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UnitedHealth Group, Inc.

Plan ID: H4527-53-0

AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)

2025 AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS) H4527 — 053 — 0 is a Medicare Advantage plan with drug coverage. It has received a 4.5-out-of-5 star rating from CMS for 2025.

Learn more about AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS) H4527 - 053 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.

4.5 / 5 stars for 2025

$0.00 /mo

Monthly premium

$495.00

Drug deductible

$6700.00

Out-of-pocket maximum

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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week!

OverviewBenefits & CostsDrug CoverageAdditional Benefits
Overview Icon

Plan Overview

2025 AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS) H4527 — 053 — 0 is a HMO-POS offered in Select Counties in Texas by UnitedHealth Group, Inc.. It has a monthly premium of $0.00.

Premium Breakdown

Standard Part B Premium

$185.00

Part B premium reduction

- $0

Monthly Plan Premium

$0.00

Total Premium:

$185.00

Note:

The standard Medicare Part B premium for 2025 is $185.00. Your premium may differ based on factors like late enrollment, income (IRMAA), or disability status. Most people enrolled in Medicare Part B are required to pay this premium.

Special needs plan type

No

Out-of-pocket maximum

$6700.00

Plan Organization:

UnitedHealth Group, Inc.

Plan Type:

HMO-POS

Location:

Select Counties in Texas

Drugs Covered:

Yes

Drug Formulary:

Formulary Link

Pharmacies:

Pharmacies Link

Doctor Choice:

Doctors Link:

Doctors Link

Deductibles

The amount you must pay each year before your plan starts to pay for covered services or drugs.

Drug deductible

$495

Note:

This plan does not charge an annual deductible for all drugs. The $495.00 annual deductible only applies to drugs in certain tiers.

Sign up for AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)

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Call to enroll

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Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Drug Coverage Icon

Drug Coverage

AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Benefit Type

Enhanced Alternative

Prescription drug deductible

$495.00

Part D Premium Reduction

This plan's premium may be reduced for you if you qualify for the low-income subsidy (also known as LIS or "Extra help"). The following is what you'll pay for with LIS.

Part D

LIS Full

$0.00

$0.00

Initial Coverage Phase

After you pay your $495.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2000.00. Once you reach that amount, you will enter the next coverage phase.

30 Days
60 Days
90 Days

Tier

Preferred Pharmacy

Standard Pharmacy

Preferred Mail

Standard Mail

1. Preferred Generic

-

-

-

-

2. Standard Generic

-

-

-

-

3. Preferred Brand

-

-

-

-

4. Non-Preferred Drug

-

-

-

-

5. Specialty Tier

-

-

-

-

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit.

Dental Icon

Additional Benefits

AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS) also provides the following benefits.

Note:

Limits, Authorizations, and Referrals may apply for the benefits below. Contact the plan for details.

Additional Coverage Icon

Comprehensive dental

AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS) does not provide this type of benefit.

Additional Coverage Icon

Preventive dental

Dental X-Rays
In-Network: No Coins - 0.00 Copay
Limit Icon
Out-Of-Network: No Coins - 0.00 Copay
Limit Icon
Fluoride Treatment
In-Network: No Coins - 0.00 Copay
Limit Icon
Out-Of-Network: No Coins - 0.00 Copay
Limit Icon
Oral Exams
In-Network: No Coins - 0.00 Copay
Limit Icon
Out-Of-Network: No Coins - 0.00 Copay
Limit Icon
Other Preventive Dental Services
In-Network: No Coins - 0.00 Copay
Limit Icon
Out-Of-Network: No Coins - 0.00 Copay
Limit Icon
Prophylaxis (cleaning)
In-Network: No Coins - 0.00 Copay
Limit Icon
Out-Of-Network: No Coins - 0.00 Copay
Limit Icon
Additional Coverage Icon

Diagnostic procedures/lab services/imaging

Diagnostic radiology services
Lab services
In-Network: $0 copay
Limit IconExclamation IconReferral Icon
Outpatient x-rays
In-Network: $40 copay
Limit IconExclamation IconReferral Icon
Diagnostic tests and procedures
In-Network: $45 copay
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Doctor visits

Primary
In-Network: $0 copay
Limit Icon
Specialist
In-Network: $0-50 copay per visit
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Emergency care/Urgent care

Emergency
$125 copay per visit (always covered)
Limit Icon
Urgent care
$0-55 copay per visit (always covered)
Limit Icon
Additional Coverage Icon

Foot care (podiatry services)

Foot exams and treatment
In-Network: $45 copay
Limit IconExclamation IconReferral Icon
Routine foot care
Not covered
Limit Icon
Additional Coverage Icon

Ground ambulance

All service types
In-Network: $275 copay
Limit Icon
Additional Coverage Icon

Hearing

Hearing aids
In-Network: $199-1,249 copay
Limit IconExclamation Icon
Hearing aids OTC
In-Network: $99-829 copay
Limit Icon
Fitting/evaluation
Not covered
Limit Icon
Medicare-Covered Hearing Exam
In-Network: $0 copay
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Inpatient hospital coverage

All service types
In-Network: $495 per day for days 1 through 5 $0 per day for days 6 through 90 $0 per day for days 91 and beyond
Limit IconExclamation IconReferral Icon
Out-Of-Network: Not Applicable
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Outpatient hospital coverage

All service types
In-Network: $0-495 copay per visit
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Optional benefits

All service types
Yes
Limit Icon
Additional Coverage Icon

Medical equipment/supplies

Diabetes supplies
In-Network: $0 copay per item
Limit IconExclamation Icon
Durable medical equipment
Prosthetics
Additional Coverage Icon

Medicare Part B drugs

Chemotherapy
In-Network: 0-20% coinsurance
Limit IconExclamation Icon
Other Part B drugs
In-Network: 0-20% coinsurance
Limit IconExclamation Icon
Additional Coverage Icon

Mental health services

Inpatient hospital - psychiatric
In-Network: $495 per day for days 1 through 4 $0 per day for days 5 through 90
Limit IconExclamation IconReferral Icon
Out-Of-Network: Not Applicable
Limit IconExclamation IconReferral Icon
Outpatient group therapy visit
In-Network: $15 copay
Limit IconExclamation IconReferral Icon
Outpatient group therapy visit with a psychiatrist
In-Network: $15 copay
Limit IconExclamation IconReferral Icon
Outpatient individual therapy visit with a psychiatrist
In-Network: $0-25 copay
Limit IconExclamation IconReferral Icon
Outpatient individual therapy visit
In-Network: $0-25 copay
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Preventive care

All service types
In-Network: $0 copay
Limit Icon
Additional Coverage Icon

Rehabilitation services

Occupational therapy visit
In-Network: $0-45 copay
Limit IconExclamation IconReferral Icon
Physical therapy and speech and language therapy visit
In-Network: $0-50 copay
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Skilled Nursing Facility

All service types
In-Network: $0 per day for days 1 through 20 $203 per day for days 21 through 100
Limit IconExclamation IconReferral Icon
Out-Of-Network: Not Applicable
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Transportation

All service types
Not covered
Limit Icon
Additional Coverage Icon

Vision

Eyeglass frames
In-Network: $0 copay
Limit IconReferral Icon
Routine eye exam
In-Network: $0 copay
Limit IconExclamation IconReferral Icon
Other
Not covered
Limit Icon
Contact lenses
In-Network: $0 copay
Limit IconReferral Icon
Eyeglass lenses
In-Network: $0-153 copay
Limit IconReferral Icon
Eyeglasses (frames and lenses)
Not covered
Limit Icon
Upgrades
Not covered
Limit Icon
Additional Coverage Icon

Wellness programs (eg, fitness, nursing hotline)

All service types
Covered
Limit Icon
Overview Icon

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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