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AARP Medicare Advantage from UHC NH-1 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC NH-1 (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 NH-1 (HMO-POS) in 2026, please refer to our full plan details page.
This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.
AARP Medicare Advantage from UHC NH-1 (HMO-POS) is a HMO-POS plan offered by Unitedhealthcare of Wisconsin, Inc. available for the 2026 plan year to people living in Select Counties of New Hampshire. 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 NH-1 (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 NH-1 (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 NH-1 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $59.00. 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
Health deductible: information not available.
This plan has a $440.00 drug deductible that applies only to drugs in certain tiers. You pay this amount toward covered prescriptions in those tiers before the plan's cost sharing begins; drugs in the other tiers are not subject to the deductible. See the full plan details page for the tier table.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $6700.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $6700.00 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 from UHC NH-1 (HMO-POS) plan features an annual prescription drug deductible of $440. For Tier 1 preferred generic drugs, members pay no copay for a one-month or three-month supply at standard pharmacies and through mail order. Tier 2 generic medications cost a $12 copay for a one-month supply at standard pharmacies, but you can save with no copay on a three-month supply using preferred mail order. For higher-tier medications, costs are structured as coinsurance rather than flat copays. Tier 3 preferred brand drugs require a 16% coinsurance for both standard pharmacies and mail order options. Tier 4 non-preferred drugs carry a 40% coinsurance, and Tier 5 specialty drugs have a 28% coinsurance for a one-month supply.
Additional Benefits
The AARP Medicare Advantage from UHC NH-1 (HMO-POS) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care visits, telehealth, annual physicals, and home health services. For specialized care, members pay a $0 to $50 copay for specialists and a $485 daily copay for the first five days of acute inpatient hospital stays, with no coinsurance. Emergency care is covered with a $130 copay, which is waived upon hospital admission, while urgent care costs between $0 and $50. Routine vision and hearing exams are covered with no copay, though prescription hearing aids require copays ranging from $199 to $1,249. Medicare-covered dental, dialysis services, and durable medical equipment are covered with no copay but require a 20% coinsurance. Diagnostic laboratory services and cardiac rehabilitation are also covered with no copay and no coinsurance.
Inpatient Hospital See details
AARP Medicare Advantage from UHC NH-1 (HMO-POS) partially covers inpatient hospital services with no coinsurance, requiring a $485 daily copay for days 1 to 5 of acute stays (no copay for days 6 and beyond) and days 1 to 4 of psychiatric stays (no copay for days 5 to 90). Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC NH-1 (HMO-POS) covers outpatient services with no coinsurance, offering outpatient hospital services with copays ranging from no copay to $485. Ambulatory surgical center and blood services are covered with no copay and no coinsurance, while outpatient substance abuse sessions have no coinsurance and copays ranging from no copay to $25.
Partial Hospitalization See details
The AARP Medicare Advantage from UHC NH-1 (HMO-POS) plan covers partial hospitalization services with a $55 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC NH-1 (HMO-POS) covers ground and air ambulance services with a $275 copay and no coinsurance, subject to prior authorization. For transportation benefits, some services are covered but transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
Emergency services are covered by AARP Medicare Advantage from UHC NH-1 (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 require a $0 to $50 copay 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 NH-1 (HMO-POS) covers primary care and telehealth services with no copay and no coinsurance, while specialist visits require a $0 to $50 copay with no coinsurance. Therapy services require a $35 copay, mental health and psychiatric sessions range from a $0 to $25 copay, and podiatry costs a $45 copay, all with no coinsurance, while chiropractic services are not covered.
Preventive Services See details
Preventive Services are covered by AARP Medicare Advantage from UHC NH-1 (HMO-POS) with no copay and no coinsurance for annual physical exams, kidney disease education, fitness benefits, and select screenings. The benefit is partially covered, as health education, in-home safety assessments, PERS, medical nutrition therapy, 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, home safety devices, and counseling are not covered.
Hearing Services See details
AARP Medicare Advantage from UHC NH-1 (HMO-POS) hearing services are partially covered, offering one annual routine exam with no copay and no coinsurance, though fitting and evaluation services are not covered. Up to two prescription hearing aids per year are covered with a $199 to $1,249 copay and no coinsurance, and up to two OTC hearing aids are covered with a $199 to $829 copay and no coinsurance, though 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 from UHC NH-1 (HMO-POS), featuring no coinsurance and no copay for routine eye exams, while other eye exams, upgrades, and complete eyeglasses (lenses and frames) are not covered. Covered eyewear is subject to a $300 combined maximum every two years with no coinsurance, offering contact lenses and frames with no copay, and eyeglass lenses with a copay of $0 to $153.
Dental Services See details
AARP Medicare Advantage from UHC NH-1 (HMO-POS) covers Medicare-covered dental services with no copay and a 20% coinsurance, subject to prior authorization. The plan partially covers comprehensive dental services such as restorative, endodontics, periodontics, prosthodontics, and oral surgery, but does not cover preventive services (including oral exams, x-rays, cleanings, and fluoride), implants, or orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage from UHC NH-1 (HMO-POS) with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy, carry no copay and a coinsurance ranging from no coinsurance to 20%, while Part B insulin is covered with a $35 copay and a coinsurance of no coinsurance to 20%.
Dialysis Services See details
AARP Medicare Advantage from UHC NH-1 (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 from UHC NH-1 (HMO-POS) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are also covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC NH-1 (HMO-POS) covers diagnostic services with no coinsurance, featuring a $45 copay for outpatient procedures and no copay for lab services. Covered radiological services require a $30 copay (with coinsurance) for X-rays, copays starting at $0 for diagnostic radiology, and a minimum 20% coinsurance for therapeutic radiology. Prior authorization is required for both diagnostic and radiological services.
Home Health Services See details
Home health services are covered under the AARP Medicare Advantage from UHC NH-1 (HMO-POS) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under AARP Medicare Advantage from UHC NH-1 (HMO-POS) 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) services are not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC NH-1 (HMO-POS) covers Skilled Nursing Facility (SNF) services 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, a prior three-day hospital stay is not required, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
AARP Medicare Advantage from UHC NH-1 (HMO-POS) partially covers other services, offering a chronic illness meal benefit with no copay and no coinsurance, though prior authorization is required. Other supplemental services, including acupuncture and over-the-counter (OTC) items, are not covered under this benefit.
Plan Providers
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
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* 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.
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