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AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Patriot No Rx UT-MA01 (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 Patriot No Rx UT-MA01 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Utah. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about AARP Medicare Advantage Patriot No Rx UT-MA01 (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 Patriot No Rx UT-MA01 (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 $60.00. 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.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
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 Patriot No Rx UT-MA01 (HMO-POS)
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Drug Coverage
Prescription drugs are not covered by AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS).
Additional Benefits
The AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) plan offers comprehensive medical coverage with no copay for primary care visits, telehealth, and annual physicals. For hospital care, inpatient acute stays require a $550 copay for days 1 through 5, with no copay for subsequent days, while emergency room visits carry a $130 copay. Additionally, diagnostic lab tests, diagnostic radiology, and ambulatory surgical center services are covered with no copay. Routine vision and hearing exams are covered with no copay, though prescription eyewear and hearing aids require varying copays. Dental services are covered up to a $1,500 annual limit, featuring no copay for preventive dental care and 20% to 50% coinsurance for comprehensive and Medicare-covered dental services. Additionally, members benefit from no copay on home health services, cardiac rehabilitation, and the first 20 days of skilled nursing facility care.
Inpatient Hospital See details
AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) covers inpatient hospital services with no coinsurance, requiring a $550 copay for days 1 through 5 of acute stays and days 1 through 4 of psychiatric stays, followed by no copay for additional days. Upgrades, psychiatric additional days, and non-Medicare-covered stays are not covered under this benefit.
Outpatient Services See details
AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) covers outpatient services with no coinsurance, though prior authorization is required for most services. Outpatient hospital and observation services have a copay ranging from $0 to $550, outpatient substance abuse services have copays up to $25, and there is no copay for ambulatory surgical center or blood services.
Partial Hospitalization See details
AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) covers partial hospitalization with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) covers Medicare-covered ground and air ambulance services with a $290 copay and no coinsurance, subject to prior authorization. Routine transportation services to plan-approved or health-related locations are not covered.
Emergency Services See details
Emergency services are covered by the AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) plan with a $130 copay, which is waived if you are admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services have a copay of $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) covers primary care and telehealth services with no copay and no coinsurance, while specialist visits feature a $0 to $60 copay and no coinsurance. Physical, occupational, and speech therapies require a $50 to $60 copay with no coinsurance, whereas chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by the AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) plan with no copay and no coinsurance for annual physicals, kidney disease education, fitness benefits, and select screenings. Supplemental services that are not covered include health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission 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 modifications, and counseling.
Hearing Services See details
Hearing services are partially covered under the AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) plan, which offers routine hearing exams with no copay and no coinsurance, though fitting and evaluation exams are not covered. Prescription and OTC hearing aids are covered with no coinsurance and copays ranging from $199 to $1,249, but inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision Services are partially covered by the AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) plan, featuring routine eye exams with no copay and no coinsurance, while other eye exam services are not covered. Covered eyewear, including contact lenses, frames, and lenses, features no coinsurance and copays ranging from no copay up to $153 with a $150 combined maximum limit every two years, though upgrades and packaged eyeglasses (lenses and frames) are not covered.
Dental Services See details
AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) features partially covered dental services up to a $1,500 annual limit, though implant services and orthodontics are not covered. Preventive services require no copay and no coinsurance, while Medicare-covered dental services require no copay and 20% coinsurance, and covered comprehensive services require no copay and 50% coinsurance.
Home Infusion bundled Services See details
AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy, radiation, and insulin, are subject to a 0% to 20% coinsurance, with insulin also carrying a $35 copay.
Dialysis Services See details
AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Medical Equipment See details
AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) covers durable medical equipment, prosthetics, medical supplies, and diabetic services with no copay and a 20% coinsurance. Prior authorization is required for these covered benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) plan, with no copay and no coinsurance for lab services and diagnostic radiology. Diagnostic procedures and tests require a $50 copay with no coinsurance, outpatient X-rays require a $30 copay, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Home health services are covered by the AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) plan with no copay and no coinsurance, though prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) with no coinsurance and no prior three-day hospital stay required. You will pay no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, with prior authorization required.
Other Services See details
Other services are partially covered by AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS), featuring a chronic illness meal benefit with no copay and no coinsurance, subject to prior authorization. Acupuncture and over-the-counter (OTC) items are not covered under this benefit.
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