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AARP Medicare Advantage from UHC SC-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 SC-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 SC-0006 (HMO-POS) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC SC-0006 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of South Carolina. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that AARP Medicare Advantage from UHC SC-0006 (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 SC-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 SC-0006 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $45.00. 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 $440.00 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 from UHC SC-0006 (HMO-POS) plan has an annual prescription drug deductible of $440. For Tier 1 preferred generic drugs, members pay no copay for 1-month or 3-month fills at standard pharmacies and mail-order services. Tier 2 generic medications cost an $8 copay for a 1-month supply at standard pharmacies, while a 3-month supply has no copay when using preferred mail order. For brand-name and specialty medications, costs are based on coinsurance percentages rather than flat copays. Tier 3 preferred brand drugs carry a 16% coinsurance for both 1-month and 3-month supplies. Tier 4 non-preferred drugs require a 41% coinsurance and Tier 5 specialty drugs require a 28% coinsurance for a 1-month supply across standard pharmacies and mail-order options.
Additional Benefits
The AARP Medicare Advantage from UHC SC-0006 (HMO-POS) plan offers comprehensive medical coverage featuring no copays for primary care visits, telehealth services, and annual preventive physicals. For hospital stays, members pay a daily copay for the first few days of inpatient care and skilled nursing facility stays, after which there is no copay. Emergency room visits require a $130 copay, which is waived upon hospital admission, while outpatient surgical services are available with no copay. This plan also provides robust supplemental benefits, including a $3,000 annual dental maximum with no copay for preventive dental care. Members enjoy routine vision and hearing exams with no copay, alongside coverage for eyewear and hearing aids. Durable medical equipment, diabetic supplies, and dialysis services are covered, typically requiring a twenty percent coinsurance and no copay.
Inpatient Hospital See details
AARP Medicare Advantage from UHC SC-0006 (HMO-POS) covers inpatient hospital services with no coinsurance, requiring a $395 daily copay for days 1 through 6 of acute stays (with no copay for days 7 and beyond) and a $395 daily copay for days 1 through 5 of psychiatric stays (with no copay for days 6 through 90). This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
AARP Medicare Advantage from UHC SC-0006 (HMO-POS) covers outpatient services with no coinsurance, though prior authorization is required for most services. You will pay no copay for ambulatory surgical center and blood services, a $0 to $395 copay for outpatient hospital and observation services, and a $0 to $25 copay for outpatient substance abuse sessions.
Partial Hospitalization See details
The AARP Medicare Advantage from UHC SC-0006 (HMO-POS) plan covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this covered benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services through AARP Medicare Advantage from UHC SC-0006 (HMO-POS) cover both ground and air ambulance services with a $275 copayment and no coinsurance, subject to prior authorization. Non-emergency transportation services to plan-approved or health-related locations are not covered under this plan.
Emergency Services See details
Emergency Services are covered by AARP Medicare Advantage from UHC SC-0006 (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 no copay 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 benefits under the AARP Medicare Advantage from UHC SC-0006 (HMO-POS) plan are covered with no coinsurance, offering no copays for primary care, telehealth, and opioid treatment. Other services like specialist visits, therapies, podiatry, and mental health require copays between $0 and $35 with no coinsurance, and while some chiropractic services are covered, routine and other chiropractic services are not.
Preventive Services See details
AARP Medicare Advantage from UHC SC-0006 (HMO-POS) partially covers preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, fitness benefits, and diabetes training. However, several supplemental benefits are not covered, such as health education, in-home safety assessments, personal emergency response systems, nutritional benefits, and weight management programs.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC SC-0006 (HMO-POS), offering one routine hearing exam annually with no copay and no coinsurance, though fitting and evaluation exams are not covered. Up to two prescription and OTC hearing aids are covered per year with no coinsurance and copays ranging from $199 to $1,249 and $199 to $829 respectively, though prescription hearing aids for the inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage from UHC SC-0006 (HMO-POS), offering one annual routine eye exam with no copay or coinsurance, while other eye exam services are not covered. Covered eyewear features no coinsurance and a $200 limit every two years, with no copay for contacts and frames and a $0 to $153 copay for lenses, though upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC SC-0006 (HMO-POS), featuring a $3,000 annual maximum benefit. Preventive services have no copay and no coinsurance, comprehensive services have no copay and 50% coinsurance, and Medicare-covered dental has no copay and 20% coinsurance; implant services and orthodontics are not covered.
Home Infusion bundled Services See details
AARP Medicare Advantage from UHC SC-0006 (HMO-POS) covers home infusion bundled services with no copay, subject to prior authorization. Under this benefit, Medicare Part B drugs, including chemotherapy and radiation, require no coinsurance to 20% coinsurance, while insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
AARP Medicare Advantage from UHC SC-0006 (HMO-POS) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
AARP Medicare Advantage from UHC SC-0006 (HMO-POS) covers durable medical equipment, prosthetic devices, medical supplies, and diabetic therapeutic shoes with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, and prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by the AARP Medicare Advantage from UHC SC-0006 (HMO-POS) plan, with prior authorization required. Lab services and diagnostic radiological services feature no copay and no coinsurance, while diagnostic tests require a $50 copay with no coinsurance, outpatient X-rays require a $30 copay, and therapeutic radiological services incur a 20% coinsurance.
Home Health Services See details
Home health services are covered by AARP Medicare Advantage from UHC SC-0006 (HMO-POS) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage from UHC SC-0006 (HMO-POS) plan, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC SC-0006 (HMO-POS) covers skilled nursing facility (SNF) care with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and additional days beyond the 100-day limit are not covered.
Other Services See details
AARP Medicare Advantage from UHC SC-0006 (HMO-POS) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for the meal benefit, while acupuncture and other additional services are not covered.
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