AARP Medicare Advantage Patriot (PPO)

Medicare Plan Details (2023 Plan)


Monthly Premium

 

by UnitedHealthcare
Additional Coverage
HearingVisionDental
Overall Government Star Rating
 4.0
out of 5 stars

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Plan Type

Medicare Advantage (Part C)

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

 

$0
$0
$0
$0
$8,500 In and Out-of-network
$4,400 In-network
No
Yes
Yes
Yes

Doctor Services

In-network: $0 copay
Out-of-network: $25-65 copay per visit
In-network: $35 copay per visit
Out-of-network: $65 copay per visit

Tests, labs, & imaging

In-network: $20 copay
Out-of-network: $75 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0-125 copay
Out-of-network: $160 copay
In-network: $15 copay
Out-of-network: $20 copay
$90 copay per visit (always covered)
$40 copay per visit (always covered)

Hospital Services

In-network: $360 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: $0-295 copay per visit
Out-of-network: 40% coinsurance per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$196 per day for days 21 through 43
$0 per day for days 44 through 100
Out-of-network: $225 per day for days 1 through 38
$0 per day for days 39 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: $35 copay
Out-of-network: $65 copay
In-network: $35 copay
Out-of-network: $65 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: 50% coinsurance per item

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

Part B Drugs

In-network: 20% coinsurance
Out-of-network: 0-40% coinsurance
In-network: 0-20% coinsurance
Out-of-network: 0-40% coinsurance

Hearing

In-network: $0 copay
Out-of-network: $65 copay
Not covered
In-network: $175-1,225 copay
Out-of-network: $175-1,225 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: $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
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

Vision

In-network: $0 copay
Out-of-network: $65 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
Limited coverage
Limited coverage
Limited coverage
 4
 4
 4
 4
 3
 5

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