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AARP Medicare Advantage from UHC IA-0002 (HMO-POS)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC IA-0002 (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 IA-0002 (HMO-POS) in 2025, please refer to our full plan details page.

AARP Medicare Advantage from UHC IA-0002 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Iowa and Illinois. This plan received an overall rating of 4 out of 5 stars in 2025.

It's important to know that AARP Medicare Advantage from UHC IA-0002 (HMO-POS) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about AARP Medicare Advantage from UHC IA-0002 (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 IA-0002 (HMO-POS), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $44.00. 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 $340.00 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 $3800.00 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:

Regular visits to your primary care doctor are covered and will have a copay of $0.00 and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of $0.00 - $35.00 and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of $140.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of $0.00 - $65.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for AARP Medicare Advantage from UHC IA-0002 (HMO-POS)

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Drug Coverage IconDrug Coverage

The AARP Medicare Advantage from UHC IA-0002 (HMO-POS) plan has a $340 deductible for prescription drugs. After the deductible, you will pay a copay or coinsurance depending on the drug tier and pharmacy. For example, you will pay a $10 copay for a preferred generic drug at a standard pharmacy, and 29% coinsurance for a non-preferred drug. This plan offers an enhanced alternative drug benefit. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for covered Part D drugs.

Additional Benefits IconAdditional Benefits

The AARP Medicare Advantage from UHC IA-0002 (HMO-POS) plan offers a range of benefits, including inpatient and outpatient hospital services with varying copays. You'll find no copays for primary care visits, preventive services, eye exams, and many dental services. Additionally, the plan covers hearing exams, and offers coverage for hearing aids with copays. This plan also covers ambulance services, emergency services, and home health services, as well as home infusion and dialysis services. Other benefits include coverage for medical equipment, diagnostic and radiological services, and skilled nursing facility stays, with specific copays and coinsurance amounts for each. The plan also includes benefits such as over-the-counter items and a meal benefit, both with no copay.

Inpatient Hospital See details

Inpatient Hospital benefits include coverage for acute and psychiatric care. For acute care, you'll pay a $325 copay for days 1-7, and no copay for days 8-90, with no coinsurance. Additional days for acute care have no copay, and psychiatric care has a $325 copay for days 1-7, and no copay for days 8-90. Non-Medicare-covered stays and upgrades for inpatient hospital-acute, and additional days for psychiatric care are not covered.

Outpatient Services See details

Outpatient Services include coverage for all outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services. Outpatient hospital services have a copay between $0 and $325, and observation services have a $325 copay, while ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services have no copay.

Partial Hospitalization See details

Partial Hospitalization is covered by the AARP Medicare Advantage from UHC IA-0002 (HMO-POS) plan, with a $55 copay. Prior authorization is required for this benefit.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are covered under the AARP Medicare Advantage from UHC IA-0002 (HMO-POS) plan. Ground and Air Ambulance Services have a $290 copay, with no coinsurance. Transportation Services to any health-related location are not covered.

Emergency Services See details

Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services has a $140 copay, while Urgently Needed Services has a copay between $0 and $65; all Worldwide Emergency Services have no copay.

Primary Care See details

Primary Care Physician Services are covered with no copay, Chiropractic Services have a $20 copay, and Occupational Therapy Services have a copay between $0 and $35. Physician Specialist Services, Physical Therapy, and Speech-Language Pathology Services have a copay between $0 and $35. Mental Health and Psychiatric Services have no copay for individual and group sessions. Podiatry Services and Other Health Care Professional services have a copay between $35. Additional Telehealth Benefits have no copay. Opioid Treatment Program Services have no copay.

Preventive Services See details

Preventive services include an annual physical exam with no copay, and the plan covers additional preventive services including Fitness Benefits and Home and Bathroom Safety Devices and Modifications. Other preventive services, such as Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit, are covered with no copay. However, some preventive services like Health Education, In-Home Safety Assessment, and Counseling Services are not covered.

Hearing Services See details

Hearing services include hearing exams with no copay, and prescription hearing aids and OTC hearing aids with copays ranging from $99 to $1249. Fitting/Evaluation for Hearing Aid, Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, and Prescription Hearing Aids - Over the Ear are not covered.

Vision Services See details

Vision Services includes coverage for eye exams with no copay, and coverage for eyewear, including contact lenses, eyeglass lenses, and eyeglass frames, all with no copay. Eyeglasses (lenses and frames) and upgrades are not covered.

Dental Services See details

Dental Services include coverage for oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, and other preventive dental services, with no copay for oral exams, dental x-rays, prophylaxis, fluoride treatment, and other preventive dental services, but a 20% coinsurance for Medicare Dental Services. Orthodontic, restorative, adjunctive general, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, implant services, oral and maxillofacial surgery, and orthodontics are not covered.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered, including Insulin, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. For Insulin, there is a $35 copay, and coinsurance can range from 0% to 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, coinsurance can range from 0% to 20%.

Dialysis Services See details

Dialysis Services are covered under the AARP Medicare Advantage from UHC IA-0002 (HMO-POS) plan. Prior authorization is required, with a coinsurance between 20% and 20%.

Medical Equipment See details

Medical Equipment, including Durable Medical Equipment (DME), Prosthetics, Medical Supplies, and Diabetic Equipment, is covered. DME has a 20% coinsurance with no copay, while Prosthetic Devices and Medical Supplies have a 20% coinsurance with no copay. Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.

Diagnostic and Radiological Services See details

Diagnostic and Radiological Services are covered. Diagnostic Procedures/Tests have a $25 copay, Lab Services have no copay, Diagnostic Radiological Services have a copay up to $250, Therapeutic Radiological Services have a copay of $80, and Outpatient X-Ray Services have a $25 copay.

Home Health Services See details

Home Health Services are covered by the AARP Medicare Advantage from UHC IA-0002 (HMO-POS) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered by the AARP Medicare Advantage from UHC IA-0002 (HMO-POS) plan. Prior authorization is required for this benefit, but the plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by the AARP Medicare Advantage from UHC IA-0002 (HMO-POS) plan, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $203 per day; additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.

Other Services See details

Other Services include Over-the-Counter (OTC) items, and a meal benefit, with no copay for either. 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.

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