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AARP Medicare Advantage from UHC KS-0002 (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-0002 (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-0002 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC KS-0002 (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-0002 (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-0002 (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-0002 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $41.00. 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 $355.00 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 $3500.00 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:
Sign up for AARP Medicare Advantage from UHC KS-0002 (HMO-POS)
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Drug Coverage
The AARP Medicare Advantage from UHC KS-0002 (HMO-POS) plan features an annual drug deductible of $355. Tier 1 preferred generic drugs are highly affordable, requiring no copay for standard pharmacy fills or three-month mail orders. For Tier 2 generic drugs, you will pay an $8 copay for a one-month standard pharmacy supply, though a three-month preferred mail order is available with no copay. Higher tier medications on this plan transition to coinsurance costs rather than flat copays. Tier 3 preferred brand drugs require an 18% coinsurance, while Tier 4 non-preferred drugs carry a 41% coinsurance for a one-month supply. Finally, Tier 5 specialty drugs require a 29% coinsurance across standard pharmacy and mail order options.
Additional Benefits
The AARP Medicare Advantage from UHC KS-0002 (HMO-POS) plan offers comprehensive medical coverage featuring no copay for primary care visits, telehealth, home health, and preventive care. For hospital stays, members pay a $250 daily copay for the first six days of inpatient care and no copay thereafter, while emergency services carry a $150 copay that is waived upon admission. Outpatient hospital and diagnostic services are also affordable, with many procedures and lab tests requiring no copay. This plan provides robust dental, vision, and hearing benefits, including no copay for routine vision and preventive dental services, alongside a $250 eyewear allowance every two years. Prescription and over-the-counter hearing aids are covered with fixed copays and no coinsurance, while comprehensive dental services require a 50% coinsurance up to a $5,000 annual limit. Additionally, most durable medical equipment, dialysis, and Part B drugs require a 20% coinsurance with no copay.
Inpatient Hospital See details
Inpatient hospital care is partially covered by AARP Medicare Advantage from UHC KS-0002 (HMO-POS) with no coinsurance and a $250 copay for days 1 through 6, followed by no copay for days 7 through 90. While unlimited additional acute hospital days are covered at no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services under AARP Medicare Advantage from UHC KS-0002 (HMO-POS) are covered with no coinsurance, featuring copays ranging from $0 to $250 for outpatient hospital services and a $250 daily copay for observation services. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse sessions require a copay of $0 to $25 with no coinsurance.
Partial Hospitalization See details
AARP Medicare Advantage from UHC KS-0002 (HMO-POS) covers partial hospitalization services 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 KS-0002 (HMO-POS) covers Medicare-approved ground and air ambulance services with a $290 copay and no coinsurance, subject to prior authorization. Routine transportation services to health-related locations are not covered under this plan.
Emergency Services See details
AARP Medicare Advantage from UHC KS-0002 (HMO-POS) covers emergency services with a $150 copay and no coinsurance, with the copay waived if admitted to the hospital within 24 hours. Urgently needed services have a copay ranging from $0 to $65 and 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-0002 (HMO-POS) features no copay and no coinsurance for primary care and telehealth services, while specialist and mental health visits range from a $0 to $25 copay with no coinsurance. Physical, occupational, and speech therapy require a $20 copay with no coinsurance, routine podiatry is covered with a $25 copay and no coinsurance, and chiropractic services are not covered.
Preventive Services See details
AARP Medicare Advantage from UHC KS-0002 (HMO-POS) covers preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, glaucoma screenings, diabetes training, and fitness benefits. However, preventive services are only partially covered, with sub-services such as health education, weight management, and nutritional/dietary benefits not covered under the plan.
Hearing Services See details
AARP Medicare Advantage from UHC KS-0002 (HMO-POS) provides partial coverage for hearing services, which includes one annual routine hearing exam with no copay and no coinsurance, while hearing aid fittings and evaluations are not covered. Prescription hearing aids are covered up to two per year with no coinsurance and copays from $199.00 to $1,249.00, though inner ear, outer ear, and over-the-ear models are not covered. Additionally, up to two OTC hearing aids per year are covered with no coinsurance and copays ranging from $199.00 to $829.00.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage from UHC KS-0002 (HMO-POS), featuring no deductible, no coinsurance, and no copay for annual routine exams, contact lenses, and frames, alongside a $0 to $153 copay for eyeglass lenses. A $250 eyewear allowance is provided every two years, but other eye exam services, upgrades, and packaged eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC KS-0002 (HMO-POS), offering no copay and no coinsurance for preventive services, alongside no copay and a 20% coinsurance for Medicare-covered dental. Most comprehensive services are covered with no copay and a 50% coinsurance up to a $5,000 annual maximum, though implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered under the AARP Medicare Advantage from UHC KS-0002 (HMO-POS) plan with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs have no coinsurance to 20% coinsurance, while Medicare Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by the AARP Medicare Advantage from UHC KS-0002 (HMO-POS) plan with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Medical Equipment See details
AARP Medicare Advantage from UHC KS-0002 (HMO-POS) covers durable medical equipment, prosthetics, and medical supplies with no copay and 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require 20% coinsurance, with prior authorization required for these medical equipment benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC KS-0002 (HMO-POS) covers diagnostic and radiological services with no coinsurance, though prior authorization is required. Diagnostic tests have a $5 copay, outpatient X-rays have a $25 copay, therapeutic radiology has a copay starting at $50, and lab services and diagnostic radiology are available with no copay.
Home Health Services See details
AARP Medicare Advantage from UHC KS-0002 (HMO-POS) covers Home Health Services with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by AARP Medicare Advantage from UHC KS-0002 (HMO-POS) with no coinsurance and no copay, though only some services are covered as standard cardiac, intensive cardiac, pulmonary, and SET for PAD services are not covered. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC KS-0002 (HMO-POS) covers skilled nursing facility (SNF) care with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. Under this plan, you will pay no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, with no coverage provided for additional days.
Other Services See details
Other services are partially covered by AARP Medicare Advantage from UHC KS-0002 (HMO-POS), featuring over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture is not covered under this benefit, and the meal benefit requires prior authorization.
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