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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 2025, 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 Select Counties of Pennsylvania. 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 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 $64.00. 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 $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 has a $420 deductible for prescription drugs. After the deductible, your cost will vary depending on the drug tier and pharmacy. For example, you will pay a $0 copay for standard generic drugs at a standard pharmacy. For preferred brand drugs, you will pay a $100 copay. Non-preferred drugs have a 28% coinsurance.
Additional Benefits
The AARP Medicare Advantage from UHC PA-0008 (PPO) plan offers a range of benefits with varying cost-sharing. Inpatient hospital stays have a $295 copay per admission, while outpatient services have copays that range from $0 to $295. Emergency services have a $125 copay, and ambulance services have a $180 copay. This plan provides comprehensive coverage for primary care, preventive services, hearing, vision, and dental services. Many services have no copay, including hearing exams, routine eye exams, and oral exams. However, some services, such as prescription hearing aids, have copays ranging from $99 to $1249, depending on the type.
Inpatient Hospital See details
Inpatient Hospital benefits include Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, with a copay of $295 per admission or stay. Additional days for Inpatient Hospital-Acute have no copay, while Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute and Additional Days and Non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services with a copay between $0 and $295, observation services with a $295 copay, and ambulatory surgical center services with no copay. Outpatient substance abuse services include individual sessions with a copay between $0 and $25, and group sessions with a $15 copay, while outpatient blood services have no copay.
Partial Hospitalization See details
Partial Hospitalization is covered under this plan, with a $55 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the AARP Medicare Advantage from UHC PA-0008 (PPO) plan, with a $180 copay for both ground and air ambulance services and no coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services have a $125 copay, while Urgently Needed Services have a copay between $0 and $55. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.
Primary Care See details
The AARP Medicare Advantage from UHC PA-0008 (PPO) plan covers Primary Care services with no copay for Primary Care Physician Services, a $20 copay for Chiropractic Services, and a $0-$25 copay for Physician Specialist Services. Occupational Therapy Services are covered with a $0-$25 copay, while Individual and Group Sessions for Mental Health Specialty Services have varying copays. Podiatry Services and Other Health Care Professional services have a $25 copay, and Physical Therapy and Speech-Language Pathology Services have a $0-$25 copay. Additional Telehealth Benefits are covered with no copay, and Opioid Treatment Program Services have no copay.
Preventive Services See details
Preventive Services include annual physical exams with no copay, while other services like Health Education, In-Home Safety Assessment, and others are not covered. Glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a Welcome Visit have no copay.
Hearing Services See details
Hearing exams are covered with no copay. Prescription hearing aids are covered, with a copay between $199 and $1249 depending on the type. OTC hearing aids are covered with a copay between $99 and $829.
Vision Services See details
Vision services include eye exams, eyewear, contact lenses, eyeglass lenses, and eyeglass frames. Eye exams and routine eye exams have no copay. Eyewear has a combined maximum benefit of $300 every two years, and contact lenses have no copay. Eyeglass lenses have a copay between $0 and $153, and eyeglass frames have no copay. Eyeglass frames and lenses are limited to one pair every two years. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental Services include coverage for Medicare Dental Services with 20% coinsurance, Other Dental Services, Oral Exams with no copay, Dental X-Rays with no copay, Other Diagnostic Dental Services with no copay, Prophylaxis (Cleaning) with no copay, Fluoride Treatment with no copay, Other Preventive Dental Services with no copay, Restorative Services with no copay, Adjunctive General Services with no copay, Endodontics with no copay, Periodontics with no copay, Prosthodontics, removable with 0-50% coinsurance, Maxillofacial Prosthetics with no copay, Prosthodontics, fixed with 0-50% coinsurance, and Oral and Maxillofacial Surgery with no copay. However, Implant Services and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. This includes Medicare Part B Insulin Drugs, which have a $35 copay, and a coinsurance between 0% and 20%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs are also covered, with a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the AARP Medicare Advantage from UHC PA-0008 (PPO) plan. This benefit requires prior authorization and has a coinsurance of 20%.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance, Prosthetic Devices with 20% coinsurance, Medical Supplies with 20% coinsurance, and Diabetic Equipment. Diabetic Supplies have no copay, while Diabetic Therapeutic Shoes/Inserts have 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services includes coverage for all diagnostic services, diagnostic procedures/tests with a $5 copay, and lab services with no copay. The plan also covers diagnostic radiological services with a copay of up to $170, therapeutic radiological services with a copay of at least $40, and outpatient X-ray services with a $5 copay.
Home Health Services See details
Home Health Services are covered by the AARP Medicare Advantage from UHC PA-0008 (PPO) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the AARP Medicare Advantage from UHC PA-0008 (PPO) plan. This includes Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the AARP Medicare Advantage from UHC PA-0008 (PPO) plan with prior authorization required. There is no copay for days 1-20, and a $203 copay for days 21-100. Additional and non-Medicare-covered SNF days are not covered.
Other Services See details
The AARP Medicare Advantage from UHC PA-0008 (PPO) plan's "Other Services" benefit includes coverage for Over-the-Counter (OTC) items with no copay, and a meal benefit with no copay, but requires prior authorization. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and several other services are not covered.
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