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AARP Medicare Advantage from UHC AZ-0007 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC AZ-0007 (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 AZ-0007 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC AZ-0007 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Pima 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 AZ-0007 (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 AZ-0007 (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 AZ-0007 (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:
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Drug Coverage
The AARP Medicare Advantage from UHC AZ-0007 (PPO) plan offers an Enhanced Alternative prescription drug benefit with an annual drug deductible of $600.00. After meeting this deductible, you enter the initial coverage phase where you pay an $8.00 copay for Tier 1 preferred generic drugs at standard pharmacies. For other tiers at standard pharmacies, you will pay a 15% coinsurance for Tier 2 standard generics, a 34% coinsurance for Tier 3 preferred brands, and a 26% coinsurance for Tier 4 non-preferred drugs. The 34% coinsurance for Tier 3 and 26% coinsurance for Tier 4 also apply to both preferred and standard mail orders. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and have no copay for covered Part D prescriptions. Individuals who qualify for the low-income subsidy or Extra Help will also enjoy no copay for their Part D coverage.
Additional Benefits
The AARP Medicare Advantage from UHC AZ-0007 (PPO) plan offers robust coverage for essential medical services with predictable out-of-pocket costs. Members benefit from no copay and no coinsurance for primary care visits, preventive services, and home health care. For more intensive care, inpatient hospital stays require a $455 daily copay for the first several days before transitioning to no copay, while emergency room visits carry a $130 copay. This plan also includes valuable supplemental benefits, featuring no copay for routine eye exams, preventive dental cleanings, and annual hearing tests. While prescription hearing aids and eyeglass lenses require copayments, durable medical equipment and dialysis services are covered with a 20% coinsurance and no copay. Additionally, members can access over-the-counter items with no copay, though routine transportation, comprehensive dental services, and cardiac rehabilitation are not covered.
Inpatient Hospital See details
AARP Medicare Advantage from UHC AZ-0007 (PPO) partially covers inpatient hospital services, excluding upgrades, non-Medicare-covered stays, and additional psychiatric days. Acute stays require a $455 copay for days 1-6 and no copay for days 7-999, while psychiatric stays require a $455 copay for days 1-5 and no copay for days 6-90, with no coinsurance for either service.
Outpatient Services See details
AARP Medicare Advantage from UHC AZ-0007 (PPO) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copay. Outpatient hospital services require a copay between $0 and $455, while observation services cost $455 per day, and outpatient substance abuse sessions have a copay ranging from no copay up to $25.
Partial Hospitalization See details
AARP Medicare Advantage from UHC AZ-0007 (PPO) covers partial hospitalization benefits with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by AARP Medicare Advantage from UHC AZ-0007 (PPO), which requires a $275 copay and no coinsurance for ground and air ambulance services. Prior authorization is required for ambulance services, and transportation services to health-related locations are not covered.
Emergency Services See details
AARP Medicare Advantage from UHC AZ-0007 (PPO) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay to a $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are available with no copay and no coinsurance.
Primary Care See details
Primary Care benefits are covered by AARP Medicare Advantage from UHC AZ-0007 (PPO) with no coinsurance, featuring no copay for primary care visits, telehealth, and opioid treatment. Specialist, therapy, and mental health services require copays ranging from $15 to $40, while chiropractic services are partially covered since routine chiropractic care is not covered.
Preventive Services See details
Preventive services are covered by AARP Medicare Advantage from UHC AZ-0007 (PPO) with no copay and no coinsurance, including annual physical exams, kidney disease education, and glaucoma screenings. Additional supplemental benefits are partially covered, offering fitness benefits and home safety modifications, while sub-services such as health education, weight management, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC AZ-0007 (PPO), which offers one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. The plan also covers up to two prescription or OTC hearing aids per year with copays ranging from $199.00 to $1,249.00 and no coinsurance, excluding inner, outer, and over-the-ear prescription models.
Vision Services See details
AARP Medicare Advantage from UHC AZ-0007 (PPO) offers partially covered vision services, though upgrades and combined eyeglasses (lenses and frames) packages are not covered. Routine eye exams, contact lenses, and eyeglass frames feature no copay and no coinsurance, while eyeglass lenses have a $0 to $153 copay and no coinsurance, with a combined eyewear maximum benefit of $250 every two years.
Dental Services See details
AARP Medicare Advantage from UHC AZ-0007 (PPO) features partially covered dental services, offering Medicare-covered dental with no copay and a 20% coinsurance, and preventive care like cleanings and exams with no copay and no coinsurance. However, restorative, adjunctive general, endodontic, periodontic, prosthodontic, maxillofacial prosthetic, implant, oral and maxillofacial surgery, and orthodontic services are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by AARP Medicare Advantage from UHC AZ-0007 (PPO) and require prior authorization and step therapy. Covered Part B insulin drugs carry a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs require no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by AARP Medicare Advantage from UHC AZ-0007 (PPO) with a 20% coinsurance and no copay. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical Equipment benefits are covered by AARP Medicare Advantage from UHC AZ-0007 (PPO), with prior authorization required for most services. Durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts require a 20% coinsurance and no copay, while diabetic supplies are covered with no copay and no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the AARP Medicare Advantage from UHC AZ-0007 (PPO) plan, with prior authorization required for services. Lab services feature no copay or coinsurance, outpatient x-rays require a $30 copay and no coinsurance, and diagnostic tests carry a $50 copay and no coinsurance. Diagnostic radiology ranges from no copay up to a $260 copay with no coinsurance, while therapeutic radiology requires a 20% coinsurance and no copay.
Home Health Services See details
AARP Medicare Advantage from UHC AZ-0007 (PPO) covers home health services with no copay and no coinsurance. Prior authorization is required to receive these benefits.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage from UHC AZ-0007 (PPO) plan, as none of the sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are covered in practice.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC AZ-0007 (PPO) partially covers Skilled Nursing Facility (SNF) services with prior authorization, featuring no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and no coinsurance. Additional days beyond those covered by Medicare are not covered.
Other Services See details
AARP Medicare Advantage from UHC AZ-0007 (PPO) partially covers other services, offering over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and dual eligible SNPs with highly integrated services are not covered under this plan.
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