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
4.0out 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
Plan Details
$0
$0
$0
$0
$10,000 In and Out-of-network
$3,900 In-network
$3,900 In-network
No
Yes
Yes
Yes
Medical Benefits
Doctor Services
In-network: $0 copay
Out-of-network: $25 copay per visit
Out-of-network: $25 copay per visit
In-network: $30 copay per visit
Out-of-network: $45 copay per visit
Out-of-network: $45 copay per visit
Tests, labs, & imaging
In-network: $30 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0-160 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
In-network: $25 copay
Out-of-network: $32 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
$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
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
$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
Out-of-network: 0-40% coinsurance
Ambulance
In-network: $250 copay
Out-of-network: $250 copay
Out-of-network: $250 copay
Therapy services
In-network: $30 copay
Out-of-network: $45 copay
Out-of-network: $45 copay
In-network: $30 copay
Out-of-network: $45 copay
Out-of-network: $45 copay
Mental health services
In-network: $15 copay
Out-of-network: $30-40 copay
Out-of-network: $30-40 copay
In-network: $25 copay
Out-of-network: $30-40 copay
Out-of-network: $30-40 copay
In-network: $15 copay
Out-of-network: $30-40 copay
Out-of-network: $30-40 copay
In-network: $25 copay
Out-of-network: $30-40 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
Out-of-network: 50% coinsurance per item
In-network: 20% coinsurance per item
Out-of-network: 50% coinsurance per item
Out-of-network: 50% coinsurance per item
In-network: $0 copay per item
Out-of-network: 40% coinsurance per item
Out-of-network: 40% coinsurance per item
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Tiers | Initial coverage phase | Gap coverage phase1 | Catastrophic coverage phase |
---|---|---|---|
Preferred Generic | $2.00 copay |
Brand-name drugs :
| |
Generic | $8.00 copay | $8.00 copay | |
Preferred Brand | $45.00 copay | ||
Non-Preferred Drug | $95.00 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
In-network: 20% coinsurance
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
In-network: 20% coinsurance
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
Extra Benefits
Hearing
In-network: $0 copay
Out-of-network: $45 copay
Out-of-network: $45 copay
Not covered
In-network: $375-2,075 copay
Out-of-network: $375 copay
Out-of-network: $375 copay
Preventive Dental
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
In-network: 50% coinsurance
Out-of-network: 0-50% coinsurance
Out-of-network: 0-50% coinsurance
In-network: $0 copay
Out-of-network: 0-50% coinsurance
Out-of-network: 0-50% coinsurance
In-network: 0-50% coinsurance
Out-of-network: 0-50% coinsurance
Out-of-network: 0-50% coinsurance
In-network: $0 copay
Out-of-network: 0-50% coinsurance
Out-of-network: 0-50% coinsurance
In-network: 50% coinsurance
Out-of-network: 0-50% coinsurance
Out-of-network: 0-50% coinsurance
In-network: 50% coinsurance
Out-of-network: 0-50% coinsurance
Out-of-network: 0-50% coinsurance
In-network: 0-50% coinsurance
Out-of-network: 0-50% coinsurance
Out-of-network: 0-50% coinsurance
Vision
In-network: $0 copay
Out-of-network: $45 copay
Out-of-network: $45 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-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
Health Plan Star Ratings
(government star ratings are out of 5 stars)
Prescription Drug Plan Star Ratings
(government star ratings are out of 5 stars)
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