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AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Giveback from UHC TX-35 (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 Giveback from UHC TX-35 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Giveback from UHC TX-35 (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 4.5 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage Giveback from UHC TX-35 (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 Giveback from UHC TX-35 (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 Giveback from UHC TX-35 (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. Additionally, this plan comes with a Part B Premium reduction of $86.00. You must continue to pay paying your reduced 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 $600.00 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 $7900.00 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 prescription drug coverage for the AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) plan features an annual drug deductible of $600. 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 cost a $10 copay for a 1-month supply at standard pharmacies, but you can get a 3-month supply with no copay using preferred mail order. Higher-tier medications under this plan require coinsurance rather than flat copayments. Tier 3 preferred brand drugs require a 19% coinsurance for both 1-month and 3-month supplies at standard pharmacies and mail order. Tier 4 non-preferred drugs carry a 28% coinsurance, while Tier 5 specialty drugs require a 26% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) offers affordable coverage for your everyday medical needs with no copays and no coinsurance for primary care visits, preventive services, and routine annual physicals. If you require specialized care, specialist visits and outpatient services feature low, predictable copays with no coinsurance. Inpatient hospital stays and emergency services also utilize flat copayments instead of coinsurance, helping you keep your out-of-pocket expenses predictable. For supplemental health benefits, this plan covers routine dental, vision, and hearing exams with no copays and no coinsurance, though comprehensive dental services are not covered. When accessing durable medical equipment, dialysis, or Medicare Part B drugs, you will typically pay a coinsurance of up to twenty percent with no copay. Prior authorizations are required for several of these specialized services, including home health care, cardiac rehabilitation, and diagnostic radiology.
Inpatient Hospital See details
AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) covers inpatient hospital care with no coinsurance, requiring a $485 copay for days 1 through 5 of acute stays and days 1 through 4 of psychiatric stays, with no copay for remaining covered days. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) covers outpatient services with no coinsurance, featuring no copay for ambulatory surgical center and blood services. Outpatient hospital services have a copay of $0 to $485, while outpatient substance abuse services require a copay of $0 to $25 for individual sessions and $15 for group sessions, with prior authorization and referrals required.
Partial Hospitalization See details
AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization and a referral are required to access this benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) covers Medicare-approved ground and air ambulance services with a $285 copay and no coinsurance, though prior authorization is required. Transportation services to plan-approved or other health-related locations are not covered under this plan.
Emergency Services See details
Emergency services under the AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) plan feature a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from $0 to $40 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 Giveback from UHC TX-35 (HMO-POS) provides primary care and telehealth services with no copay and no coinsurance, while chiropractic services are not covered. Other covered services, including specialist visits, mental health sessions, and physical therapies, require copays ranging from $0 to $55 with no coinsurance.
Preventive Services See details
Preventive Services are partially covered by the AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) with no copay and no coinsurance for covered care such as annual physicals, fitness benefits, and kidney disease education. Sub-services that are not covered include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission 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, home safety modifications, and counseling.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS), which offers one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. The plan also covers up to two OTC hearing aids per year with a $199 to $829 copay and no coinsurance, as well as up to two prescription hearing aids per year with a $199 to $1,249 copay and no coinsurance, although inner ear, outer ear, and over-the-ear prescription aids are not covered.
Vision Services See details
AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) offers partially covered vision services with no deductible, no coinsurance, and no copay for annual routine eye exams. Eyewear is covered up to a $150 combined maximum every two years with no coinsurance, featuring no copay for contact lenses and frames, and a $0 to $153 copay for lenses, though upgrades and other eye exams are not covered.
Dental Services See details
AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) offers partially covered dental services, including preventive care like cleanings, exams, and x-rays with no copay and no coinsurance. Medicare-covered dental services are available with no copay and a 20% coinsurance, but comprehensive services such as restorative, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy and insulin, carry no coinsurance to 20% coinsurance, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis services are covered by the AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these covered services.
Medical Equipment See details
AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) covers durable medical equipment (DME), prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance and no copay, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) covers diagnostic and radiological services, with prior authorization and referrals required. Lab services and diagnostic radiological services have no copay, diagnostic procedures and tests carry a $50 copay, outpatient X-rays have a $30 copay, and therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
Home health services are covered by the AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) plan with no copay and no coinsurance, though prior authorization and a referral are required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) with no copay and no coinsurance, although prior authorization and a referral are required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) covers skilled nursing facility services with no coinsurance, though prior authorization and referrals are required. There is no copay for days 1 through 20, but days 21 through 100 require a $218 daily copay, and additional days beyond the standard Medicare limit are not covered.
Other Services See details
Other Services are partially covered by the AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) plan, featuring a chronic illness meal benefit with no copay and no coinsurance, though prior authorization is required. Acupuncture, over-the-counter (OTC) items, and other supplemental services in this category are not covered.
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