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AARP Medicare Advantage Extras from UHC WI-19 (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 WI-19 (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 WI-19 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2026 to people living in Select Counties in Wisconsin. 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 WI-19 (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 WI-19 (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 WI-19 (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 $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 $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 WI-19 (HMO-POS) plan features an annual drug deductible of $600. For prescription drugs, Tier 1 preferred generics have no copay for a 1-month or 3-month supply at standard pharmacies and through mail order. Tier 2 generics cost a $12 copay for a 1-month supply at standard pharmacies, but you can save with no copay for a 3-month supply using preferred mail order. For higher-tier medications, Tier 3 preferred brands require a 15% coinsurance for both 1-month and 3-month supplies across standard pharmacies and mail order. Tier 4 non-preferred drugs carry a 37% coinsurance for a 1-month supply, while Tier 5 specialty drugs require a 26% coinsurance. These clear cost-sharing tiers help you estimate your out-of-pocket prescription expenses with this UHC HMO-POS plan.
Additional Benefits
The AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) plan offers comprehensive coverage with no copay and no coinsurance for primary care visits, telehealth, home health services, and preventive care. For more specialized medical needs, members pay no coinsurance and a copay of up to $55 for specialists, $130 for emergency services, and $550 per day for the first few days of inpatient hospital stays. Diagnostic services like lab tests and diagnostic radiology also feature no copay, while outpatient X-rays require a $30 copay. Additionally, the plan features robust dental, vision, and hearing benefits, including no copay for routine exams and preventive dental care, alongside a $300 eyewear allowance every two years. Prescription and over-the-counter hearing aids are covered with copays starting at $199, and durable medical equipment is available with no copay and a 20% coinsurance. Covered Medicare Part B drugs require no copay with up to 20% coinsurance, while over-the-counter items are fully covered with no copay and no coinsurance.
Inpatient Hospital See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) covers inpatient hospital services with no coinsurance, requiring a $550 copay for days 1 through 5 of acute stays and days 1 through 4 of psychiatric stays, with no copay for subsequent days. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric stay days are not covered.
Outpatient Services See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services at no copay. Outpatient hospital services have a copay of $0 to $550 (with a $550 daily copay for observation), while outpatient substance abuse services carry a copay of $0 to $25 depending on the session type.
Partial Hospitalization See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access this covered benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) covers Medicare-approved ground and air ambulance services with a $275 copay and no coinsurance, subject to prior authorization. Transportation services are not covered, including rides to plan-approved or any health-related locations.
Emergency Services See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay ranging from $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care and telehealth services are covered by the AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) with no copay and no coinsurance, while specialist and physical therapy visits require copays up to $55 and no coinsurance. Mental health, psychiatric, and podiatry services are also covered with copays up to $45 and no coinsurance, though routine chiropractic care is not covered.
Preventive Services See details
Preventive Services are partially covered by AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) with no copay and no coinsurance for covered services such as annual physical exams, fitness benefits, and diabetes training. However, several sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, weight management, and alternative therapies.
Hearing Services See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) partially covers hearing services, featuring one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. The plan also covers up to two prescription hearing aids per year with copays from $199.00 to $1,249.00 and up to two OTC hearing aids with copays from $199.00 to $829.00, both with no coinsurance, while inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
Vision services are partially covered under the AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) plan, featuring no deductibles, no coinsurance, and no copay for annual routine eye exams. Covered eyewear also has no coinsurance and a $0 copay—except for eyeglass lenses which have a $0 to $153 copay—up to a $300 limit every two years, though other eye exam services, bundled eyeglasses, and upgrades are not covered.
Dental Services See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) provides partially covered dental services up to a $3,000 annual maximum, though implant services and orthodontics are not covered. Under this plan, preventive and diagnostic services require no copay and no coinsurance, while Medicare-covered dental services have no copay and a 20% coinsurance, and covered comprehensive services have no copay and a 50% coinsurance.
Home Infusion bundled Services See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs feature no copay and range from no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) covers durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, though prior authorization is required for medical equipment and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) with prior authorization required. Diagnostic tests require a $50 copay with no coinsurance, outpatient X-rays have a $30 copay, therapeutic radiology has a 20% coinsurance, and both lab services and diagnostic radiology are offered with no copay.
Home Health Services See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) covers home health services with no copay and no coinsurance. Members should note that prior authorization is required to receive these covered services.
Cardiac Rehabilitation Services See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) covers cardiac rehabilitation services with no copay and no coinsurance, though 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
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement, though prior authorization is required. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS) partially covers other services, offering over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Prior authorization is required for the meal benefit, and acupuncture is not covered.
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