AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)

Kentucky Medicare Advantage Plan (2025 Plan)


Monthly Premium

Your Cost
$0
by UnitedHealthcareⓇ

Additional Coverage

HearingVisionDental

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Plan Name
AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)
Insurance Carrier
UnitedHealthcareⓇ
Plan Type
Medicare Advantage Plan With Part D Prescription Drug Coverage
Network Type
HMO

AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Kentucky and offered by the health insurance company UnitedHealthcareⓇ. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.

Monthly Premium
$0
Annual Deductible
$0
Max Out-of-Pocket
$6,700
Primary doctor visit
$0 copay
Specialist visit
$0-45 copay per visit
ER visit
$125 copay per visit (always covered)
Ambulance
$275 copay

AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $6,700 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS) are defined below.

Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing

AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS) includes coverage for the following additional benefits:

Other benefits

Fitness benefit
Limited coverage
Over the counter drug benefits
Limited coverage
In-home support services
Not covered
Home and bathroom safety devices
Limited coverage
Meals for short duration
Limited coverage
Annual physical exams
Limited coverage
Telehealth
Limited coverage

Monthly Premium
$0
Health Portion of Premium
$0
Drug Portion of Premium
$0
Health Plan Deductible
$0
Health Plan Max Out-of-Pocket
$6,700 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
Yes

Doctor Services

Primary doctor visit
In-network: $0 copay
Specialist visit
In-network: $0-45 copay per visit

Tests, labs, & imaging

Diagnostic tests & procedures
In-network: $50 copay
Lab services
In-network: $0 copay
Diagnostic radiology services (like MRI)
In-network: $0-200 copay
Outpatient x-rays
In-network: $25 copay
Emergency care
$125 copay per visit (always covered)
Urgent care
$0-55 copay per visit (always covered)

Hospital Services

Inpatient hospital coverage
In-network: $430 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: $0-430 copay per visit

Skilled nursing facility

Skilled nursing facility
In-network: $0 per day for days 1 through 20
$203 per day for days 21 through 100
Out-of-network: Not Applicable

Preventive services

Preventive services
In-network: $0 copay

Ambulance

Ground ambulance
In-network: $275 copay

Therapy services

Occupational therapy visit
In-network: $0-30 copay
Physical therapy & speech & language therapy visit
In-network: $0-30 copay

Mental health services

Outpatient group therapy with a psychiatrist
In-network: $15 copay
Outpatient individual therapy with a psychiatrist
In-network: $0-25 copay
Outpatient group therapy visit
In-network: $15 copay
Outpatient individual therapy visit
In-network: $0-25 copay

Opioid treatment services

Opioid treatment services
Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)
In-network: 20% coinsurance per item
Prosthetics (like braces, artificial limbs)
In-network: 20% coinsurance per item
Diabetes supplies
In-network: $0 copay per item

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

TiersInitial coverage phaseCatastrophic coverage phase
Preferred Generic$0.00 copay$0 copay
Generic$14.00 copay$0 copay
Preferred Brand$47.00 copay$0 copay
Non-Preferred Drug$100.00 copay$0 copay
Specialty Tier28% coinsurance$0 copay

Part B Drugs

Chemotherapy drugs
In-network: 0-20% coinsurance
Other Part B drugs
In-network: 0-20% coinsurance

Hearing

Hearing exam
In-network: $0 copay
Fitting/evaluation
Not covered
Hearing aids - All types
In-network: $199-1,249 copay

Preventive Dental

Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Fluoride treatment
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Restorative services
In-network: $0 copay
Out-of-network: $0 copay
Endodontics
In-network: $0 copay
Out-of-network: $0 copay
Periodontics
In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, removable
In-network: 0%-50% coinsurance
Out-of-network: 0%-50% coinsurance
Prosthodontics, fixed
In-network: 0%-50% coinsurance
Out-of-network: 0%-50% coinsurance
Maxillofacial prosthetics
In-network: $0 copay
Out-of-network: $0 copay
Implant services
Not covered
Oral and maxillofacial surgery
In-network: $0 copay
Out-of-network: $0 copay
Orthodontics
Not covered
Adjunctive general services
In-network: $0 copay
Out-of-network: $0 copay

Vision

Routine eye exam
In-network: $0 copay
Contact lenses
In-network: $0 copay
Eyeglasses (frames & lenses)
Not covered
Eyeglass frames (only)
In-network: $0 copay
Eyeglass lenses (only)
In-network: $0-153 copay
Upgrades
Not covered

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