Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC ID-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 ID-001P (HMO-POS) in 2025, please refer to our full plan details page.
AARP Medicare Advantage from UHC ID-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 Idaho. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that AARP Medicare Advantage from UHC ID-001P (HMO-POS) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Below are a few key facts and commonly-asked questions about AARP Medicare Advantage from UHC ID-001P (HMO-POS).
The cost of a Medicare Advantage Plan is made up of four main parts.
For AARP Medicare Advantage from UHC ID-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. Additionally, this plan comes with a Part B Premium reduction of $0.90. 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 $255.00 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 $4800.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The AARP Medicare Advantage from UHC ID-001P (HMO-POS) plan has an enhanced alternative drug benefit. The plan has a $255 deductible. In the initial coverage phase, after the deductible, you will pay a copay for generic drugs at a standard pharmacy, and $100 for preferred brand drugs. For non-preferred drugs, you will pay 30% coinsurance. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for covered drugs.
The AARP Medicare Advantage from UHC ID-001P (HMO-POS) plan offers a range of benefits with varying costs. You'll have no copay for primary care, preventive services, hearing exams, vision exams, and many outpatient services and mental health services. Hospital stays have a copay of $275 for the first five days, and emergency services have a $125 copay. This plan includes coverage for dental, hearing aids, and vision eyewear, with specific copays or coinsurance amounts. Other covered services include ambulance, home health, and skilled nursing facilities, with different cost-sharing structures. The plan also provides benefits for medical equipment, diagnostic services, and outpatient services, with a mix of copays and coinsurance.
Inpatient Hospital services are covered, including acute and psychiatric care, with a copay of $275 for days 1-5 and no copay for days 6-90. Additional days for inpatient hospital-acute are covered with no copay.
Outpatient Services include coverage for all outpatient hospital services, with a copay between $0 and $275, and observation services with a $275 copay. Ambulatory Surgical Center (ASC) Services, Individual and Group Sessions for Outpatient Substance Abuse, and Outpatient Blood Services have no copay.
Partial Hospitalization is covered under the AARP Medicare Advantage from UHC ID-001P (HMO-POS) plan, but requires prior authorization. The copay for this benefit is $55.
Ambulance and Transportation Services are covered, with a $265 copay for both ground and air ambulance services, and no coinsurance. Transportation services to any health-related location are not covered.
Emergency Services, including urgently needed and worldwide emergency services, are covered by AARP Medicare Advantage from UHC ID-001P (HMO-POS). Emergency Services have a $125 copay, while urgently needed services have a copay between $0 and $55; worldwide emergency services have a copay, with worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation each having no copay.
Primary Care Physician Services are covered with no copay. Chiropractic Services are covered with a $20 copay, but routine care is not covered. Occupational Therapy Services have a copay between $0 and $25 with no coinsurance. Physician Specialist Services have a copay between $0 and $25. Mental Health Specialty Services, including individual and group sessions, have no copay. Podiatry Services, including routine foot care, have a $25 copay. Other Health Care Professional services have a copay between $0 and $25. Psychiatric Services, including individual and group sessions, have no copay. Physical Therapy and Speech-Language Pathology Services have a copay between $0 and $25 with no coinsurance. Additional Telehealth Benefits have no copay. Opioid Treatment Program Services have no copay.
Preventive Services, including annual physical exams, are covered with no copay. Additional preventive services are covered, but some services such as health education, in-home safety assessments, and others are not covered.
Hearing Services include hearing exams, prescription hearing aids, and OTC hearing aids. Hearing exams have no copay, while routine hearing exams are covered once per year. Prescription hearing aids (all types) have a copay between $199 and $1249, while OTC hearing aids have a copay between $99 and $829. Fitting/evaluation for hearing aids, prescription hearing aids - inner ear, prescription hearing aids - outer ear, and prescription hearing aids - over the ear are not covered.
Vision services include eye exams with no copay, as well as coverage for eyewear, with a combined maximum of $300 every two years, but eyeglasses (lenses and frames) and upgrades are not covered. Routine eye exams and contact lenses have no copay, while eyeglass lenses have a copay from $0 to $153, and eyeglass frames have no copay.
Dental Services are covered, with a 20% coinsurance for Medicare dental services. Oral exams, dental x-rays, other diagnostic and preventive services, and fluoride treatments have no copay, while other services, such as prosthodontics and fixed prosthodontics, removable have a coinsurance between 0% and 50%.
Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services are covered under the AARP Medicare Advantage from UHC ID-001P (HMO-POS) plan, but require prior authorization. The plan has a coinsurance of 20% for dialysis services.
Medical Equipment is covered, including Durable Medical Equipment, Prosthetics/Medical Supplies, and Diabetic Equipment. Durable Medical Equipment has a 20% coinsurance with prior authorization required, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Medical Supplies have a 20% coinsurance, and Diabetic Supplies have no copay, while Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services include coverage for Diagnostic Procedures/Tests with a $20 copay, Lab Services with no copay, Diagnostic Radiological Services with a copay up to $155, Therapeutic Radiological Services with 20% coinsurance, and Outpatient X-Ray Services with a $20 copay. All services require prior authorization.
Home Health Services are covered by the AARP Medicare Advantage from UHC ID-001P (HMO-POS) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services are covered, but the specific services of Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered. Prior authorization is required.
Skilled Nursing Facility (SNF) services are covered by AARP Medicare Advantage from UHC ID-001P (HMO-POS), with a $0 copay for days 1-20, and a $203 copay for days 21-100. Additional days beyond Medicare-covered SNF and non-Medicare-covered stays for SNF are not covered.
Other Services include coverage for Over-the-Counter (OTC) Items and Meal Benefits. Over-the-Counter (OTC) Items have no copay, while Meal Benefits also have no copay and require prior authorization. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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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.
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