A non-government entity
AARP Medicare Advantage from UHC VA-0010 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC VA-0010 (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 VA-0010 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Virginia. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage from UHC VA-0010 (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 from UHC VA-0010 (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 from UHC VA-0010 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $49.00. 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 from UHC VA-0010 (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 from UHC VA-0010 (HMO-POS) plan features an annual prescription drug deductible of $520. For Tier 1 preferred generic drugs, there is no copay for one-month or three-month supplies at standard pharmacies and through mail order. Tier 2 generic drugs cost a $10 copay for a one-month supply at standard pharmacies, but they feature no copay when ordering a three-month supply through preferred mail order. For brand name and specialty medications, costs are based on coinsurance percentages. Tier 3 preferred brand drugs require a 15% coinsurance for standard pharmacy and mail-order fills. Tier 4 non-preferred drugs and Tier 5 specialty drugs carry a 38% and 27% coinsurance respectively for a one-month supply.
Additional Benefits
The AARP Medicare Advantage from UHC VA-0010 (HMO-POS) plan offers robust medical coverage with no copays for primary care, telehealth, and preventive services. For inpatient hospital stays, members pay a $450 daily copay for the first five days and no copay for days six through ninety. Specialist visits range from no copay to a $45 copay, while emergency room care has a $130 copay that is waived upon admission. Additional benefits include routine dental and vision care with no copays for preventive services, annual eye exams, and contacts or frames. While diagnostic lab work and home health care require no copays, other services like medical equipment and dialysis require a 20% coinsurance. Prescription hearing aids and over-the-counter items are also covered, helping to minimize out-of-pocket costs for members.
Inpatient Hospital See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) covers inpatient hospital stays with no coinsurance, requiring a $450 copay per day for days 1 to 5 and no copay for days 6 to 90. While unlimited additional acute hospital days are covered with no copay, this benefit is only partially covered as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) covers outpatient services with no coinsurance, offering no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital services require a copay of $0 to $450, including $450 daily for observation services, while outpatient substance abuse services carry a copay of $0 to $25 for individual sessions and $15 for group sessions.
Partial Hospitalization See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) covers ground and air ambulance services with a $290 copay and no coinsurance, with prior authorization required. Routine transportation services to plan-approved or health-related locations are not covered.
Emergency Services See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) covers emergency services with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a copay ranging from $0 to $50 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) covers primary care, telehealth, and opioid treatment with no copay and no coinsurance, while specialist visits range from no copay to a $45 copay with no coinsurance. Therapy services require a $25 copay, mental health sessions range from no copay to a $25 copay, and podiatry costs a $45 copay, all with no coinsurance, while chiropractic services are not covered.
Preventive Services See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) provides partial coverage for preventive services with no copay and no coinsurance for covered benefits like annual physical exams, fitness benefits, and diabetes self-management training. However, several additional benefits are not covered, including health education, weight management programs, personal emergency response systems, and in-home safety assessments.
Hearing Services See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) offers partially covered hearing services, including one annual routine hearing exam with no deductible, no copay, and no coinsurance. 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. However, fitting and evaluation for hearing aids, along with inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage from UHC VA-0010 (HMO-POS), with no deductibles or coinsurance. Covered benefits include one annual routine eye exam, contacts, and frames with no copay, and lenses with a $0 to $153 copay (up to a $300 limit every two years), while other eye exams, upgrades, and bundled eyeglasses are not covered.
Dental Services See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) offers dental services with no copay and no coinsurance for preventive care up to a $1,000 annual limit. Medicare-covered dental services require no copay and a 20% coinsurance, while comprehensive dental services are partially covered with no copay and a 50% coinsurance, excluding implants and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage from UHC VA-0010 (HMO-POS) with no copay and no coinsurance, subject to prior authorization. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and 0% to 20% coinsurance, while insulin is covered with a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by AARP Medicare Advantage from UHC VA-0010 (HMO-POS) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by AARP Medicare Advantage from UHC VA-0010 (HMO-POS), featuring no copay and a 20% coinsurance for durable medical equipment (DME), prosthetics, medical supplies, and diabetic therapeutic shoes or inserts. Diabetic supplies are covered with no copay, though they are limited to specified manufacturers, and prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) covers diagnostic and radiological services with no coinsurance, though prior authorization is required. Outpatient X-rays and diagnostic procedures require a $5 copay, therapeutic radiological services require an $80 copay, and lab services and diagnostic radiological services are covered with no copay.
Home Health Services See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage from UHC VA-0010 (HMO-POS) plan, which provides no coverage, copays, or coinsurance for intensive cardiac, pulmonary, and supervised exercise therapy (SET) services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by AARP Medicare Advantage from UHC VA-0010 (HMO-POS) with no coinsurance and does not require a prior three-day hospital stay. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and prior authorization is required, with no coverage provided for days beyond the Medicare-covered limit.
Other Services See details
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) offers partial coverage for other services, featuring over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture is not covered under this benefit, and prior authorization is required for the meal benefit.
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