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 2026, 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 2026.
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.
Below are a few key facts and commonly-asked questions about AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS).
The cost of a Medicare Advantage Plan is made up of four main parts.
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 $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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) plan features an annual drug deductible of $520, though it provides excellent cost savings on tier one preferred generic drugs with no copay for standard pharmacy and mail-order options. For tier two generic drugs, you will pay a $14 copay for a one-month supply at standard pharmacies, but you can completely avoid this cost with no copay when utilizing a three-month preferred mail-order delivery. For higher-tier medications, costs transition from flat copays to coinsurance percentages. Tier three preferred brand drugs require a 15% coinsurance, while tier four non-preferred drugs and tier five specialty drugs require 38% and 27% coinsurance respectively for both standard pharmacies and mail orders. This structure allows Medicare beneficiaries to easily manage their prescription expenses by choosing the most cost-effective tier and pharmacy options.
The AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) plan offers comprehensive coverage with no copay for primary care visits, telehealth, annual physicals, and home health services. For specialized medical care, beneficiaries face predictable costs, including a $130 copay for emergency room visits and daily copays for inpatient hospital stays that transition to no copay after the first few days. Outpatient services feature no copay for ambulatory surgical centers, while diagnostic lab tests and cardiac rehabilitation are also covered with no copay. This plan also provides robust supplemental benefits, including preventive dental care, routine eye exams, and routine hearing exams with no copay. Dental services feature a $4,000 annual limit with no copay and up to 50 percent coinsurance for comprehensive care, while vision benefits include a $300 eyewear allowance every two years. Additionally, members pay 20 percent coinsurance for dialysis and durable medical equipment, alongside no copay for over-the-counter items and chronic illness meal benefits.
AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) partially covers inpatient hospital services with no coinsurance, though prior authorization is required. Acute stays require a $495 daily copay for days 1 to 5 and no copay for days 6 and beyond, while psychiatric stays require a $495 daily copay for days 1 to 4 and no copay for days 5 to 90; upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient services are covered by AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) with no coinsurance, featuring no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital services require a copay of up to $495, while outpatient substance abuse services range from no copay up to a $25 copay, with prior authorization required.
The AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) plan covers partial hospitalization services with a $55 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) covers ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. Transportation services to plan-approved or other health-related locations are not covered by this plan.
AARP Medicare Advantage Extras from UHC OH-10 (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 require a copay of up to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) covers primary care and telehealth services with no copay and no coinsurance. Other covered services, such as specialist visits, physical therapy, and mental health care, feature no coinsurance and copays ranging from $0 to $55, while chiropractic services are not covered.
Preventive Services are covered by AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) with no copay and no coinsurance for annual physical exams, kidney disease education, and cardiovascular or diabetes screenings. This benefit is partially covered because while fitness benefits and home safety devices are included, other sub-services such as health education, weight management, nutritional therapy, in-home support, and personal emergency response systems are not covered.
AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) offers partially covered hearing services, which include one routine hearing exam per year with no copay and no coinsurance, while fitting and evaluation exams are not covered. Up to two prescription or OTC hearing aids are covered annually with no coinsurance and copays ranging from $199.00 to $1,249.00, though inner ear, outer ear, and over the ear prescription aids are not covered.
Vision services are partially covered by AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) with no deductibles, offering one routine eye exam per year and select eyewear with no coinsurance and a $300 limit every two years. Routine exams, contacts, and frames have no copay, eyeglass lenses carry a $0 to $153 copay, while other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered.
AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) features partially covered dental services up to a $4,000 annual limit, offering preventive care with no copay and no coinsurance, Medicare-covered dental with no copay and 20% coinsurance, and comprehensive services with no copay and 50% coinsurance. Implant services and orthodontics are not covered.
AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) covers home infusion bundled services with no copay, subject to prior authorization. Covered Medicare Part B chemotherapy, radiation, and other drugs have no copay and a coinsurance of no coinsurance to 20%, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical equipment is covered by AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are available with no copay, though prior authorization is required for these benefits and diabetic supplies are limited to specified manufacturers.
AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) covers diagnostic and radiological services, with prior authorization required for all care. Diagnostic tests require a $50 copay and no coinsurance, lab services have no copay and no coinsurance, and diagnostic radiology copays start at $0. Outpatient X-rays carry a $30 copay with coinsurance, while therapeutic radiological services require a copay and a minimum 20% coinsurance.
Home health services are covered under the AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) plan with no copay and no coinsurance. Prior authorization is required to receive these services.
AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) covers Cardiac Rehabilitation Services with no copay and no coinsurance, although prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. Beneficiaries pay no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare benefit are not covered.
AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS) partially covers other services, which include over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance, though meals require prior authorization. Acupuncture is not covered under this benefit.
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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.
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