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AARP Medicare Advantage from UHC TX-001P (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-001P (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-001P (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC TX-001P (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-001P (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-001P (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-001P (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 $4500.00 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-001P (HMO-POS) plan features an annual drug deductible of $440. For Tier 1 preferred generic and Tier 2 generic drugs, there is no copay for 1-month and 3-month supplies filled at standard pharmacies or through standard mail order. This makes everyday generic medications highly affordable for members looking to minimize out-of-pocket prescription costs. For higher-tier medications, costs are structured around coinsurance percentages. Tier 3 preferred brand drugs require an 18% coinsurance for both 1-month and 3-month supplies. Tier 4 non-preferred drugs carry a 41% coinsurance, and Tier 5 specialty drugs require a 28% coinsurance, both for a 1-month supply at standard pharmacies or through standard mail order.
Additional Benefits
The AARP Medicare Advantage from UHC TX-001P (HMO-POS) plan offers comprehensive medical coverage with no copay for primary care visits, telehealth, and routine preventive services. For specialized care, members pay copays ranging from no copay to $30 for specialists and a $450 copay per stay for inpatient hospital care, both with no coinsurance. Emergency room visits require a $130 copay that is waived upon admission, while urgent care services range from no copay up to $50. Additional benefits include dental care covered up to $3,000 annually with no copay for preventive services, alongside routine vision and hearing exams at no copay. Prescription hearing aids and optical lenses are covered with varying copayments, while home health care and diagnostic lab services are available with no copay. Durable medical equipment and dialysis services are also covered, requiring a 20% coinsurance and no copay.
Inpatient Hospital See details
AARP Medicare Advantage from UHC TX-001P (HMO-POS) covers inpatient acute and psychiatric hospital stays with a $450 copay per stay and no coinsurance. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, though unlimited additional acute days are covered with no copay.
Outpatient Services See details
AARP Medicare Advantage from UHC TX-001P (HMO-POS) covers outpatient services with no coinsurance, including no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital services range from no copay to a $450 copay, observation services require a $450 copay per day, and outpatient substance abuse services have copays ranging from no copay up to $25.
Partial Hospitalization See details
The AARP Medicare Advantage from UHC TX-001P (HMO-POS) plan covers partial hospitalization benefits with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC TX-001P (HMO-POS) covers ground and air ambulance services with a $275 copayment and no coinsurance, though prior authorization is required. While some transportation services are covered, transportation to plan-approved health-related locations and any other health-related locations is not covered.
Emergency Services See details
AARP Medicare Advantage from UHC TX-001P (HMO-POS) covers emergency services with a $130 copay and no coinsurance, with the copay waived if admitted to the hospital within 24 hours. Urgently needed services are covered with 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
AARP Medicare Advantage from UHC TX-001P (HMO-POS) covers primary care physician visits and telehealth services with no copay and no coinsurance. Specialist, therapy, mental health, and podiatry services are covered with copays ranging from $0 to $30 and no coinsurance, while chiropractic services are not covered.
Preventive Services See details
AARP Medicare Advantage from UHC TX-001P (HMO-POS) partially covers preventive services with no copay and no coinsurance for covered benefits like annual physical exams, kidney disease education, and fitness benefits. However, several sub-services are not covered under this plan, including health education, in-home safety assessments, personal emergency response systems, nutritional/dietary benefits, and counseling services.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC TX-001P (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 (with a $199.00 to $1,249.00 copay and no coinsurance) and two OTC hearing aids (with a $199.00 to $829.00 copay and no coinsurance) are covered annually, but inner, outer, and over-the-ear prescription models are excluded.
Vision Services See details
AARP Medicare Advantage from UHC TX-001P (HMO-POS) covers vision services with no deductible and no coinsurance, featuring no copay for one routine eye exam per year, contact lenses, and eyeglass frames, alongside a $0 to $153 copay for eyeglass lenses up to a $200 combined eyewear limit every two years. Other eye exam services, upgrades, and bundled eyeglasses (lenses and frames) are not covered.
Dental Services See details
AARP Medicare Advantage from UHC TX-001P (HMO-POS) partially covers dental services up to a $3,000 annual limit, offering preventive care with no copay and no coinsurance, and Medicare-covered dental with no copay and a 20% coinsurance. Comprehensive dental care is covered with no copay and a 50% coinsurance, though implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage from UHC TX-001P (HMO-POS) with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy and other drugs require up to 20% coinsurance, while Medicare Part B insulin drugs have a $35 copay and up to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by AARP Medicare Advantage from UHC TX-001P (HMO-POS) with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive this care.
Medical Equipment See details
AARP Medicare Advantage from UHC TX-001P (HMO-POS) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay from specified manufacturers, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for these services.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage from UHC TX-001P (HMO-POS) with prior authorization required. Diagnostic tests require a $50 copay and no coinsurance, lab and diagnostic radiological services have no copay and no coinsurance, while therapeutic radiology requires 20% coinsurance and outpatient X-rays carry a $30 copay plus coinsurance.
Home Health Services See details
AARP Medicare Advantage from UHC TX-001P (HMO-POS) covers home health services with no copay and no coinsurance. Prior authorization and a referral are required to receive this covered benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage from UHC TX-001P (HMO-POS) plan. Because these services are not covered, there is no plan-covered copay or coinsurance available for cardiac, intensive cardiac, pulmonary, or supervised exercise therapy (SET) rehabilitation.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by AARP Medicare Advantage from UHC TX-001P (HMO-POS) with no coinsurance, requiring prior authorization and a referral. You will pay no copay for days 1 to 20 and a $218 daily copay for days 21 to 100, though additional days beyond the Medicare limit are not covered.
Other Services See details
Other services are partially covered by AARP Medicare Advantage from UHC TX-001P (HMO-POS), featuring over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. However, acupuncture is not covered under this plan, and the meal benefit requires prior authorization.
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