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AARP Medicare Advantage from UHC TX-0009 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC TX-0009 (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 TX-0009 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC TX-0009 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Texas. 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 TX-0009 (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 TX-0009 (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 TX-0009 (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 $520.00 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:
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Drug Coverage
The AARP Medicare Advantage from UHC TX-0009 (HMO-POS) plan has an annual prescription drug deductible of $520. Tier 1 preferred generic drugs feature no copay for standard pharmacy and mail order options. Tier 2 generic drugs carry a $14 copay for a 1-month standard pharmacy supply, though you can get a 3-month supply with no copay through preferred mail order. For higher-tier medications, costs are determined by coinsurance rates rather than flat copays. Tier 3 preferred brand drugs require a 15% coinsurance for both standard pharmacy and mail order options. Tier 4 non-preferred drugs carry a 37% coinsurance, while Tier 5 specialty drugs require a 27% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage from UHC TX-0009 (HMO-POS) plan provides robust coverage for core medical needs, featuring no copay and no coinsurance for primary care, telehealth, home health, and routine preventive services. For inpatient hospital stays, members pay a daily copay of $450 for the first five to six days, with no copay for additional days. Emergency care is covered with a $130 copay, which is waived if admitted, while outpatient services range from no copay up to a $450 copay with no coinsurance. Specialist office visits require copays up to $55, while routine vision and hearing exams are available with no copay. While dental services are partially covered with a 20% coinsurance, other benefits like durable medical equipment and dialysis also require a 20% coinsurance with no copay. Prescription hearing aids are covered with copays ranging from $199 to $1,249, but eyewear and transportation services are not covered under this plan.
Inpatient Hospital See details
AARP Medicare Advantage from UHC TX-0009 (HMO-POS) partially covers inpatient hospital services with no coinsurance, though upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered. For acute stays, there is a $450 daily copay for days 1-6 and no copay for days 7 and beyond, while psychiatric stays require a $450 daily copay for days 1-5 and no copay for days 6-90.
Outpatient Services See details
Outpatient services are covered by AARP Medicare Advantage from UHC TX-0009 (HMO-POS) with no coinsurance, featuring no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital and daily observation services require copays ranging from $0 to $450, while outpatient substance abuse sessions have copays up to $25.
Partial Hospitalization See details
AARP Medicare Advantage from UHC TX-0009 (HMO-POS) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC TX-0009 (HMO-POS) covers ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
AARP Medicare Advantage from UHC TX-0009 (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 from UHC TX-0009 (HMO-POS) covers primary care and telehealth services with no copay and no coinsurance. Other services feature no coinsurance and copays ranging from $0 to $55 for specialists, $40 for physical therapy, and $0 to $25 for mental health, though routine and other chiropractic services are not covered.
Preventive Services See details
AARP Medicare Advantage from UHC TX-0009 (HMO-POS) covers preventive services, including annual physicals, kidney disease education, and screenings, with no copay and no coinsurance. Additional preventive benefits are partially covered because home and bathroom safety devices are covered, but fitness, health education, PERS, medical nutrition therapy, medication reconciliation, re-admission 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 access, and counseling are not covered.
Hearing Services See details
AARP Medicare Advantage from UHC TX-0009 (HMO-POS) offers partial coverage for hearing services, providing one annual routine hearing exam with no copay or coinsurance. Covered prescription hearing aids (copays of $199 to $1,249) and OTC hearing aids (copays of $199 to $829) have a limit of two per year with no coinsurance, but fitting/evaluations and inner, outer, or over-the-ear prescription aids are not covered.
Vision Services See details
AARP Medicare Advantage from UHC TX-0009 (HMO-POS) offers partially covered vision services, featuring one routine eye exam every year with no copay, no coinsurance, and no deductible. Other eye exams and all eyewear benefits, including contact lenses and eyeglasses, are not covered by this plan.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC TX-0009 (HMO-POS), with Medicare-covered dental services requiring no copay and 20% coinsurance. Preventive services like oral exams, cleanings, and x-rays are not covered, nor are implants and orthodontics, but restorative, endodontic, periodontic, prosthodontic, and oral surgery services are covered with no maximum benefit limit.
Home Infusion bundled Services See details
AARP Medicare Advantage from UHC TX-0009 (HMO-POS) covers home infusion bundled services with no copay, although prior authorization is required. Associated Medicare Part B drugs, such as chemotherapy and radiation, have no copay and 0% to 20% coinsurance, while Part B insulin is covered with a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered under the AARP Medicare Advantage from UHC TX-0009 (HMO-POS) plan with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these covered services.
Medical Equipment See details
Medical Equipment benefits under AARP Medicare Advantage from UHC TX-0009 (HMO-POS) are covered with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. Prior authorization is required for these services, and covered diabetic supplies feature no copay but are limited to specified manufacturers.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC TX-0009 (HMO-POS) covers diagnostic services with no coinsurance, featuring a $50 copay for diagnostic procedures and tests and no copay for lab services. Covered radiological services require no copay for diagnostic radiology, a $30 copay for outpatient X-rays, and a 20% coinsurance for therapeutic radiology.
Home Health Services See details
The AARP Medicare Advantage from UHC TX-0009 (HMO-POS) plan covers Home Health Services with no copay and no coinsurance. Prior authorization and a referral are required to receive these covered services.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are not covered under the AARP Medicare Advantage from UHC TX-0009 (HMO-POS) plan, as standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all excluded from coverage. Since these services are not covered, there is no copay or coinsurance.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC TX-0009 (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, though prior authorization and a referral are required. There is no copay for days 1 to 20, a $218 daily copay for days 21 to 100, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by AARP Medicare Advantage from UHC TX-0009 (HMO-POS), featuring over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture and meal benefits are not covered under this plan.
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