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AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Extras from UHC OR-6 (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 Extras from UHC OR-6 (HMO-POS) in 2026, please refer to our full plan details page.

AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select counties of Oregon. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about AARP Medicare Advantage Extras from UHC OR-6 (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 Extras from UHC OR-6 (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 $6700.00 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:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)

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Drug Coverage IconDrug Coverage

The AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) plan features an annual drug deductible of $440. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies and through mail order. Tier 2 generic drugs are available with a $12 copay for a 1-month supply at standard pharmacies, but you can get a 3-month supply with no copay when using preferred mail order. Tier 3 preferred brand drugs require a 15% coinsurance across standard pharmacies and mail-order options. Non-preferred drugs in Tier 4 carry a 39% coinsurance for a 1-month supply, while Tier 5 specialty drugs require a 28% coinsurance.

Additional Benefits IconAdditional Benefits

The AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) plan offers comprehensive coverage with no copays or coinsurance for primary care visits, preventive screenings, annual physicals, and home health services. For acute medical care, members will pay a $550 daily copay for the first five days of inpatient hospital stays, while emergency services carry a $130 copay and ambulance services require a $290 copay. Specialist visits, physical therapy, and mental health services are also highly accessible, featuring no coinsurance and low copays ranging from no copay up to $55. Ancillary benefits include dental coverage up to a $2,000 annual limit with no copay for preventive care, alongside routine vision and hearing exams with no copay. For durable medical equipment, dialysis, and Medicare Part B drugs, members generally pay no copay and a 20% coinsurance. Additionally, skilled nursing facility stays feature no copay for the first 20 days and a $218 daily copay for days 21 through 100.

Inpatient Hospital See details

AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) partially covers inpatient hospital services with no coinsurance, requiring a $550 daily copay for days 1 through 5 of acute stays (no copay for days 6 and beyond) and days 1 through 4 of psychiatric stays (no copay for days 5 through 90). Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.

Outpatient Services See details

AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) covers outpatient services with no coinsurance, though prior authorization is required for most treatments. Patients will pay no copay for ambulatory surgical center and blood services, copays up to $25 for outpatient substance abuse sessions, and copays ranging from no copay up to $550 per day for outpatient hospital and observation services.

Partial Hospitalization See details

Partial hospitalization is covered under the AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) plan with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.

Ambulance and Transportation Services See details

Ambulance and transportation services under the AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) include covered ground and air ambulance services for a $290 copay per service with no coinsurance, subject to prior authorization. Routine transportation services to plan-approved or other health-related locations are not covered in practice under this plan.

Emergency Services See details

AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) 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 require a copay of $0 to $50 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 Extras from UHC OR-6 (HMO-POS) provides primary care, telehealth, and opioid treatment services with no copay and no coinsurance. Specialist visits, physical therapy, and mental health services are also covered with no coinsurance and copays ranging from $0 to $55, though chiropractic services are not covered in practice.

Preventive Services See details

Preventive Services are covered by AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) with no copay and no coinsurance for annual physicals, kidney disease education, and routine screenings. This benefit is partially covered, as fitness benefits and home safety devices are covered with no copay and no coinsurance, while health education, PERS, in-home safety assessments, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling are not covered.

Hearing Services See details

AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) offers partially covered hearing services, featuring one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids (up to two yearly) require a copay of $199.00 to $1,249.00, and OTC hearing aids require a copay of $199.00 to $829.00, both with no coinsurance, though inner, outer, and over-the-ear prescription models are excluded.

Vision Services See details

AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) partially covers vision services with no deductibles and no coinsurance. Routine eye exams (one per year), contact lenses, and eyeglass frames are covered with no copay, and eyeglass lenses are covered with a $0 to $153 copay up to a $300 combined limit every two years, while other eye exams, upgrades, and eyeglasses (lenses and frames) are not covered.

Dental Services See details

AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) partially covers dental services up to a $2,000 annual maximum, offering preventive and diagnostic benefits with no copay and no coinsurance. Medicare-covered dental services require no copay and a 20% coinsurance, while covered comprehensive services require no copay and a 50% coinsurance, excluding implant services and orthodontics which are not covered.

Home Infusion bundled Services See details

Home infusion bundled services are covered under AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs range from no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.

Dialysis Services See details

AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive coverage for these services.

Medical Equipment See details

AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are also covered with no copay, while diabetic therapeutic shoes or inserts require a 20% coinsurance.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) with prior authorization required. Lab services and diagnostic radiological services feature no copay and no coinsurance, while outpatient x-rays require a $30 copay, diagnostic tests carry a $50 copay with no coinsurance, and therapeutic radiological services require a copay and a minimum 20% coinsurance.

Home Health Services See details

AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) covers home health services with no copay and no coinsurance. Prior authorization is required to receive this benefit.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered under AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS) because none of the sub-services, including intensive cardiac, pulmonary, and SET for PAD rehabilitation, are covered.

Skilled Nursing Facility (SNF) See details

AARP Medicare Advantage Extras from UHC OR-6 (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, a $218 daily copay for days 21 through 100, and additional days beyond the Medicare-covered limit are not covered.

Other Services See details

Other services are partially covered by AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS), including over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for the meal benefit, and acupuncture is not covered.

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