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AARP Medicare Advantage from UHC WI-0017 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC WI-0017 (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 WI-0017 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC WI-0017 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Wisconsin. 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 WI-0017 (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 WI-0017 (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 WI-0017 (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:
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Drug Coverage
The AARP Medicare Advantage from UHC WI-0017 (HMO-POS) prescription drug plan features an annual drug deductible of $520. For Tier 1 preferred generic drugs, there is no copay for a 1-month or 3-month supply at standard pharmacies and mail order services. Tier 2 generic drugs cost a $14 copay for a 1-month supply at standard pharmacies, but you can save with no copay on a 3-month supply using preferred mail order. Brand-name and specialty medications on this plan require coinsurance rather than flat copays. Tier 3 preferred brand drugs have a 15% coinsurance, while Tier 4 non-preferred drugs require 39% coinsurance and Tier 5 specialty drugs require 27% coinsurance. These cost-sharing tiers help you estimate your out-of-pocket prescription costs under this Medicare Advantage plan.
Additional Benefits
The AARP Medicare Advantage from UHC WI-0017 (HMO-POS) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care visits, telehealth services, and annual preventive care. For hospital stays, members pay a daily copay of $455 for the first 1 to 6 days of acute inpatient care, while outpatient hospital services range from no copay to a $455 copay with no coinsurance. Emergency care is available with a $130 copay, which is waived if admitted, and urgently needed services carry a copay ranging from no copay to $50. Routine dental exams, cleanings, and annual vision and hearing exams are covered with no copay and no coinsurance, though Medicare-covered dental services and durable medical equipment require a 20% coinsurance. Prescription hearing aids are available with copays ranging from $199 to $1,249, and eyeglass lenses carry a copay of up to $153 under a $300 eyewear allowance every two years. Additionally, there is no copay for skilled nursing facility stays for the first 20 days, followed by a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
Inpatient hospital services are covered by AARP Medicare Advantage from UHC WI-0017 (HMO-POS) with no coinsurance, requiring a daily copay of $455 for days 1 to 6 of acute stays (no copay for days 7 to 999) and $455 for days 1 to 5 of psychiatric stays (no copay for days 6 to 90). Prior authorization is required, and the benefit is partially covered since upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC WI-0017 (HMO-POS) covers outpatient services with no coinsurance, though prior authorization is required. There is no copay for ambulatory surgical center and blood services, while copays range from $0 to $455 for outpatient hospital and observation services, and $0 to $25 for outpatient substance abuse sessions.
Partial Hospitalization See details
AARP Medicare Advantage from UHC WI-0017 (HMO-POS) covers partial hospitalization with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC WI-0017 (HMO-POS) covers ground and air ambulance services with a $290 copay and no coinsurance, though prior authorization is required. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
AARP Medicare Advantage from UHC WI-0017 (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 of $0 to $50 and no coinsurance, while worldwide emergency, urgent, and transportation services are available with no copay and no coinsurance.
Primary Care See details
AARP Medicare Advantage from UHC WI-0017 (HMO-POS) provides primary care and telehealth services with no copay and no coinsurance, while specialist visits range from a $0 to $55 copay with no coinsurance. Other services like physical and occupational therapy require a $50 to $55 copay and no coinsurance, though chiropractic services are only partially covered with routine chiropractic care excluded.
Preventive Services See details
Preventive Services are partially covered by AARP Medicare Advantage from UHC WI-0017 (HMO-POS) with no copay and no coinsurance for covered care such as annual physicals, fitness benefits, and select screenings. Sub-services that are not covered under this plan include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
AARP Medicare Advantage from UHC WI-0017 (HMO-POS) provides partially covered hearing services, including one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. Up to two prescription hearing aids are partially covered per year with a $199 to $1,249 copay and no coinsurance, excluding inner ear, outer ear, and over-the-ear models, alongside up to two OTC hearing aids covered with a $199 to $829 copay and no coinsurance.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage from UHC WI-0017 (HMO-POS), offering no deductible, no coinsurance, and no copay for annual routine eye exams, contact lenses, and eyeglass frames. Eyeglass lenses are covered with a copay of $0 to $153 subject to a $300 combined eyewear maximum every two years, while other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental Services are partially covered by AARP Medicare Advantage from UHC WI-0017 (HMO-POS), offering preventive care like exams, cleanings, and x-rays with no copay and no coinsurance. Medicare-covered dental services require a 20% coinsurance and no copay, whereas restorative, endodontic, periodontic, prosthodontic, orthodontic, implant, and oral surgery services are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage from UHC WI-0017 (HMO-POS) with no copay, though prior authorization and step therapy apply. Covered Part B chemotherapy and other Part B drugs carry no coinsurance to 20% coinsurance, while Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the AARP Medicare Advantage from UHC WI-0017 (HMO-POS) plan with no copay and a 20% coinsurance, subject to prior authorization.
Medical Equipment See details
AARP Medicare Advantage from UHC WI-0017 (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 and inserts require a 20% coinsurance, with prior authorization required for most equipment.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage from UHC WI-0017 (HMO-POS), with prior authorization required for all services. There is no copay and no coinsurance for lab services and diagnostic radiology, while diagnostic tests require a $50 copay with no coinsurance, outpatient X-rays require a $30 copay, and therapeutic radiology requires a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by AARP Medicare Advantage from UHC WI-0017 (HMO-POS) with no copay and no coinsurance. Prior authorization is required before receiving these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered with no coinsurance and no copay under the AARP Medicare Advantage from UHC WI-0017 (HMO-POS) plan, though prior authorization is required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered in practice.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by AARP Medicare Advantage from UHC WI-0017 (HMO-POS) with no coinsurance and no prior three-day inpatient hospital stay required, though additional days beyond the standard Medicare limit are not covered. There is no copay for days 1 through 20, and a $218 daily copay applies for days 21 through 100, with prior authorization required.
Other Services See details
AARP Medicare Advantage from UHC WI-0017 (HMO-POS) provides partial coverage for other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan, and the meal benefit requires prior authorization.
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