AARP Medicare Advantage (HMO-POS)


Medicare Plan Details

2022 Plan
Monthly Premium
(select county for price)

 

by UnitedHealthcare
Additional Coverage
HearingVisionDental
Overall Government Star Rating
 4.5
out of 5 stars

State: Missouri

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
$3,500 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

In-network: $0 copay
Out-of-network: No Data
In-network: $35 copay per visit
Out-of-network: No Data

Tests, labs, & imaging

In-network: $20 copay
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
In-network: $0-135 copay
Out-of-network: No Data
In-network: $15 copay
Out-of-network: No Data
$90 copay per visit (always covered)
$40 copay per visit (always covered)

Hospital Services

In-network: $275 per day for days 1 through 6
$0 per day for days 7 through 90
$0 per day for days 91 and beyond
Out-of-network: Not Applicable
In-network: $0-275 copay per visit
Out-of-network: No Data

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$188 per day for days 21 through 39
$0 per day for days 40 through 100
Out-of-network: Not Applicable

Preventive services

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

Ambulance

In-network: $280 copay
Out-of-network: No Data

Therapy services

In-network: $35 copay
Out-of-network: No Data
In-network: $35 copay
Out-of-network: No Data

Mental health services

In-network: $15 copay
Out-of-network: No Data
In-network: $25 copay
Out-of-network: No Data
In-network: $15 copay
Out-of-network: No Data
In-network: $25 copay
Out-of-network: No Data

Opioid treatment services

Covered

Other services

In-network: 20% coinsurance per item
Out-of-network: No Data
In-network: 20% coinsurance per item
Out-of-network: No Data
In-network: $0 copay 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 phase1Catastrophic coverage phase
Preferred Generic$0.00 copay$0.00 copay


Generic drugs :
$3.95 copay or 5% (whichever costs more)

Brand-name drugs :
$9.85 copay or 5% (whichever costs more)

Generic$12.00 copay$12.00 copay
Preferred Brand$47.00 copay
Non-Preferred Drug$100.00 copay
Specialty Tier33%
<sup>1</sup> * 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: No Data
In-network: 0-20% coinsurance
Out-of-network: No Data

Extra Benefits

Hearing

In-network: $0 copay
Out-of-network: No Data
Not covered
In-network: $375-1,425 copay
Out-of-network: No Data

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: 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
Limited coverage
Not covered
Not covered
Limited coverage
Limited coverage
Limited coverage
 4.5
 4
 4
 4
 4
 5
 4
 5
 5
 4
 4

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