AARP Medicare Advantage from UHC GA-0006 (HMO-POS)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC GA-0006 (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 GA-0006 (HMO-POS) in 2025, please refer to our full plan details page.

This summary reflects 2025 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 GA-0006 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for the 2025 plan year to people living in Select Counties in Georgia. 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 GA-0006 (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 GA-0006 (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 GA-0006 (HMO-POS), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $47.00. 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 $420.00 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 $5400.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $5400.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.

This plan has a Maximum Out-Of-Pocket cost of $10100.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $10100.00 for out-of-network covered services, the plan will pay 100% of out-of-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 - $30.00 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 $125.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care are covered and will have a copay of $0.00 - $55.00 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 GA-0006 (HMO-POS)

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Drug Coverage IconDrug Coverage

The AARP Medicare Advantage from UHC GA-0006 (HMO-POS) plan has a $420 deductible for prescription drugs. After the deductible is met, you'll pay a copay or coinsurance for your prescriptions depending on the drug tier and pharmacy. For preferred generic drugs, there is no copay, while standard generic drugs have a $47 copay. Preferred and standard brand drugs have a $100 copay. Non-preferred drugs have a 28% coinsurance. Once your yearly out-of-pocket drug costs reach $2000, you pay nothing for Part D covered drugs.

Additional Benefits IconAdditional Benefits

The AARP Medicare Advantage from UHC GA-0006 (HMO-POS) plan offers comprehensive coverage with a variety of benefits. It includes no copay for primary care, preventive services, hearing exams, eye exams, and many dental services. This plan features cost-sharing for inpatient hospital stays, outpatient services, emergency services, specialist visits, and other services. It also provides coverage for hearing aids, eyewear, home health services, and medical equipment, with varying copays and coinsurance amounts depending on the service.

Inpatient Hospital See details

Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services. For Inpatient Hospital-Acute, you pay a $330 copay for days 1-5, and no copay for days 6-90, with no coinsurance; additional days 91-999 have no copay. Inpatient Hospital Psychiatric has the same cost structure as Inpatient Hospital-Acute. 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 include coverage for all outpatient hospital services with a copay between $0 and $330, observation services with a $330 copay, ambulatory surgical center services with no copay, and outpatient substance abuse services with a copay between $0 and $25 for individual sessions, and a $15 copay for group sessions. Outpatient blood services are also covered with no copay.

Partial Hospitalization See details

Partial Hospitalization is covered by this plan, with a $55 copay. Prior authorization is required.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are covered, with a $290 copay for both ground and air ambulance services, and no coinsurance. Transportation Services to any health-related location are not covered.

Emergency Services See details

Emergency Services, including Urgently Needed Services and Worldwide Emergency Services, are covered by this plan. Emergency Services have a $125 copay, and Urgently Needed Services have a copay between $0 and $55, while Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay.

Primary Care See details

Primary Care from AARP Medicare Advantage from UHC GA-0006 (HMO-POS) covers primary care physician services with no copay, chiropractic services with a $20 copay, and occupational therapy services with a copay between $0 and $20. The plan also covers physician specialist services with a copay between $0 and $30, mental health specialty services, podiatry services with a $30 copay, other health care professional services, psychiatric services, physical therapy and speech-language pathology services with a copay between $0 and $20, additional telehealth benefits with no copay, and opioid treatment program services with no copay. Routine chiropractic care is not covered.

Preventive Services See details

Preventive Services include coverage for Medicare-covered services with no copay, and annual physical exams with no copay. Additional preventive services are covered, with no copay for Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit. Other services such as Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), 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 Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, and Enhanced Disease Management are not covered.

Hearing Services See details

Hearing services include hearing exams, prescription hearing aids, and OTC hearing aids. Hearing exams have no copay, and routine hearing exams are limited to 1 per year. Prescription hearing aids have a copay between $199 and $1249, limited to 2 per year, and OTC hearing aids have a copay between $99 and $829, limited to 2 per year.

Vision Services See details

Vision services include eye exams and eyewear. Eye exams have no copay, including routine eye exams once per year. Eyewear is covered with no copay for contact lenses, and eyeglass frames, but eyeglass lenses may have a copay between $0 and $153, and frames are available every two years. Eyeglasses (lenses and frames) and upgrades are not covered.

Dental Services See details

AARP Medicare Advantage from UHC GA-0006 (HMO-POS) covers dental services, including oral exams, dental x-rays, other diagnostic services, prophylaxis (cleaning), fluoride treatment, and other preventive services with no copay, but with limited visits and varying periodicity. Restorative services, endodontics, periodontics, maxillofacial prosthetics, and oral/maxillofacial surgery are covered with no copay, but with limited visits and varying periodicity, while prosthodontics (removable and fixed) has a coinsurance of 0-50%. Implant services and orthodontics are not covered.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.

Dialysis Services See details

Dialysis Services are covered by the AARP Medicare Advantage from UHC GA-0006 (HMO-POS) plan, but require prior authorization. The coinsurance for dialysis services is 20%.

Medical Equipment See details

Medical Equipment, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment, is covered by the AARP Medicare Advantage from UHC GA-0006 (HMO-POS) plan. DME has a 20% coinsurance and requires authorization, while Durable Medical Equipment for use outside the home is not covered. Prosthetic devices and medical supplies have a 20% coinsurance, and Diabetic Supplies have no copay, while Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.

Diagnostic and Radiological Services See details

Diagnostic and Radiological Services are covered, with a $50 copay for Diagnostic Procedures/Tests, and a $0 copay for Lab Services. Diagnostic Radiological Services have a copay of up to $250, while Therapeutic Radiological Services have a coinsurance of at least 20%. Outpatient X-Ray Services have a $25 copay.

Home Health Services See details

Home Health Services are covered by AARP Medicare Advantage from UHC GA-0006 (HMO-POS) 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 the specific services of Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered. Prior authorization is required, and there is a copay for some services.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered with prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $203. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.

Other Services See details

Other services include coverage for Over-the-Counter (OTC) items and a Meal Benefit, with no copay for either; however, acupuncture, Dual Eligible SNPs with Highly Integrated Services, and several other services are not covered. Over-the-counter items include nicotine replacement therapy and naloxone coverage.

Plan Providers IconPlan 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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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.

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