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AARP Medicare Advantage Extras from UHC OH-10 (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-10 (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-10 (HMO-POS) in 2025, please refer to our full plan details page.
AARP Medicare Advantage Extras from UHC OH-10 (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 2025.
It's important to know that AARP Medicare Advantage Extras from UHC OH-10 (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 Extras from UHC OH-10 (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-10 (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 $420.00 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 Extras from UHC OH-10 (HMO-POS)
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Drug Coverage
The AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) plan has a $420 deductible for prescription drugs. After the deductible is met, you will pay a copay or coinsurance depending on the drug tier and pharmacy. For preferred generic drugs, you will pay a $14 copay at a standard pharmacy. Standard generic drugs have a $47 copay at a standard pharmacy. Preferred and standard brand drugs have a $100 copay. Non-preferred drugs have 28% coinsurance. Once your total drug costs reach $2000, you enter the catastrophic coverage phase and pay nothing for covered drugs.
Additional Benefits
The AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) plan offers a range of benefits with varying costs. You'll find no copays for many services, including primary care visits, preventive services, hearing exams, vision exams, and dental services. However, some services have copays, such as inpatient hospital stays, emergency services, and specialist visits, and some services have coinsurance, such as dialysis and durable medical equipment.
Inpatient Hospital See details
Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services. For Inpatient Hospital-Acute, you pay a $395 copay for days 1-6, and no copay for days 7-90, and additional days (91-999) have no copay. For Inpatient Hospital Psychiatric, you pay a $395 copay for days 1-5, and no copay for days 6-90. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a copay between $0 and $395, Observation Services with a $395 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Individual Sessions with a copay between $0 and $25 and Group Sessions with a $15 copay, and Outpatient Blood Services with no copay. Prior authorization is required for many services.
Partial Hospitalization See details
Partial Hospitalization is covered by the AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) plan with a $55 copay, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS). Ground and Air Ambulance Services have a $195 copay, with no coinsurance, while 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. For Emergency Services, there is a $125 copay, and for Urgently Needed Services, the copay is between $0 and $55; there is no coinsurance for either. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay and no coinsurance.
Primary Care See details
Primary Care services include no copay for Primary Care Physician Services, a $20 copay for Chiropractic Services, and a $0-$35 copay for Occupational Therapy Services. Physician Specialist Services have a $0-$50 copay, while Mental Health Specialty Services have a $0-$25 copay for individual sessions and a $15 copay for group sessions. Podiatry Services and Other Health Care Professional services have a $45 copay, while Physical Therapy and Speech-Language Pathology Services have a $0-$40 copay. Additional Telehealth Benefits and Opioid Treatment Program Services have no copay.
Preventive Services See details
The AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services are also covered, including Fitness Benefit, Home and Bathroom Safety Devices and Modifications, Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit, all with no copay. However, Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline), and Counseling Services are not covered.
Hearing Services See details
Hearing exams are covered with no copay, including routine hearing exams, but fitting and evaluation for hearing aids are not covered. Prescription hearing aids are partially covered, with copays ranging from $199 to $1249, but inner ear, outer ear, and over-the-ear hearing aids are not covered. OTC hearing aids are covered with copays between $99 and $829.
Vision Services See details
Vision services include eye exams with no copay, and eyewear benefits. Eyeglasses (lenses and frames) and upgrades are not covered. Contact lenses and eyeglass frames have no copay. Eyeglass lenses have a copay between $0 and $153, and have a limit of one pair every two years.
Dental Services See details
Dental Services include coverage for Medicare Dental Services with 20% coinsurance. Other services include oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatments, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, and oral and maxillofacial surgery, all with no copay. Orthodontic services are not covered, and implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, and require prior authorization. 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 See details
Dialysis Services are covered by the AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) plan, but require prior authorization. The coinsurance for these services is 20%.
Medical Equipment See details
Medical equipment is covered, including durable medical equipment with a 20% coinsurance and requires prior authorization, prosthetic devices with a 20% coinsurance, medical supplies with a 20% coinsurance, and diabetic equipment. Diabetic supplies have no copay, while diabetic therapeutic shoes/inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including Diagnostic Procedures/Tests with a copay of $25, Lab Services with no copay, Diagnostic Radiological Services with a copay of up to $150, Therapeutic Radiological Services with a coinsurance of at least 20%, and Outpatient X-Ray Services with a $15 copay. Radiological services require prior authorization.
Home Health Services See details
Home Health Services are covered by the AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS), but the plan does not cover the sub-services of Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. Prior authorization is required.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered with prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $203.00.
Other Services See details
Other Services with this plan includes Over-the-Counter (OTC) Items and Meal Benefits, with acupuncture, Dual Eligible SNPs with Highly Integrated Services, and various other services not covered. Over-the-Counter (OTC) Items have no copay, while Meal Benefits also have no copay and require prior authorization.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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