UnitedHealthcare
Plan ID: H8768-59-0
Plan Summary Page2027 AARP Medicare Advantage Patriot No Rx NJ-MA2 (PPO) H8768 — 059 — 0 is a Medicare Advantage plan . It has received a 4-out-of-5 star rating from CMS for 2027.
Learn more about AARP Medicare Advantage Patriot No Rx NJ-MA2 (PPO) H8768 - 059 - 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 stars for 2027
$0.00 /mo
Monthly premium
$1000.00
Health deductible
$7150.00 / $10750.00
Out-of-pocket maximum (In-Network / Combined)
Enroll online
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Get personalized help from a licensed insurance agent
1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
2027 AARP Medicare Advantage Patriot No Rx NJ-MA2 (PPO) H8768 — 059 — 0 is a PPO offered in State of New Jersey by Care Improvement Plus South Central Insurance Co.. It has a monthly premium of $0.00 and includes a Part B premium discount of $120.00.
Monthly plan premium
$0.00
Standard Part B premium (estimated)
$209.50
Part B premium reduction
$120.00
Estimated net Part B premium after giveback
$89.50
Note:
CMS has not yet announced the official 2027 standard Medicare Part B premium. The estimated 2027 premium is $209.50, per the 2026 Medicare Trustees Report; we'll update this page when CMS publishes the final amount. Your actual Part B premium may differ based on income (IRMAA), late enrollment penalties, Medicaid assistance, disability status, or other factors. Most people enrolled in Medicare Part B are required to pay this premium.
Special needs plan type
No
Out-of-pocket maximum (In-Network)
$7150.00
Out-of-pocket maximum (Out-of-Network)
Not applicable
Out-of-pocket maximum (Combined)
$10750.00
Plan Organization:
Care Improvement Plus South Central Insurance Co.
Parent Company:
UnitedHealth Group, Inc.
Plan Type:
PPO
Location:
State of New Jersey
Drugs Covered:
No
Drug Formulary:
Pharmacies:
Doctors Link:
The amount you must pay each year before your plan starts to pay for covered services.
Health deductible
$1000.00
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
AARP Medicare Advantage Patriot No Rx NJ-MA2 (PPO) does not provide drug coverage. If drug coverage is something you need, you should consider shopping for other plans that do provide cost sharing on drugs.
AARP Medicare Advantage Patriot No Rx NJ-MA2 (PPO) also provides the following benefits.
Inpatient Hospital benefits are covered.
Inpatient Hospital-Acute benefits are covered.
| Days 1-5: | Days 6-90: | |
|---|---|---|
| Copayment | 550.00 | 0.00 |
More Details:
Copayment for Medicare-covered stay
0.00
Additional Days for Inpatient Hospital-Acute benefits are covered.
| Days 91-999: | |
|---|---|
| Copayment | 0.00 |
Not covered.
Not covered.
Inpatient Hospital Psychiatric benefits are covered.
| Days 1-4: | Days 5-90: | |
|---|---|---|
| Copayment | 550.00 | 0.00 |
More Details:
Copayment for Medicare-covered stay
0.00
Not covered.
Not covered.
Outpatient Services benefits are covered.
All Outpatient Hospital Services benefits are covered.
Outpatient Hospital Services benefits are covered.
Cost Sharing:
Observation Services benefits are covered.
Cost Sharing:
Ambulatory Surgical Center (ASC) Services benefits are covered.
Cost Sharing:
Not covered.
Individual Sessions for Outpatient Substance Abuse benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
25.00
Group Sessions for Outpatient Substance Abuse benefits are covered.
More Details:
Minimum copayment
15.00
Maximum copayment
15.00
Outpatient Blood Services benefits are covered.
Cost Sharing:
Partial Hospitalization benefits are covered.
Partial Hospitalization benefits are covered.
Cost Sharing:
Partial Hospitalization benefits are covered.
Cost Sharing:
Ambulance and Transportation Services benefits are covered.
All Ambulance Services benefits are covered.
Ground Ambulance Services benefits are covered.
Cost Sharing:
Air Ambulance Services benefits are covered.
Cost Sharing:
Not covered.
Not covered.
Not covered.
Emergency Services benefits are covered.
Emergency Services benefits are covered.
Cost Sharing:
More Details:
Enter number of days or hours
24
Urgently Needed Services benefits are covered.
Cost Sharing:
Not covered.
Not covered.
Not covered.
Not covered.
Primary Care benefits are covered.
Primary Care Physician Services benefits are covered.
Cost Sharing:
Chiropractic Services benefits are covered.
Cost Sharing:
Not covered.
Occupational Therapy Services benefits are covered.
Cost Sharing:
Physician Specialist Services benefits are covered.
Cost Sharing:
Not covered.
Individual Sessions for Mental Health Specialty Services benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
25.00
Group Sessions for Mental Health Specialty Services benefits are covered.
More Details:
Minimum copayment
15.00
Maximum copayment
15.00
Podiatry Services benefits are covered.
More Details:
Enhanced benefits (7f)
Routine Foot Care
Visits
6
Minimum copayment
45.00
Maximum copayment
45.00
Minimum copayment
45.00
Maximum copayment
45.00
Other Health Care Professional benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
60.00
Not covered.
Individual Sessions for Psychiatric Services benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
25.00
Group Sessions for Psychiatric Services benefits are covered.
More Details:
Minimum copayment
15.00
Maximum copayment
15.00
Physical Therapy and Speech-Language Pathology Services benefits are covered.
Cost Sharing:
Not covered.
Opioid Treatment Program Services benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
0.00
Preventive Services benefits are covered.
Medicare-covered Zero Dollar Preventive Services benefits are covered.
Annual Physical Exam benefits are covered.
Cost Sharing:
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Fitness Benefit benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
0.00
Not covered.
Not covered.
Not covered.
Home and Bathroom Safety Devices and Modifications benefits are covered.
More Details:
Maximum copayment
0.00
Minimum copayment
0.00
Not covered.
Kidney Disease Education Services benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
0.00
Other Preventive Services benefits are covered.
Glaucoma Screening benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
0.00
Diabetes Self-Management Training benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
0.00
Digital Rectal Exams benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
0.00
EKG following Welcome Visit benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
0.00
Hearing Services benefits are covered.
Hearing Exams benefits are covered.
Cost Sharing:
Routine Hearing Exams benefits are covered.
More Details:
Number of visits
1
Minimum copayment
0.00
Maximum copayment
0.00
Not covered.
Prescription Hearing Aids benefits are covered.
More Details:
Maximum amount
700.00
Prescription Hearing Aids (all types) benefits are covered.
More Details:
Quantity for Hearing Aids
2
Minimum copayment
0.00
Maximum copayment
0.00
Not covered.
Not covered.
Not covered.
Not covered.
Vision Services benefits are covered.
Eye Exams benefits are covered.
Cost Sharing:
Routine Eye Exams benefits are covered.
Cost Sharing:
More Details:
Number of visits
1
Eyewear benefits are covered.
Cost Sharing:
More Details:
Combined maximum amount
250.00
Contact Lenses benefits are covered.
Cost Sharing:
Eyeglasses (lenses and frames) benefits are covered.
Cost Sharing:
More Details:
Number of eyeglasses
1
Not covered.
Not covered.
Not covered.
Dental Services benefits are covered.
Medicare Dental Services benefits are covered.
Cost Sharing:
More Details:
Coinsurance percentage
20
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Dialysis Services benefits are covered.
More Details:
Minimum coinsurance
20
Maximum coinsurance
20
Medical Equipment benefits are covered.
Durable Medical Equipment (DME) benefits are covered.
More Details:
Minimum coinsurance
20
Maximum coinsurance
20
Not covered.
Prosthetic Devices benefits are covered.
More Details:
Minimum coinsurance
20
Maximum coinsurance
20
Medical Supplies benefits are covered.
Cost Sharing:
Not covered.
Diabetic Supplies benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
0.00
Diabetic Therapeutic Shoes/Inserts benefits are covered.
More Details:
Minimum coinsurance
20
Maximum coinsurance
20
Diabetic Equipment benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
0.00
Diagnostic and Radiological Services benefits are covered.
Not covered.
Diagnostic Procedures/Tests benefits are covered.
More Details:
Minimum copayment
25.00
Maximum copayment
25.00
Lab Services benefits are covered.
Cost Sharing:
Not covered.
Diagnostic Radiological Services benefits are covered.
Cost Sharing:
More Details:
Minimum copayment
0.00
Therapeutic Radiological Services benefits are covered.
Cost Sharing:
More Details:
Minimum copayment
50.00
Outpatient X-Ray Services benefits are covered.
Cost Sharing:
Home Health Services benefits are covered.
Cost Sharing:
Not covered.
Skilled Nursing Facility (SNF) benefits are covered.
| Days 1-20: | Days 21-100: | |
|---|---|---|
| Copayment | 0.00 | 221.00 |
Not covered.
Other Services benefits are covered.
Not covered.
Over-the-Counter (OTC) Items benefits are covered.
Cost Sharing:
More Details:
Attestation
The Nicotine Replacement Therapy (NRT) being offered does not duplicate any Part D OTC or formulary drugs.
Not covered.
Not covered.
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
SMID: MULTIPLAN_HCIHNMEDADVRX27_M
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* 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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