A non-government entity
AARP Medicare Advantage Extras from UHC TX-52 (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 TX-52 (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 TX-52 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2026 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 Extras from UHC TX-52 (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 TX-52 (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 TX-52 (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 $4900.00 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 TX-52 (HMO-POS)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) plan features an annual drug deductible of $440. For Tier 1 preferred generic drugs, you will pay no copay for standard pharmacy fills or mail-order supplies. Tier 2 generic drugs require a $10 copay for a 1-month supply at standard pharmacies, but you can receive a 3-month supply with no copay through preferred mail order. Tier 3 preferred brand drugs require a 16% coinsurance for both standard pharmacy and mail-order options. Tier 4 non-preferred drugs carry a 36% coinsurance, while Tier 5 specialty drugs require a 28% coinsurance for a 1-month supply. This clear cost structure helps you easily anticipate your out-of-pocket expenses for different medication tiers.
Additional Benefits
The AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) plan offers robust coverage with no copay or coinsurance for primary care visits, routine annual physicals, and home health services. For hospital stays, members pay no coinsurance and a $295 copay per day for the first six days of inpatient care, while outpatient services range from no copay up to a $295 copay. Emergency room visits feature a $130 copay, which is waived if you are admitted to the hospital within 24 hours. This plan also includes valuable supplemental benefits, such as diagnostic and preventive dental care with no copay or coinsurance up to a $4,000 annual limit. Routine vision and hearing exams are available with no copay, alongside a $200 eyewear allowance and copays starting at $199 for prescription hearing aids. Additionally, durable medical equipment is covered with no copay and a 20% coinsurance, while diabetic supplies are provided with no copay.
Inpatient Hospital See details
AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) covers inpatient hospital services with no coinsurance, requiring a $295 copay for days 1 to 6 and no copay for days 7 and beyond. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional days for psychiatric hospitalizations are not covered.
Outpatient Services See details
AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) covers outpatient hospital services with no coinsurance and a copay ranging from $0 to $295, plus a $295 daily copay for observation services. Ambulatory surgical center and outpatient blood services have no copay or coinsurance, while outpatient substance abuse services have no coinsurance and copays between $0 and $25.
Partial Hospitalization See details
AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) covers partial hospitalization with no copay and no coinsurance, although prior authorization and a referral are required for these services.
Ambulance and Transportation Services See details
AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) covers ground and air ambulance services with a $275 copay and no coinsurance, subject to prior authorization. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Emergency services are covered under the AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) plan with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from $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 Extras from UHC TX-52 (HMO-POS) offers primary care and telehealth services with no copay and no coinsurance. Specialist, therapy, and mental health services have copays ranging from $0 to $35 with no coinsurance, while chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) with no copay and no coinsurance for annual physical exams, kidney disease education, and other screenings. Additional preventive benefits are partially covered, offering fitness and home safety devices with no copay, whereas services like health education, in-home safety assessments, and personal emergency response systems are not covered.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS), which offers one routine hearing exam annually with no copay and no coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids (limit of two per year) require a $199 to $1,249 copay and no coinsurance, but inner ear, outer ear, and over the ear prescription models are not covered. OTC hearing aids (limit of two per year) are also covered with a $199 to $829 copay and no coinsurance.
Vision Services See details
AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) partially covers vision services with no coinsurance, offering one annual routine eye exam with no copay and a $200 eyewear allowance every two years. Covered eyewear has no copay, except for eyeglass lenses which have a copay of $0 to $153, while other eye exams, combined eyeglasses, and upgrades are not covered.
Dental Services See details
Dental Services are partially covered by AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS), with implant services and orthodontics excluded from coverage. Diagnostic and preventive services are offered with no copay and no coinsurance up to a $4,000 annual maximum, while Medicare-covered dental services have no copay and 20% coinsurance, and covered comprehensive services have no copay and 50% coinsurance.
Home Infusion bundled Services See details
AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs require no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by AARP Medicare Advantage Extras from UHC TX-52 (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 Extras from UHC TX-52 (HMO-POS) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, and diabetic therapeutic shoes and inserts have a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS), featuring no copay or coinsurance for lab services and diagnostic radiological services. Diagnostic tests and procedures require a $50 copay with no coinsurance, outpatient X-rays incur a $30 copay with coinsurance, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) covers home health services with no copay and no coinsurance. Both a referral and prior authorization are required to access this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) because none of the sub-services, including intensive cardiac, pulmonary, and SET for PAD rehabilitation, are covered. While the plan technically lists no copay and no coinsurance, these rehabilitation services are not covered in practice.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization and referrals are required for this benefit, which does not require a prior 3-day inpatient hospital stay for admission.
Other Services See details
Other Services are partially covered by AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS), which provides over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered, and the meal benefit requires prior authorization.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved