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AARP Medicare Advantage Extras from UHC TX-53 (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-53 (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-53 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Extras from UHC TX-53 (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-53 (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-53 (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-53 (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:
Sign up for AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS)
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Drug Coverage
The AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) plan features an annual drug deductible of $520. For prescription coverage, Tier 1 preferred generic drugs have no copay for a 1-month or 3-month supply at standard pharmacies and mail-order services. 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 through preferred mail order. For brand-name and specialty medications, costs are based on coinsurance percentages. Tier 3 preferred brand drugs require a 16% coinsurance for standard pharmacy and mail-order fills. Tier 4 non-preferred drugs carry a 37% coinsurance, and Tier 5 specialty drugs require a 27% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) plan offers robust medical coverage featuring no copay and no coinsurance for primary care, telehealth, and preventive services. Specialist visits require a copay ranging from $0 to $50, while emergency room visits carry a $130 copay that is waived upon admission. For inpatient hospital stays, you will pay a daily copay of $450 for the first few days with no coinsurance, while outpatient services range from no copay up to a $450 copay. Supplemental benefits include dental coverage up to a $4,000 annual limit with no copay for preventive care and 20% to 50% coinsurance for comprehensive services. Routine vision and hearing exams are available with no copay, while prescription hearing aids and eyewear feature various copays with no coinsurance. Home health care and diagnostic lab services are also covered with no copay, while durable medical equipment and dialysis require a 20% coinsurance.
Inpatient Hospital See details
Inpatient Hospital services under the AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) plan are covered with no coinsurance, requiring a daily copay of $450 for days 1 to 6 of an acute stay (no copay for days 7 and beyond) and $450 for days 1 to 5 of a psychiatric stay (no copay for days 6 to 90). Prior authorization and referrals are required, and non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage Extras from UHC TX-53 (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 between $0 and $450, daily observation services carry a $450 copay, and outpatient substance abuse sessions range from no copay to $25, with prior authorization and referrals required.
Partial Hospitalization See details
Partial hospitalization is covered under the AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) plan with no copay and no coinsurance. Prior authorization and a referral are required to receive these services.
Ambulance and Transportation Services See details
AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) covers ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. While some transportation services are covered, transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
Emergency services under the AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) plan are covered 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 Extras from UHC TX-53 (HMO-POS) covers primary care and telehealth services with no copay and no coinsurance, while specialist visits range from a $0 to $50 copay with no coinsurance. Physical, occupational, speech, and podiatry services require a $45 copay with no coinsurance, but chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) with no copay and no coinsurance for annual physical exams, kidney disease education, glaucoma screenings, and diabetes self-management training. Additional preventive benefits are partially covered, providing fitness benefits and home safety devices with no copay and no coinsurance, though sub-services like health education, nutritional therapy, 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-53 (HMO-POS), offering annual routine hearing exams with no copay and no coinsurance, while fitting and evaluation services are not covered. Covered prescription hearing aids require a $199.00 to $1,249.00 copay and OTC hearing aids require a $199.00 to $829.00 copay, both with no coinsurance, though inner ear, outer ear, and over the ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) with no deductible or coinsurance, featuring no copay for one routine eye exam per year and contact lenses. Eyewear benefits include a $200 maximum coverage limit every two years with no copay for frames and a $0 to $153 copay for lenses, while other eye exams, combined eyeglasses, and upgrades are not covered.
Dental Services See details
AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) partially covers dental services up to a $4,000 annual maximum, though implant services and orthodontics are not covered. Preventive and diagnostic services are offered with no copay and no coinsurance, while Medicare-covered services require a 20% coinsurance and comprehensive services require a 50% coinsurance, both with no copay.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs carry a 0% to 20% coinsurance, while Medicare Part B insulin drugs require a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) with no copay and a 20% coinsurance. Prior authorization and a referral are required to access this benefit.
Medical Equipment See details
AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes or inserts carry a 20% coinsurance, with prior authorization required for these equipment benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) with no copay or coinsurance for lab services, a $55 copay for diagnostic tests, and a $30 copay for outpatient X-rays. Diagnostic radiological services feature copays starting at $0, while therapeutic radiological services require a 20% coinsurance, with prior authorization and referrals required for services.
Home Health Services See details
Home health services are covered under the AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) plan with no copay and no coinsurance. Prior authorization and a referral are required to access this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) plan with no copay and no coinsurance, though prior authorization and referrals are required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy for symptomatic peripheral artery disease services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled nursing facility (SNF) services are covered by AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) with no coinsurance, though prior authorization and a referral are required. You will pay no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS), featuring over-the-counter items and a chronic illness meal benefit with no copay and no coinsurance. Acupuncture is not covered under this benefit, 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
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