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AARP Medicare Advantage from UHC MS-0001 (HMO-POS)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC MS-0001 (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 from UHC MS-0001 (HMO-POS) in 2025, please refer to our full plan details page.

AARP Medicare Advantage from UHC MS-0001 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Mississippi. This plan received an overall rating of 4 out of 5 stars in 2025.

It's important to know that AARP Medicare Advantage from UHC MS-0001 (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 from UHC MS-0001 (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 from UHC MS-0001 (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 $255.00 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 $5900.00 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 $0.00 and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of $0.00 - $25.00 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 $90.00 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 $0.00 - $30.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for AARP Medicare Advantage from UHC MS-0001 (HMO-POS)

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Drug Coverage IconDrug Coverage

The AARP Medicare Advantage from UHC MS-0001 (HMO-POS) plan has an "Enhanced Alternative" drug benefit. The plan has a $255 deductible. In the initial coverage phase, you'll pay a $0 copay for Standard Generic drugs at a standard pharmacy. You will pay $47 copay for Standard Generic drugs, $100 copay for Preferred Brand drugs, and 30% coinsurance for Non-Preferred drugs. Once your total drug costs reach $2000, you enter the Catastrophic Coverage Phase and pay nothing for your drugs.

Additional Benefits IconAdditional Benefits

The AARP Medicare Advantage from UHC MS-0001 (HMO-POS) plan offers comprehensive coverage with varying costs. Inpatient hospital stays have a $275 copay for the first six days, while outpatient services have copays ranging from $0 to $275. This plan includes no copay for primary care, preventive services, and home health services. It also covers hearing exams, vision exams, and many dental services with no copay.

Inpatient Hospital See details

Inpatient Hospital benefits include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services. For Inpatient Hospital-Acute, you pay a $275 copay for days 1-6, and no copay for days 7-90, and no coinsurance. Additional days for Inpatient Hospital-Acute have no copay or coinsurance. For Inpatient Hospital Psychiatric, you pay a $275 copay for days 1-6, and no copay for days 7-90, and no coinsurance. 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 are covered, including outpatient hospital services, observation services, ambulatory surgical center (ASC) services, outpatient substance abuse services, and outpatient blood services. Outpatient Hospital Services have a copay between $0 and $275, Observation Services have a $275 copay, and Ambulatory Surgical Center (ASC) Services have no copay. Individual Sessions for Outpatient Substance Abuse have a copay between $0 and $25, while Group Sessions have a $15 copay, and Outpatient Blood Services have no copay.

Partial Hospitalization See details

Partial Hospitalization is covered under this plan, but requires prior authorization. The copay for this benefit is $55.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are covered by AARP Medicare Advantage from UHC MS-0001 (HMO-POS). Ground and air ambulance services have a $120 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 under the AARP Medicare Advantage from UHC MS-0001 (HMO-POS) plan. Emergency Services have a $90 copay, while Urgently Needed Services have a copay between $0 and $30. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.

Primary Care See details

The AARP Medicare Advantage from UHC MS-0001 (HMO-POS) plan offers primary care services with no copay. Chiropractic services have a $20 copay, but routine care is not covered. Occupational therapy services have a copay between $0 and $15. Specialist and mental health services have copays that range from $0 to $25, while group mental health sessions have a $15 copay. Podiatry services and other health care professionals have copays of $25, and individual psychiatric sessions have a copay between $0 and $25, while group sessions have a $15 copay. Physical therapy and speech-language pathology services have a copay between $0 and $15. Additional telehealth benefits have no copay, and Opioid Treatment Program Services have no copay.

Preventive Services See details

Preventive services are covered, including an annual physical exam with no copay. Additional preventive services, including Fitness Benefit and Home and Bathroom Safety Devices and Modifications, are covered. The plan does not cover health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, 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 benefits, 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, and counseling services.

Hearing Services See details

The AARP Medicare Advantage from UHC MS-0001 (HMO-POS) plan covers hearing exams with no copay, and routine hearing exams with no copay for one visit per year. Prescription hearing aids are covered with a copay between $199 and $1249 for two hearing aids per year, and OTC hearing aids are covered with a copay between $99 and $829 for two hearing aids per year. Fitting/Evaluation for Hearing Aid, Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, and Prescription Hearing Aids - Over the Ear are not covered.

Vision Services See details

Vision services include eye exams and eyewear. Eye exams have no copay, and routine eye exams are covered annually. Eyewear has no copay, but eyeglass lenses may have a copay of $0-$153, and eyeglass frames, and contact lenses are covered.

Dental Services See details

Dental services are covered, with a 20% coinsurance for Medicare dental services. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, and oral and maxillofacial surgery are covered with no copay, while prosthodontics (removable and fixed) have a coinsurance between 0% and 50%. Implant services and orthodontics are not covered.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered, but require prior authorization. The plan covers Medicare Part B Insulin Drugs with a $35 copay and coinsurance between 0% and 20%, and covers Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs with coinsurance between 0% and 20%.

Dialysis Services See details

Dialysis Services are covered by the AARP Medicare Advantage from UHC MS-0001 (HMO-POS) plan and require prior authorization. The coinsurance for dialysis services is 20%.

Medical Equipment See details

Medical Equipment is covered, including Durable Medical Equipment (DME) with 20% coinsurance and Prosthetics/Medical Supplies with 20% coinsurance; Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.

Diagnostic and Radiological Services See details

Diagnostic and Radiological Services are covered, with prior authorization required. Diagnostic Procedures/Tests have a $20 copay, and Lab Services have no copay. Diagnostic Radiological Services have a copay of at most $140, Therapeutic Radiological Services have at most 20% coinsurance, and Outpatient X-Ray Services have a $15 copay.

Home Health Services See details

Home Health Services are covered under the AARP Medicare Advantage from UHC MS-0001 (HMO-POS) plan with no copay and no coinsurance. Additional hours of care and personal care services are not covered.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are covered, but all sub-services including Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered. Prior authorization is required.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered under the AARP Medicare Advantage from UHC MS-0001 (HMO-POS) plan, with a $0 copay for days 1-20 and a $203 copay per day for days 21-100, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered. Prior authorization is required.

Other Services See details

The AARP Medicare Advantage from UHC MS-0001 (HMO-POS) plan covers Over-the-Counter (OTC) Items and Meal Benefits with no copay. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.

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