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AARP Medicare Advantage from UHC OH-0014 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC OH-0014 (PPO). 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 OH-0014 (PPO) in 2025, please refer to our full plan details page.
AARP Medicare Advantage from UHC OH-0014 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Ohio. This plan received an overall rating of 3 out of 5 stars in 2025.
It's important to know that AARP Medicare Advantage from UHC OH-0014 (PPO) 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 OH-0014 (PPO).
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 OH-0014 (PPO), 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 $420.00 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 combined Maximum Out-Of-Pocket cost of $10100.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $10100.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 OH-0014 (PPO) plan offers an Enhanced Alternative drug benefit. Before your coverage begins, you must pay a $420 deductible. After your deductible is met, you will pay a copay for your prescriptions depending on the drug tier and pharmacy. For example, you will pay an $8 copay for a standard generic drug at a standard pharmacy. You pay nothing for drugs after your yearly out-of-pocket drug costs reach $2000.
Additional Benefits
The AARP Medicare Advantage from UHC OH-0014 (PPO) plan offers comprehensive coverage, including inpatient hospital stays with a copay, and outpatient services with varying copays. You'll find no copays for primary care, preventive services (like annual physical exams), vision exams, eyewear, and many dental services. Other benefits include ambulance, emergency, and home health services, as well as coverage for medical equipment and home infusion services.
Inpatient Hospital See details
The AARP Medicare Advantage from UHC OH-0014 (PPO) plan covers inpatient hospital stays, including acute and psychiatric care, with a $325 copay for days 1-5 and no copay for days 6-90. Additional days for inpatient hospital-acute care have no copay, while non-Medicare-covered stays and upgrades for inpatient hospital-acute are not covered.
Outpatient Services See details
Outpatient Services are covered, including outpatient hospital services with a copay between $0 and $325, and observation services with a $325 copay. Ambulatory Surgical Center (ASC) Services and Outpatient Blood Services have no copay, while individual outpatient substance abuse sessions have a copay between $0 and $25, and group sessions have a $15 copay.
Partial Hospitalization See details
Partial Hospitalization is covered by the AARP Medicare Advantage from UHC OH-0014 (PPO) plan. The copay for this benefit is $55. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by AARP Medicare Advantage from UHC OH-0014 (PPO). Ground and air ambulance services have a $275 copay, and there is no coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, including Worldwide Emergency Services, are covered under the AARP Medicare Advantage plan. For emergency services, there is a $125 copay with no coinsurance, and the copay is waived if admitted to the hospital within 24 hours. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
Primary Care See details
The AARP Medicare Advantage from UHC OH-0014 (PPO) plan covers primary care physician services with no copay. Chiropractic services have a $20 copay, while occupational therapy services have a copay between $0 and $25. Physician specialist services, mental health specialty services, podiatry services, other health care professional, psychiatric services, physical therapy, speech-language pathology services, and opioid treatment program services have varying copays. Additional telehealth benefits have no copay.
Preventive Services See details
Preventive Services are covered, including an annual physical exam with no copay. Additional preventive services are covered, including Fitness Benefit and Home and Bathroom Safety Devices and Modifications with no copay, while other services such as Health Education, In-Home Safety Assessment, and others are not covered.
Hearing Services See details
Hearing services include routine hearing exams with no copay, and prescription hearing aids with a copay between $199 and $1249. Fitting/evaluation for hearing aids, prescription hearing aids (inner ear, outer ear, and over the ear) are not covered. OTC hearing aids have a copay between $99 and $829.
Vision Services See details
Vision services include eye exams and eyewear. Eye exams have no copay, and routine eye exams are covered annually with no copay. Eyewear includes contact lenses, eyeglass lenses, and eyeglass frames, all with no copay, and contact lenses are unlimited, while eyeglass lenses and frames are limited. Eyeglass frames are covered every two years. The plan does not cover eyeglasses (lenses and frames) or upgrades.
Dental Services See details
Dental Services are covered, with services like oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, and other preventive dental services having no copay. Other Dental Services are covered with a $2,000 maximum benefit per year. Medicare Dental Services have a 20% coinsurance. Orthodontic Services are covered under Diagnostic and Preventive Dental (16b). Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Oral and Maxillofacial Surgery are covered with no copay, while Prosthodontics, removable and Prosthodontics, fixed have a 0% - 50% coinsurance. Implant Services and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with a $35 copay and 0% to 20% coinsurance, Medicare Part B Chemotherapy/Radiation Drugs with 0% to 20% coinsurance, and Other Medicare Part B Drugs with 0% to 20% coinsurance. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment, including Durable Medical Equipment (DME), Prosthetics, Medical Supplies, and Diabetic Equipment, is covered. DME has a 20% coinsurance and requires authorization, while Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including all diagnostic and radiological services. Diagnostic Procedures/Tests have a $50 copay, and Lab Services have no copay. Diagnostic Radiological Services have a copay of up to $130, Therapeutic Radiological Services have a copay of $80, and Outpatient X-Ray Services have a $25 copay.
Home Health Services See details
Home Health Services are covered under the AARP Medicare Advantage from UHC OH-0014 (PPO) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered under this plan.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the AARP Medicare Advantage from UHC OH-0014 (PPO) plan. The plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the AARP Medicare Advantage from UHC OH-0014 (PPO) plan, with prior authorization required. There is no copay for days 1-20, and a $203 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services benefits include coverage for over-the-counter items and meal benefits with no copay, but acupuncture, Dual Eligible SNPs, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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