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AARP Medicare Advantage Extras from UHC OH-12 (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-12 (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-12 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Extras from UHC OH-12 (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-12 (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-12 (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-12 (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 Extras from UHC OH-12 (HMO-POS) plan features an annual drug deductible of $520. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies, as well as for 3-month mail order options. Tier 2 generic drugs require a $14 copay for a 1-month supply at standard pharmacies, but you can save by choosing a 3-month preferred mail order supply which carries no copay. For brand-name and specialty medications, costs are calculated as a percentage of the drug cost rather than a flat copayment. Tier 3 preferred brand drugs require a 16% coinsurance for both pharmacy and mail order fills. Tier 4 non-preferred drugs carry a 35% coinsurance, while Tier 5 specialty tier drugs require a 27% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) plan offers comprehensive medical coverage with affordable cost-sharing, featuring no copays or coinsurance for primary care visits, telehealth, and routine preventive services. For emergency care, members pay a $130 copay with no coinsurance, which is waived upon hospital admission. Outpatient services feature no coinsurance and copays ranging from no copay to $425, while inpatient hospital stays require a $425 daily copay for the first few days before transitioning to no copay. Additional benefits include robust dental coverage up to a $5,000 annual limit with no copay or coinsurance for preventive care, alongside routine vision and hearing exams featuring no copays. Prescription eyewear is covered up to $300 every two years, and hearing aids are available with copays starting at $199. Skilled nursing facility stays feature no copay for the first 20 days, and members also benefit from no copays on home health services and over-the-counter items.
Inpatient Hospital See details
Inpatient hospital care is partially covered by AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) with no coinsurance, requiring a $425 daily copay for days 1 to 6 of acute stays and days 1 to 5 of psychiatric stays, followed by no copay. Non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered under this plan.
Outpatient Services See details
AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) covers outpatient hospital services with no coinsurance and copays ranging from no copay to $425.00. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse services carry no coinsurance and copays ranging from no copay to $25.00.
Partial Hospitalization See details
Partial hospitalization is covered by AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) covers ground and air ambulance services with a $275 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
Emergency services under the AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) plan are covered with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $50 with no coinsurance, while worldwide emergency, urgent care, and emergency transportation services are covered with no copays and no coinsurance.
Primary Care See details
Primary care benefits under the AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) plan feature no copay and no coinsurance for primary care provider visits and telehealth services. Specialist visits, physical therapy, and mental health services have copays ranging from $0 to $40 with no coinsurance, while chiropractic services are not covered.
Preventive Services See details
AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) provides preventive services with no copay and no coinsurance for covered services, including annual physical exams, fitness benefits, home safety devices, kidney education, and glaucoma screenings. The benefit is partially covered, as it excludes health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs for chemotherapy hair loss, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, additional smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling services.
Hearing Services See details
AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) partially covers hearing services, offering one annual routine hearing exam with no copay and no coinsurance, while fitting and evaluation exams are not covered. Prescription and OTC hearing aids are covered up to two devices per year with no coinsurance and copays ranging from $199.00 to $1,249.00, though inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
Vision Services are partially covered by AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS), offering no coinsurance, no deductibles, and no copay for annual routine eye exams and eyeglass frames. Eyewear is covered up to a $300 combined limit every two years with no copay for contact lenses and a $0 to $153 copay for lenses, though other eye exam services, combined eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services See details
Dental Services are partially covered by AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS), featuring a $5,000 annual maximum with no copay and no coinsurance for preventive and diagnostic care. Medicare-covered dental services require no copay and 20% coinsurance, while covered comprehensive services have no copay and 50% coinsurance, though implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) with no copay, though prior authorization is required. Medicare Part B drugs, including chemotherapy, radiation, and insulin, are subject to no coinsurance to 20% coinsurance, with insulin specifically requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered under the AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
AARP Medicare Advantage Extras from UHC OH-12 (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 Extras from UHC OH-12 (HMO-POS) with prior authorization required. Lab services and diagnostic radiological services have no copay and no coinsurance, while diagnostic procedures and tests require a $50 copay with no coinsurance. Outpatient X-rays require a $25 copay and coinsurance, and therapeutic radiological services require a copay and 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered by AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) with no copay and no coinsurance, subject to prior authorization. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage Extras from UHC OH-12 (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, followed by a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare limit are not covered.
Other Services See details
AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture and other miscellaneous services are not covered, and prior authorization is required for the meal benefit.
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