additional preventive services, including fitness benefits, and home and bathroom safety devices, are covered with no copay. Some services like health education, in-home safety assessment, and others are not covered.
Hearing exams are covered with no copay, and routine hearing exams are limited to 1 per year. Prescription hearing aids are covered with a copay between $199 and $1249, depending on the type, limited to 2 per year. OTC hearing aids are covered with a copay between $99 and $829. Fitting/evaluation for hearing aids, prescription hearing aids (inner ear, outer ear, and over the ear) are not covered.
Vision Services include eye exams and eyewear, with routine eye exams and contact lenses covered with no copay. Eyeglass lenses have a copay between $0 and $153, while eyeglass frames are covered with no copay, and a combined maximum of $300 every two years applies to all eyewear.
Dental services are covered, with a 20% coinsurance for Medicare dental services. Other dental services have a maximum plan benefit of $1,750 every year. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, and oral and maxillofacial surgery have no copay. Prosthodontics, removable, and prosthodontics, fixed services have a coinsurance of 0% to 50%. Implant services and orthodontics are not covered.
Home Infusion bundled Services are covered, and prior authorization is required. For Medicare Part B Insulin Drugs, you will pay a $35 copay and between 0% to 20% coinsurance, while for Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, you will pay between 0% to 20% coinsurance.
Dialysis Services are covered under the AARP Medicare Advantage from UHC IN-0002 (PPO) plan, but require prior authorization. The coinsurance for these services is 20%.
Medical Equipment, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment, is covered. DME has a 20% coinsurance and requires authorization. Prosthetic Devices and Medical Supplies have a 20% coinsurance, while Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services are covered by this plan, including diagnostic procedures and tests with a $40 copay, lab services with no copay, diagnostic radiological services with a copay up to $225, therapeutic radiological services with a copay of $80, and outpatient X-ray services with a $20 copay. Prior authorization is required for all diagnostic and radiological services.
Home Health Services are covered by the AARP Medicare Advantage from UHC IN-0002 (PPO) plan with no copay and no coinsurance, though Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services are covered, but the specific services of Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) services are covered under the AARP Medicare Advantage from UHC IN-0002 (PPO) plan, but require prior authorization. There is no copay for days 1-20, and a $203 copay for days 21-100, with no coinsurance. Additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
The AARP Medicare Advantage from UHC IN-0002 (PPO) plan covers over-the-counter items with no copay, and also covers meal benefits with no copay, but requires prior authorization. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and many other services are not covered.
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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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