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AARP Medicare Advantage from UHC PA-0008 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC PA-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 PA-0008 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC PA-0008 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of Pennsylvania. 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 PA-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 PA-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 PA-0008 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $60.00. 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 PA-0008 (PPO) plan features an annual drug deductible of $520. Under this plan, you will enjoy no copay for Tier 1 (Preferred Generic) and Tier 2 (Generic) medications when filled at standard pharmacies or through standard mail order. This makes managing everyday prescriptions highly affordable with zero out-of-pocket costs for these lower-tier drugs. For higher-tier medications, costs are shared through coinsurance rates at standard pharmacies and standard mail order. Tier 3 (Preferred Brand) drugs require a 20% coinsurance, while Tier 4 (Non-Preferred) and Tier 5 (Specialty) drugs incur 40% and 27% coinsurance respectively. These percentage-based costs apply to one-month supplies, helping you plan your expenses for brand-name and specialty prescriptions.
Additional Benefits
The AARP Medicare Advantage from UHC PA-0008 (PPO) plan offers robust coverage with no copay or coinsurance for primary care visits, telehealth, home health, and routine preventive care. For inpatient hospital stays, members pay a $295 daily copay for days one through five and no copay for days six through 90, with no coinsurance. Outpatient hospital services feature a copay ranging from no copay to $295, while emergency room visits carry a $130 copay that is waived if admitted within 24 hours. Specialist visits require a copay of up to $35, while dental benefits offer no copay for preventive care and up to a $5,000 annual maximum with 20% to 50% coinsurance for comprehensive services. Routine vision and hearing exams are covered with no copay, though prescription hearing aids require copays ranging from $199 to $1,249. Additionally, medical equipment and dialysis services are covered with no copay and a 20% coinsurance.
Inpatient Hospital See details
Inpatient hospital services are partially covered by AARP Medicare Advantage from UHC PA-0008 (PPO) with no coinsurance and a copay of $295 per day for days 1 through 5, followed by no copay for days 6 through 90. Unlimited additional acute care days are covered with no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by AARP Medicare Advantage from UHC PA-0008 (PPO) with no coinsurance for all services. There is no copay for ambulatory surgical center and outpatient blood services, while outpatient hospital services have a copay of $0 to $295, and outpatient substance abuse services require a copay of $0 to $25.
Partial Hospitalization See details
Partial hospitalization services are covered by AARP Medicare Advantage from UHC PA-0008 (PPO) with a $55.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC PA-0008 (PPO) covers Medicare-covered ground and air ambulance services with a $140 copay and no coinsurance, though prior authorization is required and the copay is not waived upon hospital admission. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
AARP Medicare Advantage from UHC PA-0008 (PPO) covers emergency services with a $130 copay, which is waived if admitted to the hospital within 24 hours, and urgently needed services with a $0 to $50 copay, both with no coinsurance. Worldwide emergency, urgent, and transportation services are also covered with no copay and no coinsurance.
Primary Care See details
AARP Medicare Advantage from UHC PA-0008 (PPO) covers primary care and telehealth services with no copay and no coinsurance, while specialist visits range from a $0 to $35 copay with no coinsurance. Other services like physical, occupational, and speech therapies have a $20 copay and no coinsurance, but chiropractic services are only partially covered since routine and other chiropractic services are not covered.
Preventive Services See details
AARP Medicare Advantage from UHC PA-0008 (PPO) covers preventive services, including annual physicals, kidney education, and select screenings, with no copay and no coinsurance. Additional preventive benefits are partially covered with no copay for fitness and home safety devices, but sub-services such as health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC PA-0008 (PPO), offering one annual routine hearing exam with no copay and no coinsurance, although fitting and evaluation exams are not covered. Up to two prescription or OTC hearing aids are covered per year with no coinsurance and copays ranging from $199.00 to $1,249.00, but 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 PA-0008 (PPO), offering one routine eye exam annually and eyeglass frames or contact lenses with no copay and no coinsurance, while upgrades and other eye exam services are not covered. Covered eyeglass lenses have a copay of $0 to $153 with no coinsurance, and a combined maximum eyewear benefit of $150 applies every two years.
Dental Services See details
AARP Medicare Advantage from UHC PA-0008 (PPO) provides partially covered dental services up to a $5,000 annual maximum, though implant services and orthodontics are not covered. Preventive dental care features no copay and no coinsurance, while Medicare-covered services carry no copay and 20% coinsurance, and other covered comprehensive services require no copay and 50% coinsurance.
Home Infusion bundled Services See details
AARP Medicare Advantage from UHC PA-0008 (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy and radiation drugs, carry a 0% to 20% coinsurance, while covered Part B insulin drugs require a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by AARP Medicare Advantage from UHC PA-0008 (PPO) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
Medical equipment is covered by AARP Medicare Advantage from UHC PA-0008 (PPO), offering 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 most equipment.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC PA-0008 (PPO) covers diagnostic and radiological services with no coinsurance, although prior authorization is required. Lab services and diagnostic radiology are offered with no copay, while diagnostic procedures and outpatient x-rays require a $5 copay, and therapeutic radiological services carry a $50 copay.
Home Health Services See details
Home Health Services are covered under the AARP Medicare Advantage from UHC PA-0008 (PPO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered by AARP Medicare Advantage from UHC PA-0008 (PPO) with no coinsurance and require prior authorization. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC PA-0008 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance and does not require a prior three-day inpatient hospital stay. There is no copay for days 1 through 20 and a $218 copay per day for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
AARP Medicare Advantage from UHC PA-0008 (PPO) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered, and prior authorization is required for the meal benefit.
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