A non-government entity
AARP Medicare Advantage from UHC RI-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 RI-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 RI-0001 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of Rhode Island. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage from UHC RI-0001 (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 from UHC RI-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 RI-0001 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $35.00. 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 $355.00 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 $4500.00 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 from UHC RI-0001 (HMO-POS)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The AARP Medicare Advantage from UHC RI-0001 (HMO-POS) plan features an annual prescription drug deductible of $355. Under this plan, members pay no copay for Tier 1 preferred generic and Tier 2 generic drugs filled at standard pharmacies for 1-month and 3-month supplies, as well as standard 3-month mail order supplies. For brand-name and specialty medications, costs are determined by coinsurance percentages during the initial coverage phase. Tier 3 preferred brand drugs require a 20% coinsurance, while Tier 4 non-preferred drugs carry a 40% coinsurance and Tier 5 specialty drugs require a 29% coinsurance for standard 1-month fills.
Additional Benefits
The AARP Medicare Advantage from UHC RI-0001 (HMO-POS) plan offers comprehensive medical coverage with no copay or coinsurance for primary care visits, telehealth, and preventive care. For hospital stays, members pay no coinsurance and a $345 daily copay for the first six days of inpatient care, while outpatient hospital services range from no copay up to a $345 copay. Emergency room visits carry a $130 copay, which is waived if admitted, while urgent care services feature a copay of up to $50. This plan also includes strong routine benefits, featuring no copay for annual eye exams, contact lenses, and preventive dental care up to a $2,000 annual limit. Routine hearing exams are also available with no copay, though prescription hearing aids require copays ranging from $199 to $1,249. Additionally, home health services and cardiac rehabilitation are covered with no copay, while durable medical equipment and dialysis require a 20% coinsurance.
Inpatient Hospital See details
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) covers inpatient hospital stays with no coinsurance, requiring prior authorization and a $345 daily copay for days 1 through 6, with no copay for days 7 through 90. Unlimited additional acute hospital days are covered with no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) covers outpatient services with no coinsurance, featuring no copays for ambulatory surgical center and outpatient blood services. Outpatient hospital services carry a copay of $0 to $345, while outpatient substance abuse individual and group sessions require copays ranging from $0 to $25.
Partial Hospitalization See details
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) covers ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. While some transportation services are covered, trips to plan-approved health-related locations and any other health-related locations are not covered.
Emergency Services See details
Emergency services are covered by AARP Medicare Advantage from UHC RI-0001 (HMO-POS) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) covers primary care and telehealth services with no copay and no coinsurance. Specialist, therapy, and mental health services require copays ranging from $0 to $30 and no coinsurance, while chiropractic care is partially covered with a $15 copay and no coinsurance, excluding routine services.
Preventive Services See details
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) provides partially covered preventive services with no copay and no coinsurance for covered care, including annual physicals, kidney disease education, and diabetes self-management training. However, several additional services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, weight management, alternative therapies, therapeutic massage, adult day health, and counseling.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC RI-0001 (HMO-POS), offering routine hearing exams with no copay and no coinsurance, though hearing aid fitting and evaluations are not covered. Prescription and OTC hearing aids are covered with no coinsurance and copays ranging from $199.00 to $1,249.00, but inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) provides partially covered vision services with no coinsurance, including one routine eye exam annually and contact lenses with no copay. Eyeglass frames are covered with no copay and lenses carry a $0 to $153 copay up to a $300 combined limit every two years, while other eye exams, upgrades, and packaged eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC RI-0001 (HMO-POS), as implant services and orthodontics are not covered. Preventive dental care features no copay and no coinsurance up to a $2,000 yearly limit, while Medicare-covered services require no copay and a 20% coinsurance, and covered comprehensive services require no copay and a 50% coinsurance.
Home Infusion bundled Services See details
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, insulin, and other drugs have no coinsurance up to 20% coinsurance, with insulin also carrying a $35 copay.
Dialysis Services See details
Dialysis Services are covered by AARP Medicare Advantage from UHC RI-0001 (HMO-POS) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered under AARP Medicare Advantage from UHC RI-0001 (HMO-POS), with durable medical equipment, prosthetics, and medical supplies requiring no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes or inserts require a 20% coinsurance.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) covers diagnostic and radiological services, though prior authorization is required. Diagnostic tests carry a $50 copay with no coinsurance, while lab services and diagnostic radiology are offered with no copay and no coinsurance. Outpatient X-rays require a $30 copay alongside coinsurance, and therapeutic radiological services have a minimum 20% coinsurance.
Home Health Services See details
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) covers home health services with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by AARP Medicare Advantage from UHC RI-0001 (HMO-POS) with no copay and no coinsurance, and prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by AARP Medicare Advantage from UHC RI-0001 (HMO-POS) with no coinsurance and no prior three-day hospital stay required. You will pay no copay for days 1 to 20 and a $218 daily copay for days 21 to 100, with prior authorization required and no coverage for additional days beyond the Medicare limit.
Other Services See details
AARP Medicare Advantage from UHC RI-0001 (HMO-POS) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan, and prior authorization is required for the meal benefit.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved