AARP Medicare Advantage Patriot No Rx NE-MA01 (PPO)
Nebraska Medicare Advantage Plan (2025 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
AARP Medicare Advantage Patriot No Rx NE-MA01 (PPO) is a Medicare Advantage Plan Without Prescription Drugs, which is available in Nebraska and offered by the health insurance company UnitedHealthcareⓇ. This plan’s network type is PPO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
AARP Medicare Advantage Patriot No Rx NE-MA01 (PPO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $10,100 In and Out-of-network $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 Patriot No Rx NE-MA01 (PPO) are defined below.
Additional Benefits and Coverage
AARP Medicare Advantage Patriot No Rx NE-MA01 (PPO) is a Medicare Advantage plan which does not 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 Patriot No Rx NE-MA01 (PPO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. AARP Medicare Advantage Patriot No Rx NE-MA01 (PPO) includes coverage for the following additional benefits:
Other benefits
Plan Benefits and Coverage Details
$6,700 In-network
Medical Benefits
Doctor Services
Out-of-network: $0 copay
Out-of-network: $70 copay per visit
Tests, labs, & imaging
Out-of-network: 40% coinsurance
Out-of-network: $0 copay
Out-of-network: 40% coinsurance
Out-of-network: $40 copay
Hospital Services
$0 per day for days 8 through 90
$0 per day for days 91 and beyond
Out-of-network: 40% per stay
Out-of-network: 40% coinsurance per visit
Skilled nursing facility
$203 per day for days 21 through 100
Out-of-network: $225 per day for days 1 through 100
Preventive services
Out-of-network: 0-40% coinsurance
Ambulance
Out-of-network: $290 copay
Therapy services
Out-of-network: $70 copay
Out-of-network: $70 copay
Mental health services
Out-of-network: $30 copay
Out-of-network: $40 copay
Out-of-network: $30 copay
Out-of-network: $40 copay
Opioid treatment services
Other services
Out-of-network: 50% coinsurance per item
Out-of-network: 50% coinsurance per item
Out-of-network: 50% coinsurance per item
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
Out-of-network: 40% coinsurance
Out-of-network: 0-40% coinsurance
Extra Benefits
Hearing
Out-of-network: $70 copay
Out-of-network: $199-1,249 copay
Preventive Dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: 0%-50% coinsurance
Out-of-network: 0%-50% coinsurance
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Vision
Out-of-network: $70 copay
Out-of-network: $0-153 copay
Out-of-network: $0-153 copay
Out-of-network: $0-153 copay
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