AARP Medicare Advantage Plan 1 (HMO-POS)

Medicare Plan Details (2023 Plan)

Monthly Premium

by UnitedHealthcare

Additional Coverage

HearingVisionDental

Overall Government Star Rating

3.5

out of 5 stars

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Plan Type

Medicare Advantage (Part C) with Prescription Drug (Part D)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B + Part D

Monthly Premium

Health Portion of Premium

Drug Portion of Premium

Health Plan Deductible

Health Plan Max Out-of-Pocket

$5,500 In-network

Nationwide Coverage included

Hearing Coverage included

Yes

Vision Coverage included

Yes

Dental Coverage included

Yes

Doctor Lookup Link

http://AARPMedicarePlans.com

Plan Link

http://AARPMedicarePlans.com

Doctor Services

Primary doctor visit

In-network: $0 copay
Out-of-network: No Data

Specialist visit

In-network: $30 copay per visit
Out-of-network: No Data

Tests, labs, & imaging

Diagnostic tests & procedures

In-network: $20 copay
Out-of-network: No Data

Lab services

In-network: $0 copay
Out-of-network: No Data

Diagnostic radiology services (like MRI)

In-network: $0-85 copay
Out-of-network: No Data

Outpatient x-rays

In-network: $15 copay
Out-of-network: No Data

Emergency care

$90 copay per visit (always covered)

Urgent care

$40 copay per visit (always covered)

Hospital Services

Inpatient hospital coverage

In-network: $295 per day for days 1 through 5
$0 per day for days 6 through 90
$0 per day for days 91 and beyond
Out-of-network: Not Applicable

Outpatient hospital coverage

In-network: $0-250 copay per visit
Out-of-network: No Data

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$196 per day for days 21 through 49
$0 per day for days 50 through 100
Out-of-network: Not Applicable

Preventive services

In-network: $0 copay
Out-of-network: No Data

Ambulance

Ground ambulance

In-network: $250 copay
Out-of-network: No Data

Therapy services

Occupational therapy visit

In-network: $20 copay
Out-of-network: No Data

Physical therapy & speech & language therapy visit

In-network: $20 copay
Out-of-network: No Data

Mental health services

Outpatient group therapy with a psychiatrist

In-network: $15 copay
Out-of-network: No Data

Outpatient individual therapy with a psychiatrist

In-network: $25 copay
Out-of-network: No Data

Outpatient group therapy visit

In-network: $15 copay
Out-of-network: No Data

Outpatient individual therapy visit

In-network: $25 copay
Out-of-network: No Data

Opioid treatment services

Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)

In-network: 20% coinsurance per item
Out-of-network: No Data

Prosthetics (like braces, artificial limbs)

In-network: 20% coinsurance per item
Out-of-network: No Data

Diabetes supplies

In-network: $0 copay per item
Out-of-network: No Data

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Tiers	Initial coverage phase	Gap coverage phase¹	Catastrophic coverage phase
Preferred Generic	$0.00 copay	$0.00 copay	Generic drugs : $4.15 copay or 5% (whichever costs more) Brand-name drugs : $10.35 copay or 5% (whichever costs more)
Generic	$8.00 copay	$8.00 copay
Preferred Brand	$47.00 copay
Non-Preferred Drug	$100.00 copay
Specialty Tier	33%
¹ * The above cost-sharing only applies to some drugs on this tier. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.

Part B Drugs

Chemotherapy drugs

In-network: 20% coinsurance
Out-of-network: No Data

Other Part B drugs

In-network: 0-20% coinsurance
Out-of-network: No Data

Hearing

Hearing exam

In-network: $0 copay
Out-of-network: No Data

Fitting/evaluation

Not covered

Hearing aids - All types

In-network: $175-1,225 copay
Out-of-network: No Data