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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 2026, 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 3.5 out of 5 stars in 2026.
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 $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
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $520.00 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 has an annual prescription drug deductible of $520. Tier 1 preferred generic drugs are highly affordable, offering no copay for 1-month and 3-month supplies at standard pharmacies and through mail order. Tier 2 generic drugs carry a $12 copay for a 1-month supply at standard pharmacies, but you can secure a 3-month supply with no copay when using preferred mail order. For brand-name and specialty medications, costs are calculated as a percentage of the drug's price. Tier 3 preferred brand drugs require a 15% coinsurance for both 1-month and 3-month supplies. Tier 4 non-preferred drugs and Tier 5 specialty drugs require a 39% coinsurance and 27% coinsurance, respectively, for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage from UHC OH-0014 (PPO) plan offers robust coverage for essential medical services, featuring no copays or coinsurance for primary care visits, telehealth, annual physicals, and home health services. For hospital care, inpatient stays require a $375 daily copay for the first six days and no copay thereafter, while outpatient hospital services range from no copay up to $375 with no coinsurance. Emergency care is available with a $130 copay, which is waived upon admission, and worldwide emergency services are fully covered with no copay or coinsurance. This plan also includes valuable supplemental benefits, such as routine hearing and vision exams with no copays, alongside coverage for eyewear and hearing aids. Preventive dental care is covered with no copay or coinsurance up to a $1,000 annual limit, while comprehensive dental services require a 50% coinsurance with no copay. Additionally, diagnostic lab tests, cardiac rehabilitation, and diabetic supplies are covered with no copay, helping you manage your health costs effectively.
Inpatient Hospital See details
AARP Medicare Advantage from UHC OH-0014 (PPO) covers inpatient hospital services with no coinsurance, requiring a $375 daily copay for days 1-6 and no copay for days 7-90 for both acute and psychiatric stays. While acute care includes unlimited additional days with no copay, psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient Services are covered by AARP Medicare Advantage from UHC OH-0014 (PPO) with no coinsurance, featuring copays ranging from $0 to $375 for outpatient hospital services and a $375 daily copay for observation services. There is no copay or coinsurance for ambulatory surgical center and outpatient blood services, while outpatient substance abuse services carry no coinsurance and copays ranging from $0 to $25 per session.
Partial Hospitalization See details
Partial hospitalization services are covered by AARP Medicare Advantage from UHC OH-0014 (PPO) with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC OH-0014 (PPO) covers ground and air ambulance services with a $275 copay and no coinsurance, subject to prior authorization. Routine transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Emergency services are covered by AARP Medicare Advantage from UHC OH-0014 (PPO) 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 $0 to $50 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay or coinsurance.
Primary Care See details
Primary Care benefits for the AARP Medicare Advantage from UHC OH-0014 (PPO) plan are covered with no coinsurance, featuring no copay for primary care, telehealth, and opioid treatment. Copays range from $0 to $55 for specialists, mental health, and other professionals, while therapy and podiatry services require copays between $25 and $45, and routine and other chiropractic care are not covered.
Preventive Services See details
AARP Medicare Advantage from UHC OH-0014 (PPO) covers preventive services with no copay and no coinsurance, including annual physicals, kidney disease education, glaucoma screenings, diabetes training, digital rectal exams, EKGs, and fitness benefits. Additional preventive services are partially covered, but 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, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, home modifications, and counseling are not covered.
Hearing Services See details
AARP Medicare Advantage from UHC OH-0014 (PPO) partially covers hearing services with no coinsurance, providing one annual routine hearing exam with no copay. Covered prescription hearing aids carry a $199.00 to $1,249.00 copay and OTC hearing aids carry a $199.00 to $829.00 copay (both limited to two per year with no coinsurance), but fitting/evaluation exams, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
AARP Medicare Advantage from UHC OH-0014 (PPO) partially covers vision services with no coinsurance and no copay for annual routine eye exams, contact lenses, and frames, up to a $300 combined eyewear limit every two years. Eyeglass lenses have a copay of $0 to $153, while other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC OH-0014 (PPO), which excludes implant services and orthodontics. Preventive dental care features no copay and no coinsurance up to a $1,000 annual limit, while comprehensive services require no copay and 50% coinsurance, and Medicare-covered dental services have no copay and 20% coinsurance.
Home Infusion bundled Services See details
AARP Medicare Advantage from UHC OH-0014 (PPO) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and a coinsurance of no coinsurance to 20%, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
AARP Medicare Advantage from UHC OH-0014 (PPO) 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 OH-0014 (PPO) covers durable medical equipment, prosthetics, and medical supplies with no copay, a 20% coinsurance, and prior authorization requirements. Diabetic supplies are covered with no copay and no coinsurance, while diabetic therapeutic shoes and inserts require a 20% coinsurance and no copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by AARP Medicare Advantage from UHC OH-0014 (PPO), with prior authorization required for these services. Diagnostic tests require a $50 copay and no coinsurance, lab services have no copay and no coinsurance, and diagnostic radiological services have no coinsurance and a copay starting at $0. Outpatient x-rays require a $30 copay and coinsurance, while therapeutic radiological services require a copay and a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by AARP Medicare Advantage from UHC OH-0014 (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by AARP Medicare Advantage from UHC OH-0014 (PPO) 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 from UHC OH-0014 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and prior authorization is required.
Other Services See details
Other services are partially covered by AARP Medicare Advantage from UHC OH-0014 (PPO), which includes a meal benefit for chronic illnesses with no copay and no coinsurance, though prior authorization is required. Acupuncture and over-the-counter (OTC) items are not covered under this plan.
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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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