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AARP Medicare Advantage from UHC KS-0001 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC KS-0001 (HMO-POS). 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 KS-0001 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Kansas. 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 KS-0001 (HMO-POS) 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 KS-0001 (HMO-POS).
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 KS-0001 (HMO-POS), 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 $440.00 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 Maximum Out-Of-Pocket cost of $4100.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
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 KS-0001 (HMO-POS) plan has an annual prescription drug deductible of $440. For Tier 1 preferred generic drugs, there is no copay for a 1-month or 3-month supply at standard pharmacies or through mail order. Tier 2 generic drugs require a $10 copay for a 1-month supply at standard pharmacies, but you pay no copay for a 3-month supply filled through preferred mail order. For Tier 3 preferred brand drugs, you will pay a 17% coinsurance at standard pharmacies and through mail order. Tier 4 non-preferred drugs have a 40% coinsurance, and Tier 5 specialty drugs require a 28% coinsurance for a 1-month supply. This structure helps you manage your medication expenses through a mix of copays and coinsurance depending on your specific prescriptions.
Additional Benefits
The AARP Medicare Advantage from UHC KS-0001 (HMO-POS) plan provides comprehensive medical coverage with no copays for primary care doctor visits, preventive services, and home health care. Inpatient hospital stays require a $325 daily copay for the first six days, followed by no copay for days seven through 90. Emergency room visits carry a $150 copay, which is waived if you are admitted, while specialist visits range from no copay to a $30 copay. For routine wellness, the plan includes no copays for annual physicals, routine eye exams, and preventive dental care up to a $4,000 annual maximum. Diagnostic lab services also feature no copay, though other medical needs like durable medical equipment and dialysis require a 20% coinsurance. Additionally, members can access hearing aids with copays ranging from $199 to $1,249, as well as a $250 eyewear allowance every two years.
Inpatient Hospital See details
Inpatient hospital care under the AARP Medicare Advantage from UHC KS-0001 (HMO-POS) plan is covered with no coinsurance, featuring a $325 copay per day for days 1 to 6 and no copay for days 7 to 90 per stay. While unlimited additional acute care days are covered at no copay, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) covers outpatient services with no coinsurance, offering no copays for ambulatory surgical center and outpatient blood services. Outpatient hospital and observation services require prior authorization and carry a copay of $0 to $325, while outpatient substance abuse sessions have copays ranging from $0 to $25.
Partial Hospitalization See details
Partial hospitalization is covered by AARP Medicare Advantage from UHC KS-0001 (HMO-POS) with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) covers ground and air ambulance services with a $290 copay and no coinsurance, subject to prior authorization. Some transportation services are covered, but trips to plan-approved health-related locations and any other health-related locations are not covered.
Emergency Services See details
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) covers emergency services with a $150 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services require a copay ranging from $0 to $65 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) offers primary care and telehealth services with no copay and no coinsurance, while specialist visits range from a $0 to $30 copay with no coinsurance. Physical, occupational, and speech therapies require a $25 copay with no coinsurance, mental health services have a $0 to $25 copay with no coinsurance, and chiropractic services are not covered.
Preventive Services See details
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) offers partially covered preventive services with no copay and no coinsurance for covered benefits like annual physicals, fitness programs, and home safety devices. However, the plan does not cover health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, 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, or counseling.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC KS-0001 (HMO-POS), which offers one routine hearing exam per year with no copay or coinsurance, though hearing aid fittings and evaluations are not covered. Prescription and OTC hearing aids are covered up to two per year with no coinsurance and copays ranging from $199 to $1,249, but inner ear, outer ear, and over-the-ear prescription aids are not covered.
Vision Services See details
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) provides partially covered vision services with no deductible and no coinsurance. Routine eye exams, contact lenses, and eyeglass frames feature no copay, while eyeglass lenses have a copay of $0 to $153 under a $250 combined eyewear limit every two years; however, other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) provides partially covered dental services, with implant services and orthodontics excluded from coverage. Preventive dental services are offered with no copay and no coinsurance up to a $4,000 annual maximum, while Medicare-covered dental services require no copay and 20% coinsurance, and covered comprehensive services require no copay and 50% coinsurance.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage from UHC KS-0001 (HMO-POS) with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs carry no coinsurance to 20% coinsurance, while Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by AARP Medicare Advantage from UHC KS-0001 (HMO-POS) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are covered with no copay, and prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) covers diagnostic tests with a $10 copay and no coinsurance, and lab services with no copay and no coinsurance. Diagnostic radiological services require no copay, outpatient X-rays require a $30 copay, and therapeutic radiology carries a 20% coinsurance, with prior authorization required for these services.
Home Health Services See details
Home health services are covered under the AARP Medicare Advantage from UHC KS-0001 (HMO-POS) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the AARP Medicare Advantage from UHC KS-0001 (HMO-POS) plan with no coinsurance, although prior authorization is required. In practice, only some services are covered, as standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
AARP Medicare Advantage from UHC KS-0001 (HMO-POS) provides partial coverage for other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance, though meals require prior authorization. Acupuncture and other additional services are not covered under this benefit.
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