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AARP Medicare Advantage from UHC OK-0006 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC OK-0006 (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 OK-0006 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC OK-0006 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Oklahoma. 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 OK-0006 (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 OK-0006 (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 OK-0006 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. 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 $600.00 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 OK-0006 (PPO) plan has a $600 annual drug deductible. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies, or for a 3-month supply through mail order. Tier 2 generic drugs carry a $10 copay for a 1-month standard pharmacy supply, but you can get a 3-month supply with no copay through preferred mail order. For higher-tier medications, the plan charges a percentage of the drug cost rather than a flat copayment. Tier 3 preferred brand drugs require a 17% coinsurance for both 1-month and 3-month supplies at standard pharmacies and mail order. Tier 4 non-preferred drugs require a 39% coinsurance and Tier 5 specialty drugs require a 26% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage from UHC OK-0006 (PPO) plan offers comprehensive medical coverage featuring no copay for primary care visits, preventive screenings, and home health services. For inpatient hospital stays, members pay a $455 daily copay for the first 5 to 6 days and no copay thereafter, with no coinsurance. Specialist visits range from no copay up to a $55 copay, while emergency room services require a $130 copay that is waived upon hospital admission. Additional perks include no copay for preventive dental care, annual hearing exams, and routine eye exams, plus a $150 eyewear allowance every two years. Durable medical equipment, diabetic therapeutic shoes, and dialysis services are covered with a 20% coinsurance and no copay. Members also receive over-the-counter items and chronic illness meal benefits with no copay and no coinsurance.
Inpatient Hospital See details
AARP Medicare Advantage from UHC OK-0006 (PPO) offers partially covered inpatient hospital services with no coinsurance, requiring a daily copay of $455 for days 1 through 6 of acute stays and days 1 through 5 of psychiatric stays, with no copay for subsequent days. Non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered by this plan.
Outpatient Services See details
Outpatient services are covered by AARP Medicare Advantage from UHC OK-0006 (PPO) with no coinsurance, featuring copays ranging from no copay to $455 for outpatient hospital services and a $455 daily copay for observation services. Ambulatory surgical center and outpatient blood services are provided with no copay and no coinsurance, while outpatient substance abuse services have no coinsurance and copays ranging from no copay to $25.
Partial Hospitalization See details
AARP Medicare Advantage from UHC OK-0006 (PPO) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC OK-0006 (PPO) covers ground and air ambulance services with a $290.00 copay and no coinsurance. While some transportation services are covered, 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 OK-0006 (PPO) with a $130 copay and no coinsurance, with the copay waived if admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from no copay to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are provided with no copays and no coinsurance.
Primary Care See details
AARP Medicare Advantage from UHC OK-0006 (PPO) covers primary care and telehealth services with no copay and no coinsurance, while specialist visits range from a $0 to $55 copay with no coinsurance. Other services such as therapy, mental health, and podiatry require copays up to $55 with no coinsurance, though routine chiropractic care is not covered.
Preventive Services See details
Preventive Services under the AARP Medicare Advantage from UHC OK-0006 (PPO) plan are covered with no copay and no coinsurance for annual physical exams, kidney disease education, and select screenings. Additional preventive benefits are partially covered with no copay and no coinsurance for fitness benefits and home safety devices, though services like health education, weight management, and in-home support are not covered.
Hearing Services See details
Hearing services are partially covered under the AARP Medicare Advantage from UHC OK-0006 (PPO) plan, which offers one routine hearing exam per year with no copay and no coinsurance. Up to two prescription or OTC hearing aids are covered annually with no coinsurance and copays ranging from $199.00 to $1,249.00, but hearing aid fitting and evaluations, and inner, outer, or over the ear prescription hearing aids are not covered.
Vision Services See details
AARP Medicare Advantage from UHC OK-0006 (PPO) partially covers vision services, featuring routine eye exams with no copay and no coinsurance, and a $150 eyewear allowance every two years with no coinsurance. While contact lenses and eyeglass frames have no copay, and eyeglass lenses carry a $0 to $153 copay, other eye exams, upgrades, and bundled eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by AARP Medicare Advantage from UHC OK-0006 (PPO), featuring Medicare-covered dental with no copay and a 20% coinsurance. Preventive dental care like exams, cleanings, fluoride, and X-rays has no copay and no coinsurance, but comprehensive services such as restorative, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage from UHC OK-0006 (PPO) with no copay, though prior authorization is required. Covered Part B drugs, including chemotherapy, radiation, and insulin, have coinsurance ranging from no coinsurance up to 20%, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis services are covered by the AARP Medicare Advantage from UHC OK-0006 (PPO) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
AARP Medicare Advantage from UHC OK-0006 (PPO) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC OK-0006 (PPO) covers diagnostic services with no coinsurance, offering lab services with no copay and diagnostic procedures for a $60 copay. Covered radiological services include outpatient X-rays for a $30 copay, diagnostic radiology with a minimum $0 copay, and therapeutic radiology with a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the AARP Medicare Advantage from UHC OK-0006 (PPO) plan 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 OK-0006 (PPO) with no copay and no coinsurance, though prior authorization is required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease are not covered.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC OK-0006 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, a prior three-day inpatient hospital stay is not required for admission, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by AARP Medicare Advantage from UHC OK-0006 (PPO), which offers over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit, and prior authorization is required for the meal benefit.
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