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AARP Medicare Advantage from UHC AZ-0008 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC AZ-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 AZ-0008 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC AZ-0008 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Arizona. 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-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 AZ-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 AZ-0008 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $45.00. 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-0008 (PPO) plan features an Enhanced Alternative drug benefit with a $600 prescription drug deductible. During the initial coverage phase, you will pay a $10 copay for Tier 1 preferred generics and a 15% coinsurance for Tier 2 standard generics at standard pharmacies. Tier 3 preferred brands require 39% coinsurance, while Tier 4 non-preferred drugs carry a 26% coinsurance for retail and mail-order options. If you qualify for the low-income subsidy, your Part D costs are reduced to no copay. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. This structured plan helps you easily anticipate your prescription medication costs through every phase of coverage.
Additional Benefits
The AARP Medicare Advantage from UHC AZ-0008 (PPO) plan offers comprehensive medical coverage featuring no copay for primary care visits, telehealth, and routine preventive services. For specialized medical needs, specialist visits and outpatient hospital services require low to moderate copays with no coinsurance. If you require hospital care, inpatient acute stays have a daily copay of $395 for the first seven days and no copay for subsequent days, while emergency room visits carry a $130 copay that is waived upon admission. This plan also covers essential wellness benefits, providing routine dental, vision, and hearing exams with no copay. You can access up to $200 in eyewear allowances every two years and hearing aids with copays ranging from $199 to $1,249, though comprehensive dental care requires a coinsurance of up to 50%. Additionally, you will pay no copay for home health services, diabetic supplies, and over-the-counter items, while durable medical equipment and dialysis require a 20% coinsurance.
Inpatient Hospital See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) partially covers inpatient hospital benefits with no coinsurance required. Acute stays require a $395 daily copay for days 1-7 and no copay for days 8-999, while psychiatric stays require a $395 daily copay for days 1-5 and no copay for days 6-90; however, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) covers outpatient services with no coinsurance, featuring a copay of $0 to $395 for outpatient hospital services and a $395 daily copay for observation services. There is no copay for ambulatory surgical center and blood services, while outpatient substance abuse services require a $15 copay for group sessions and a $0 to $25 copay for individual sessions.
Partial Hospitalization See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for these covered benefits.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) partially covers ambulance and transportation services, featuring a $290 copay and no coinsurance for ground and air ambulance services, which require prior authorization. Transportation services to plan-approved or any health-related locations are not covered under this plan.
Emergency Services See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) covers emergency services with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay to a $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary Care benefits are covered by the AARP Medicare Advantage from UHC AZ-0008 (PPO) plan, featuring no copay for primary care visits, telehealth, and opioid treatment, and no coinsurance. Other services like specialist visits, mental health sessions, and physical therapy have copays ranging from $0 to $45, though chiropractic services are only partially covered as routine chiropractic care is not covered.
Preventive Services See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) covers preventive services, annual exams, kidney disease education, and glaucoma screenings with no copay and no coinsurance. Additional preventive benefits are partially covered, providing fitness benefits and home safety devices with no copay and no coinsurance, while excluding health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, readmission prevention, 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 technologies, and counseling.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC AZ-0008 (PPO), featuring one routine hearing exam per year with no copay and no coinsurance, though fitting and evaluation exams are excluded. Up to two OTC or general prescription hearing aids are covered annually with copays ranging from $199 to $1,249 and no coinsurance, but inner-ear, outer-ear, and over-the-ear prescription models are not covered.
Vision Services See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) offers partially covered vision services, including one routine eye exam per year with no copay and no coinsurance. Covered eyewear includes contact lenses, eyeglass lenses (with copays up to $153), and frames with no copay and no coinsurance up to a $200 combined limit every two years, while upgrades and complete eyeglasses packages are not covered.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC AZ-0008 (PPO), with the exception of implant services and orthodontics which are not covered. Preventive services feature no copay and no coinsurance, while Medicare dental services require a 20% coinsurance and comprehensive services require a 50% coinsurance, up to a $1,000 yearly benefit limit.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by AARP Medicare Advantage from UHC AZ-0008 (PPO) subject to prior authorization, requiring no coinsurance to 20% coinsurance on Part B drugs. Covered Medicare Part B insulin drugs require a $35 copay, while chemotherapy, radiation, and other Part B drugs have no copay.
Dialysis Services See details
Dialysis Services are covered under the AARP Medicare Advantage from UHC AZ-0008 (PPO) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) covers durable medical equipment, prosthetic devices, and diabetic therapeutic shoes with a 20% coinsurance and no copay. Diabetic supplies are covered with no copay and no coinsurance, and prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage from UHC AZ-0008 (PPO), featuring no copay or coinsurance for lab services, a $30 copay and no coinsurance for outpatient X-rays, and a $50 copay and no coinsurance for diagnostic tests. Diagnostic radiology copays range from $0 to $260 with no coinsurance, while therapeutic radiology requires a 20% coinsurance and a copay.
Home Health Services See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) covers home health services with no copay and no coinsurance. Prior authorization is required to access this benefit.
Cardiac Rehabilitation Services See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) does not cover Cardiac Rehabilitation Services in practice, as cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are all not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) partially covers Skilled Nursing Facility (SNF) services, as additional days beyond the Medicare-covered limit are not covered. Covered days require prior authorization and feature no copay and no coinsurance for days 1 to 20, and a $218 daily copay with no coinsurance for days 21 to 100.
Other Services See details
AARP Medicare Advantage from UHC AZ-0008 (PPO) partially covers Other Services, offering Over-the-Counter (OTC) items and meal benefits with no copay and no coinsurance. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered under this benefit.
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