A non-government entity
AARP Medicare Advantage from UHC OK-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 OK-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 OK-0001 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC OK-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 Oklahoma. 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 OK-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 OK-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 OK-0001 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $36.00. 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 $4200.00 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 OK-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 OK-0001 (HMO-POS) plan features an annual drug deductible of $355. For Tier 1 preferred generic drugs, members pay no copay for 1-month or 3-month supplies at standard pharmacies and through mail order. Tier 2 generic drugs have a low $5 copay for a 1-month supply at standard pharmacies, and no copay for a 3-month supply when using preferred mail order. Higher-tier prescription drugs are subject to coinsurance rather than flat copays. Tier 3 preferred brand drugs require a 21% coinsurance for both standard pharmacies and mail order options. Tier 4 non-preferred drugs require a 41% coinsurance, while Tier 5 specialty drugs require a 29% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage from UHC OK-0001 (HMO-POS) plan offers robust medical coverage featuring no copay for primary care visits, preventive services, and home health care. For hospital stays, members pay a $325 daily copay for the first 6 days of inpatient care and no copay for days 7 through 90. Emergency room visits require a $150 copay, which is waived if admitted, while specialist visits range from no copay to a $40 copay. Dental and vision benefits are highly accessible, offering no copay for routine care, a $4,000 annual limit on preventive dental services, and a $300 eyewear allowance every two years. Routine hearing exams also require no copay, with hearing aids covered at fixed copays starting at $199. Diagnostic lab work and over-the-counter items are available with no copay, while durable medical equipment and dialysis services require a 20% coinsurance.
Inpatient Hospital See details
Inpatient Hospital services are partially covered by AARP Medicare Advantage from UHC OK-0001 (HMO-POS) with no coinsurance, requiring a $325 daily copay for days 1 through 6 and no copay for days 7 through 90 for acute and psychiatric stays. Unlimited additional acute days have no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC OK-0001 (HMO-POS) covers outpatient services with no coinsurance, featuring a $0 to $325 copay for outpatient hospital services and a $325 daily copay for observation services. Ambulatory surgical center and outpatient blood services require no copay or coinsurance, while outpatient substance abuse sessions range from no copay up to a $25 copay.
Partial Hospitalization See details
Partial hospitalization is covered by AARP Medicare Advantage from UHC OK-0001 (HMO-POS) with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC OK-0001 (HMO-POS) covers ground and air ambulance services with a $290 copay and no coinsurance, though prior authorization is required, while routine transportation services are not covered.
Emergency Services See details
AARP Medicare Advantage from UHC OK-0001 (HMO-POS) covers emergency services with a $150 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 $65 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
AARP Medicare Advantage from UHC OK-0001 (HMO-POS) covers primary care and telehealth visits with no copay and no coinsurance, while specialist visits range from a $0 to $40 copay with no coinsurance. Physical, occupational, and speech therapies require a $30 copay and no coinsurance, and some chiropractic services are covered, though routine chiropractic care and other chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by AARP Medicare Advantage from UHC OK-0001 (HMO-POS) with no copay and no coinsurance for covered options such as annual physicals, kidney education, and fitness benefits. Non-covered services include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC OK-0001 (HMO-POS), including one annual routine hearing exam with no copay and no coinsurance, though hearing aid fitting and evaluation is not covered. Prescription and over-the-counter hearing aids are covered up to two per year with no coinsurance and copays ranging from $199 to $1,249 and $199 to $829 respectively, but inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
AARP Medicare Advantage from UHC OK-0001 (HMO-POS) partially covers vision services with no deductible, no coinsurance, and no copay for routine eye exams and select eyewear, up to a $300 limit every two years. Other eye exams, combined eyeglasses (lenses and frames), and upgrades are not covered, and eyeglass lenses have a copay ranging from $0 to $153.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC OK-0001 (HMO-POS), featuring up to a $4,000 annual limit with no copay and no coinsurance for preventive care. Medicare-covered dental services require no copay and a 20% coinsurance, while covered comprehensive services require no copay and a 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 from UHC OK-0001 (HMO-POS) with no copay, though prior authorization and step therapy are required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have 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
Dialysis Services are covered by AARP Medicare Advantage from UHC OK-0001 (HMO-POS) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
AARP Medicare Advantage from UHC OK-0001 (HMO-POS) covers durable medical equipment (DME), prosthetics, and medical supplies with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and while diabetic supplies have no copay from specified manufacturers, diabetic therapeutic shoes and inserts carry a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage from UHC OK-0001 (HMO-POS) with no coinsurance, though prior authorization is required. Lab services and diagnostic radiological services feature no copay, while outpatient x-rays carry a $5 copay, diagnostic procedures and tests cost $10, and therapeutic radiological services require a minimum copay of $50.
Home Health Services See details
Home Health Services are covered by AARP Medicare Advantage from UHC OK-0001 (HMO-POS) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered with no copay and no coinsurance under AARP Medicare Advantage from UHC OK-0001 (HMO-POS), though prior authorization is required. In practice, some services are covered, but 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) services are partially covered by AARP Medicare Advantage from UHC OK-0001 (HMO-POS) with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
AARP Medicare Advantage from UHC OK-0001 (HMO-POS) partially covers other services, offering over-the-counter (OTC) items and 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