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AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Extras from UHC OH-9 (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 Extras from UHC OH-9 (HMO-POS) in 2026, please refer to our full plan details page.

AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Ohio. This plan received an overall rating of 4 out of 5 stars in 2026.

It's important to know that AARP Medicare Advantage Extras from UHC OH-9 (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 Extras from UHC OH-9 (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 Extras from UHC OH-9 (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:

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

Specialist Visits:

Visits to specialists are covered and will have a copay of 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 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 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)

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Drug Coverage IconDrug Coverage

The AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) plan features an annual prescription drug deductible of $520. For Tier 1 preferred generic drugs, members enjoy no copay for a 1-month or 3-month supply at standard pharmacies and through mail order. Tier 2 generic drugs cost a $14 copay for a 1-month supply at standard pharmacies, but there is no copay for a 3-month supply filled through preferred mail order. Higher-tier medications are covered under coinsurance, with Tier 3 preferred brand drugs requiring a 15% coinsurance for both pharmacy and mail-order fills. Tier 4 non-preferred drugs and Tier 5 specialty drugs carry a 38% and 27% coinsurance, respectively, for a 1-month supply.

Additional Benefits IconAdditional Benefits

The AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) plan offers comprehensive coverage with no copay or coinsurance for primary care visits, telehealth services, and annual physicals. For specialized care, specialist visits require a copay of up to $55, while inpatient hospital stays require a $445 daily copay for the first several days with no copay for subsequent days. Emergency room visits carry a $130 copay, which is waived upon admission, while worldwide emergency services are fully covered with no copay. Beneficiaries also enjoy strong dental, vision, and hearing benefits, featuring no copay for routine exams, preventative dental services up to a $4,000 annual maximum, and routine eyeglass frames. Prescription hearing aids are available with copays ranging from $199 to $1,249, while durable medical equipment and dialysis services require a 20% coinsurance with no copay. Additionally, the plan includes no copay for home health services, over-the-counter items, and chronic illness meal benefits.

Inpatient Hospital See details

AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) partially covers inpatient hospital services with no coinsurance, requiring a $445 daily copay for days 1 to 6 for acute stays and days 1 to 5 for psychiatric stays, with no copay for subsequent covered days. Prior authorization is required, and non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.

Outpatient Services See details

Outpatient services are covered by AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) with no coinsurance, featuring a $0 to $445 copay for outpatient hospital services and a $445 daily copay for observation services. Ambulatory surgical center and blood services are covered with no copay or coinsurance, while outpatient substance abuse services have no coinsurance and copays ranging from $0 to $25.

Partial Hospitalization See details

Partial hospitalization is covered under the AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) plan with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.

Ambulance and Transportation Services See details

Ambulance and transportation services are covered by AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS), offering ground and air ambulance services with a $275 copay and no coinsurance, subject to prior authorization. However, transportation services are not covered in practice, as trips to plan-approved or other health-related locations are excluded.

Emergency Services See details

AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a copay ranging from no copay to $50 and no coinsurance, while worldwide emergency, urgent, and transportation services are fully covered with no copay and no coinsurance.

Primary Care See details

Primary care services under the AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) plan offer primary care provider visits and telehealth services with no copay and no coinsurance. Specialist visits and therapy services require copays ranging from $0 to $55 with no coinsurance, though chiropractic services are not covered.

Preventive Services See details

Preventive services are covered by AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) with no copay and no coinsurance for annual physicals, fitness benefits, home safety devices, and kidney disease education. This benefit is partially covered, meaning that health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, re-admission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling are not covered.

Hearing Services See details

Hearing services are partially covered under the AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) plan, featuring one annual routine hearing exam with no copay, no coinsurance, and no deductible, though fitting and evaluation services are not covered. Up to two prescription and OTC hearing aids are covered per year with no coinsurance and copays ranging from $199 to $1,249, while specific prescription aid types (inner, outer, and over-the-ear) are not covered.

Vision Services See details

Vision Services are partially covered by AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS), offering one routine eye exam annually and eyeglass frames with no copay and no coinsurance, while eyeglass lenses carry a $0 to $153 copay and no coinsurance. Covered eyewear has a combined maximum limit of $200 every two years, but other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.

Dental Services See details

AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) partially covers dental services, excluding implant services and orthodontics. Preventive and diagnostic dental services feature no copay and no coinsurance under a $4,000 annual maximum, while Medicare-covered services have no copay and 20% coinsurance, and covered comprehensive services require no copay and 50% coinsurance.

Home Infusion bundled Services See details

AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs carry no coinsurance to 20% coinsurance, while Medicare Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.

Dialysis Services See details

Dialysis services are covered by the AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) plan 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 Extras from UHC OH-9 (HMO-POS) with no copay and a 20% coinsurance for durable medical equipment, prosthetic devices, medical supplies, and diabetic therapeutic shoes or inserts. Diabetic supplies are covered with no copay, and prior authorization is required for these benefits.

Diagnostic and Radiological Services See details

AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) covers diagnostic and radiological services with prior authorization, offering lab services and diagnostic radiology with no copay or coinsurance. Diagnostic procedures and tests require a $50 copay with no coinsurance, while outpatient X-rays require a $30 copay with coinsurance and therapeutic radiology requires 20% coinsurance.

Home Health Services See details

AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) covers home health services with no copay and no coinsurance. Prior authorization is required to receive this benefit.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) plan, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all excluded from coverage.

Skilled Nursing Facility (SNF) See details

AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and additional days beyond the Medicare-covered limit are not covered.

Other Services See details

AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) offers partial coverage for other services, including over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for the meal benefit, and acupuncture is not covered.

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