AARP Medicare Advantage Patriot (PPO)


Medicare Plan Details

2021 Plan
Monthly Premium
(select county for price)

 

by UnitedHealthcare
Additional Coverage
Hearing Vision Dental
Overall Government Star Rating
No Rating
out of 5 stars

State: Nebraska

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C)

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

 

$0
$0
$0
$0
$10,000 In and Out-of-network
$6,700 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

In-network: $10 copay per visit
Out-of-network: $25-60 copay per visit
In-network: $45 copay per visit
Out-of-network: $60 copay per visit

Tests, labs, & imaging

In-network: $30 copay
Out-of-network: $0-110 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0-110 copay
Out-of-network: $0-110 copay
In-network: $15 copay
Out-of-network: $15-20 copay
$90 copay per visit (always covered)
$30-40 copay per visit (always covered)

Hospital Services

In-network: $295 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: $295 per day for days 1 through 6
$0 per day for days 7 and beyond
In-network: $0-295 copay per visit
Out-of-network: $0-295 copay per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$184 per day for days 21 through 57
$0 per day for days 58 through 100
Out-of-network: $150 per day for days 1 through 16
$250 per day for days 17 through 34
$0 per day for days 35 through 100

Preventive services

In-network: $0 copay
Out-of-network: $0 copay

Ambulance

In-network: $250 copay
Out-of-network: $250 copay

Therapy services

In-network: $40 copay
Out-of-network: $40 copay
In-network: $40 copay
Out-of-network: $40 copay

Mental health services

In-network: $10 copay
Out-of-network: $25 copay
In-network: $10 copay
Out-of-network: $25 copay
In-network: $10 copay
Out-of-network: $25 copay
In-network: $10 copay
Out-of-network: $25 copay

Opioid treatment services

Covered

Other services

In-network: 20% coinsurance per item
Out-of-network: $55 copay or 50% coinsurance per item
In-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
In-network: $0 copay per item
Out-of-network: 20% coinsurance per item

Prescription Drug Benefits

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

Part B Drugs

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

Extra Benefits

Hearing

In-network: $0 copay
Out-of-network: $60 copay
Not covered
In-network: $375-2,075 copay
Out-of-network: $375 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: 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: $0 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
Not covered
Limited coverage
Limited coverage
No Rating
No Rating
No Rating
No Rating
 5
 5

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