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AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage Giveback from UHC OH-17 (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 Giveback from UHC OH-17 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of Ohio. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage Giveback from UHC OH-17 (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 Giveback from UHC OH-17 (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 Giveback from UHC OH-17 (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. Additionally, this plan comes with a Part B Premium reduction of $55.00. You must continue to pay paying your reduced 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 $600.00 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 $8500.00 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 Giveback from UHC OH-17 (HMO-POS) plan features an annual prescription drug deductible of $600. For Tier 1 preferred generic drugs, members pay no copay for a 1-month or 3-month supply at standard pharmacies and through mail order. Tier 2 generic drugs have a $14 copay for a 1-month supply at standard pharmacies, though a 3-month supply has no copay when using preferred mail order. Tier 3 preferred brand drugs require a 17% coinsurance across standard pharmacies and mail-order options. For higher-tier medications, Tier 4 non-preferred drugs incur a 30% coinsurance, while Tier 5 specialty drugs carry a 26% coinsurance for a 1-month supply. These tier-based copays and coinsurance rates determine your out-of-pocket prescription costs after meeting the annual deductible.
Additional Benefits
The AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) plan offers strong coverage for essential medical needs, featuring no copay and no coinsurance for primary care visits, annual physicals, and home health services. Specialist visits require a copay of up to $55 with no coinsurance, while inpatient hospital stays charge a $485 copay for the first few days and no copay for subsequent days. Emergency room visits carry a $115 copay that is waived if you are admitted, and urgent care visits require a copay of up to $40. For ancillary care, members benefit from no copay and no coinsurance on routine dental, vision, and hearing exams, though comprehensive dental services are excluded. Eyewear is covered up to a $150 limit every two years with no copay for frames, while hearing aids require copays starting at $199 with no coinsurance. Additionally, skilled nursing facility stays feature no copay for the first 20 days, whereas durable medical equipment and dialysis require a 20% coinsurance with no copay.
Inpatient Hospital See details
AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) partially covers inpatient hospital services with no coinsurance, requiring a $485 copay for days 1-5 of acute stays (no copay for days 6 and beyond) and days 1-4 of psychiatric stays (no copay for days 5-90). Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) covers outpatient hospital services with no coinsurance and copays ranging from $0 to $485, alongside observation services at a $485 daily copay. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse services have no coinsurance and copays of $0 to $25 for individual sessions or $15 for group sessions.
Partial Hospitalization See details
AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) covers ground and air ambulance services with a $270 copay and no coinsurance, requiring prior authorization. For transportation services, some services are covered, but trips to plan-approved or any other health-related locations are not covered.
Emergency Services See details
AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $40 with no coinsurance, and worldwide emergency, urgent, and transportation services are covered with no copays or coinsurance.
Primary Care See details
Primary care services under the AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) feature no copay and no coinsurance for primary care doctor visits and telehealth, while specialist visits require a $0 to $55 copay and no coinsurance. Physical, occupational, and speech therapies have copays of $35 to $55 with no coinsurance, whereas chiropractic services are not covered.
Preventive Services See details
AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) covers preventive services, including annual physical exams, fitness benefits, kidney education, glaucoma screenings, diabetes self-management, digital rectal exams, and post-welcome visit EKGs, with no copay and no coinsurance. These benefits are only partially covered, as the plan excludes health education, in-home safety assessments, personal emergency response systems (PERS), 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, palliative care, in-home support, caregiver support, smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, home modifications, and counseling services.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS), featuring one routine hearing exam per year with no copay and no coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids have a $199 to $1,249 copay and OTC hearing aids have a $199 to $829 copay, both with no coinsurance for up to two devices yearly, but inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision Services are partially covered by AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS), featuring one routine eye exam per year with no copay or coinsurance, though other eye exams are not covered. Eyewear benefits are also partially covered with no coinsurance and a $150 limit every two years, offering contact lenses and frames with no copay, eyeglass lenses with a $0 to $153 copay, and no coverage for upgrades or combined eyeglasses.
Dental Services See details
Dental services are partially covered by the AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) plan, which offers preventive care like cleanings, exams, and x-rays with no copay and no coinsurance, and Medicare-covered dental with no copay and a 20% coinsurance. However, comprehensive services such as restorative treatments, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs feature no copay and no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required before receiving these covered services.
Medical Equipment See details
Medical equipment is covered by AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS), including durable medical equipment, prosthetics, and medical supplies which all feature no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic shoes and inserts carry a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) covers diagnostic and radiological services with prior authorization, offering lab services with no copay or coinsurance and diagnostic tests for a $50 copay. Outpatient X-rays require a $30 copay plus coinsurance, diagnostic radiological services have a $0 minimum copay, and therapeutic radiological services carry a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by the AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by the AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) with no copay and no coinsurance, but some services are not covered. Specifically, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) are not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) covers Skilled Nursing Facility (SNF) care with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. You will pay no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the standard 100 days are not covered.
Other Services See details
Other Services are partially covered by AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS), offering a chronic illness meal benefit with no copay, no coinsurance, and prior authorization required. Acupuncture and over-the-counter (OTC) items are 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.
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