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AARP Medicare Advantage from UHC OK-0007 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for AARP Medicare Advantage from UHC OK-0007 (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-0007 (PPO) in 2026, please refer to our full plan details page.
AARP Medicare Advantage from UHC OK-0007 (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-0007 (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-0007 (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-0007 (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-0007 (PPO) plan features an annual drug deductible of $600. For Tier 1 preferred generic drugs, there is no copay for a 1-month or 3-month supply at standard pharmacies or via mail order. Tier 2 generic drugs cost a $14 copay for a 1-month supply at standard pharmacies, but you can get a 3-month supply with no copay through preferred mail order. For higher-tier medications, costs transition to coinsurance percentages during the initial coverage phase. Tier 3 preferred brand drugs require a 15% coinsurance for both standard pharmacies and mail order options. Tier 4 non-preferred drugs carry a 36% coinsurance, while Tier 5 specialty drugs require a 26% coinsurance for a 1-month supply.
Additional Benefits
The AARP Medicare Advantage from UHC OK-0007 (PPO) plan offers affordable healthcare coverage with no copays and no coinsurance for primary care, telehealth, preventive services, and home health care. Members also enjoy no copays for routine eye exams, routine hearing exams, and preventive dental care like cleanings. For inpatient hospital stays, the plan features no coinsurance, requiring a $550 daily copay for the first few days and no copay for longer stays. For specialized treatments, outpatient services carry no coinsurance with copays ranging from no copay up to $550, and emergency care requires a $130 copay. Durable medical equipment, dialysis, and Medicare-covered dental services are subject to a 20% coinsurance with no copays. Diagnostic laboratory and diagnostic radiology services are also available with no copay, helping you manage your healthcare costs effectively.
Inpatient Hospital See details
AARP Medicare Advantage from UHC OK-0007 (PPO) partially covers inpatient hospital services with no coinsurance, requiring prior authorization. For acute stays, you pay a $550 daily copay for days 1-5 and no copay for days 6 and beyond, while psychiatric stays require a $550 daily copay for days 1-4 and no copay for days 5-90. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by AARP Medicare Advantage from UHC OK-0007 (PPO) with no coinsurance across all services. Covered benefits feature no copay for ambulatory surgical center and blood services, a $0 to $550 copay for outpatient hospital and observation services, and a $0 to $25 copay for outpatient substance abuse sessions.
Partial Hospitalization See details
AARP Medicare Advantage from UHC OK-0007 (PPO) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
AARP Medicare Advantage from UHC OK-0007 (PPO) covers ground and air ambulance services with a $290 copay and no coinsurance, though prior authorization is required. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
AARP Medicare Advantage from UHC OK-0007 (PPO) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $50 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care and telehealth services are covered by AARP Medicare Advantage from UHC OK-0007 (PPO) with no copay and no coinsurance. Specialty, therapy, and mental health services are also covered with no coinsurance and copays ranging from $0 to $55, though routine chiropractic care is not covered.
Preventive Services See details
Preventive services are partially covered by AARP Medicare Advantage from UHC OK-0007 (PPO) with no copay and no coinsurance for covered benefits like annual physical exams, fitness benefits, and diabetes self-management training. However, multiple supplemental services are not covered, including health education, in-home safety assessments, nutritional/dietary benefits, and weight management programs.
Hearing Services See details
Hearing services are partially covered by AARP Medicare Advantage from UHC OK-0007 (PPO), offering one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation services are not covered. Prescription hearing aids carry a $199 to $1,249 copay and no coinsurance, but inner ear, outer ear, and over-the-ear types are not covered. OTC hearing aids are also covered up to two per year with a $199 to $829 copay and no coinsurance.
Vision Services See details
Vision services are partially covered by AARP Medicare Advantage from UHC OK-0007 (PPO) with no deductible, no coinsurance, and no copay for annual routine eye exams and contact lenses. Covered eyeglass lenses have a $0 to $153 copay with no coinsurance under a $300 combined eyewear limit every two years, while other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered under the AARP Medicare Advantage from UHC OK-0007 (PPO) plan, which features no copay and a 20% coinsurance for Medicare-covered dental, and no copay and no coinsurance for preventive care like cleanings and exams. However, restorative, endodontics, periodontics, prosthodontics, oral surgery, implants, orthodontics, maxillofacial prosthetics, and adjunctive general services are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by AARP Medicare Advantage from UHC OK-0007 (PPO) with no copay and no coinsurance, subject to prior authorization. Associated Medicare Part B chemotherapy and other drugs have no copay and 0% to 20% coinsurance, while Part B insulin drugs require a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
AARP Medicare Advantage from UHC OK-0007 (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive this covered benefit.
Medical Equipment See details
AARP Medicare Advantage from UHC OK-0007 (PPO) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay under specified manufacturer limits, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
AARP Medicare Advantage from UHC OK-0007 (PPO) covers diagnostic and radiological services, with prior authorization required. Diagnostic procedures require a $50 copay with no coinsurance, lab services and diagnostic radiology have no copay, outpatient x-rays require a $30 copay, and therapeutic radiology has a minimum 20% coinsurance.
Home Health Services See details
AARP Medicare Advantage from UHC OK-0007 (PPO) covers Home Health Services with no copay and no coinsurance. Prior authorization is required to receive this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the AARP Medicare Advantage from UHC OK-0007 (PPO) plan, as all key sub-services—including cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation—are excluded from coverage.
Skilled Nursing Facility (SNF) See details
AARP Medicare Advantage from UHC OK-0007 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
AARP Medicare Advantage from UHC OK-0007 (PPO) provides partial coverage for Other Services, which includes a meal benefit for chronic illnesses with no copay and no coinsurance, subject to prior authorization. Acupuncture and Over-the-Counter (OTC) items are not covered under this benefit.
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