AARP Medicare Advantage Plus Plan 1 (HMO-POS)


Medicare Plan Details

2020 Plan
Monthly Premium
(select county for price)

 

by UnitedHealthcare
Additional Coverage
Hearing Vision
Overall Government Star Rating
 3.5
out of 5 stars

State: Georgia

Select your county to view the price for this plan

 


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

 

$0
$0
$0
$0
$6,700 In-network
$10,000 Out-of-network
No
Yes
Yes
No

Medical Benefits

Doctor Services

In-network: $0 copay
Out-of-network: No Data
In-network: $45 per visit
Out-of-network: No Data

Tests, labs, & imaging

In-network: $20
Out-of-network: No Data
In-network: $10
Out-of-network: No Data
In-network: $0-110
Out-of-network: No Data
In-network: $14
Out-of-network: No Data
$90 per visit (always covered)
$30-40 per visit (always covered)

Hospital Services

In-network: $370 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
In-network: $0-370 per visit
Out-of-network: No Data

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$160 per day for days 21 through 62
$0 per day for days 63 through 100
Out-of-network: Not Applicable

Preventive services

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

Ambulance

In-network: $250
Out-of-network: $250

Therapy services

In-network: $40
Out-of-network: No Data
In-network: $40
Out-of-network: No Data

Mental health services

In-network: $30
Out-of-network: 40%
In-network: $40
Out-of-network: 40%
In-network: $30
Out-of-network: 40%
In-network: $40
Out-of-network: 40%

Opioid treatment services

Covered

Other services

In-network: 20% per item
Out-of-network: No Data
In-network: 20% per item
Out-of-network: No Data
In-network: $0 per item
Out-of-network: No Data

Prescription Drug Benefits

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

TiersInitial coverage phaseGap coverage phaseCatastrophic coverage phase
Preferred Generic$4.00 copay


Generic drugs :
25%

Brand-name drugs :
25%


Generic drugs :
$3.60 copay or 5% (whichever costs more)

Brand-name drugs :
$8.95 copay or 5% (whichever costs more)

Generic$12.00 copay
Preferred Brand$47.00 copay
Non-Preferred Drug$100.00 copay
Specialty Tier28%

Part B Drugs

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

Extra Benefits

Hearing

In-network: $0 copay
Out-of-network: No Data
Not covered
In-network: $375-2,075
Out-of-network: No Data

Preventive Dental

Not covered
Not covered
Not covered
Not covered

Comprehensive dental

Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered

Vision

In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
Not covered
Not covered
Not covered

Other benefits

Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Limited coverage
Limited coverage
 3.5
 4
 4
 3
 3
 5
 3.5
 5
 3
 3
 4

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