AARP Medicare Advantage Focus (PPO)


Medicare Plan Details

2021 Plan
Monthly Premium
(select county for price)

 

by UnitedHealthcare
Additional Coverage
Hearing Vision Dental
Overall Government Star Rating
 4.0
out of 5 stars

State: Indiana

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
$10,000 In and Out-of-network
$3,900 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

In-network: $0 copay
Out-of-network: $25 copay per visit
In-network: $30 copay per visit
Out-of-network: $45 copay per visit

Tests, labs, & imaging

In-network: $30 copay
Out-of-network: 40% coinsurance
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0-160 copay
Out-of-network: 40% coinsurance
In-network: $25 copay
Out-of-network: $32 copay
$90 copay per visit (always covered)
$30-40 copay 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: 40% per stay
In-network: $0-370 copay per visit
Out-of-network: 40% coinsurance per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$184 per day for days 21 through 42
$0 per day for days 43 through 100
Out-of-network: $225 per day for days 1 through 45
$0 per day for days 46 through 100

Preventive services

In-network: $0 copay
Out-of-network: 0-40% coinsurance

Ambulance

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

Therapy services

In-network: $30 copay
Out-of-network: $45 copay
In-network: $30 copay
Out-of-network: $45 copay

Mental health services

In-network: $15 copay
Out-of-network: $30-40 copay
In-network: $25 copay
Out-of-network: $30-40 copay
In-network: $15 copay
Out-of-network: $30-40 copay
In-network: $25 copay
Out-of-network: $30-40 copay

Opioid treatment services

Covered

Other services

In-network: 20% coinsurance per item
Out-of-network: 50% coinsurance per item
In-network: 20% coinsurance per item
Out-of-network: 50% coinsurance per item
In-network: $0 copay per item
Out-of-network: 40% coinsurance per item

Prescription Drug Benefits

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

TiersInitial coverage phaseGap coverage phase1Catastrophic coverage phase
Preferred Generic$2.00 copay


Generic drugs :
$3.70 copay or 5% (whichever costs more)

Brand-name drugs :
$9.20 copay or 5% (whichever costs more)

Generic$8.00 copay$8.00 copay
Preferred Brand$45.00 copay
Non-Preferred Drug$95.00 copay
Specialty Tier33%
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

In-network: 20% coinsurance
Out-of-network: 40% coinsurance
In-network: 20% coinsurance
Out-of-network: 40% coinsurance

Extra Benefits

Hearing

In-network: $0 copay
Out-of-network: $45 copay
Not covered
In-network: $375-2,075 copay
Out-of-network: $375 copay

Preventive Dental

In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

In-network: 50% coinsurance
Out-of-network: 0-50% coinsurance
In-network: $0 copay
Out-of-network: 0-50% coinsurance
In-network: 0-50% coinsurance
Out-of-network: 0-50% coinsurance
In-network: $0 copay
Out-of-network: 0-50% coinsurance
In-network: 50% coinsurance
Out-of-network: 0-50% coinsurance
In-network: 50% coinsurance
Out-of-network: 0-50% coinsurance
In-network: 0-50% coinsurance
Out-of-network: 0-50% coinsurance

Vision

In-network: $0 copay
Out-of-network: $45 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Not covered
Not covered
Not covered

Other benefits

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

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