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AARP Medicare Advantage Extras from UHC WA-14 (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 WA-14 (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 WA-14 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select counties in Washington. 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 WA-14 (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 Extras from UHC WA-14 (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 WA-14 (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:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)
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Drug Coverage
The AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) plan features an annual prescription drug deductible of $440. Under this plan, Tier 1 preferred generic drugs have no copay for a 1-month or 3-month supply at standard pharmacies, or for a 3-month supply through mail order. Tier 2 generic medications cost a $10 copay for a 1-month supply at standard pharmacies, but you can receive a 3-month supply with no copay when using preferred mail order. For Tier 3 preferred brand drugs, members pay a 16% coinsurance for standard pharmacy and mail order fills. Higher-tier medications require coinsurance rather than flat copays, with Tier 4 non-preferred drugs requiring 39% coinsurance and Tier 5 specialty drugs carrying a 28% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) offers comprehensive medical coverage with no copay or coinsurance for primary care visits, telehealth, and annual preventive exams. For emergency care, members pay a $130 copay, while inpatient hospital stays require a $550 daily copay for the first few days with no copay thereafter. Outpatient lab services and home health care are also covered with no copay, though durable medical equipment carries a 20% coinsurance. This plan also includes key dental, vision, and hearing benefits, featuring no copay for routine exams and preventive dental care. Vision benefits provide up to a $300 allowance every two years for eyewear with no copay on frames, while comprehensive dental services feature a $3,000 annual maximum with coinsurance up to 50%. Additionally, skilled nursing facility stays have no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) covers inpatient hospital services with no coinsurance, requiring a $550 daily copay for days 1-5 of acute stays and days 1-4 of psychiatric stays, with no copay thereafter. Unlimited additional acute days are covered, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) covers outpatient services with no coinsurance, including no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital services require a copay of $0 to $550 (with a $550 daily copay for observation services), and outpatient substance abuse sessions carry a copay of $0 to $25 for individual visits and $15 for group visits.
Partial Hospitalization See details
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this covered benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) covers ground and air ambulance services with a $290 copay and no coinsurance, subject to prior authorization. Although transportation services are technically covered, some services are covered but transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
AARP Medicare Advantage Extras from UHC WA-14 (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 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 under the AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) are provided with no copay and no coinsurance for primary care visits, telehealth, and opioid treatment. Other covered services, including specialists, mental health, and physical therapy, require copays ranging from $0 to $55 with no coinsurance, while chiropractic services are not covered.
Preventive Services See details
Preventive Services are covered by AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) with no copay and no coinsurance for annual physical exams, kidney disease education, fitness benefits, and home safety devices. Additional preventive services are partially covered, excluding health education, personal emergency response systems, medical nutrition therapy, weight management, and in-home support.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS), offering one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. Up to two prescription hearing aids (copays of $199.00 to $1,249.00) and two OTC hearing aids (copays of $199.00 to $829.00) are covered annually with no coinsurance, though specific inner, outer, and over-the-ear prescription models are excluded.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS), as other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered. Covered benefits feature no coinsurance, offering no copay for annual routine exams, contact lenses, and eyeglass frames, and a $0 to $153 copay for eyeglass lenses, up to a $300 combined maximum every two years.
Dental Services See details
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) partially covers dental services with a $3,000 annual maximum, offering preventive care with no copay and no coinsurance. Medicare-covered and comprehensive dental services also have no copay but require 20% and 50% coinsurance, respectively, while implant and orthodontic services are not covered.
Home Infusion bundled Services See details
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy and insulin, have coinsurance ranging from no coinsurance up to 20%, with insulin specifically featuring a $35 copay.
Dialysis Services See details
Dialysis services are covered by AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) covers medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic services, subject to prior authorization. Under this plan, you will pay no copay and a 20% coinsurance for DME, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts, while diabetic supplies are covered with no copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) with no coinsurance. Members pay no copay for lab services and diagnostic radiology, a $25 copay for diagnostic procedures and tests, a $30 copay for outpatient X-rays, and a $60 copay for therapeutic radiology.
Home Health Services See details
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) does not cover cardiac rehabilitation services in practice, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all not covered despite the benefit technically having no copay and no coinsurance.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay required. Under this plan, there is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though prior authorization is required and additional days are not covered.
Other Services See details
Other Services are partially covered under the AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS) plan, featuring over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Prior authorization is required for the meal benefit, and acupuncture is not covered.
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