AARP Medicare Advantage (HMO-POS)
Texas Medicare Advantage Plan (2023 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
AARP Medicare Advantage (HMO-POS) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Texas 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.
Cost Summary
AARP Medicare Advantage (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 $5,500 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 (HMO-POS) are defined below.
Additional Benefits and Coverage
AARP Medicare Advantage (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 (HMO-POS) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. AARP Medicare Advantage (HMO-POS) includes coverage for the following additional benefits:
Other benefits
Comparing the Quality Score of AARP Medicare Advantage (HMO-POS) to Other Plans in Texas
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2023, AARP Medicare Advantage (HMO-POS) received an overall government quality rating of 4.5 stars out of 5 stars.
AARP Medicare Advantage (HMO-POS) performed better than Texas’s State average overall quality score of 4.0 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
AARP Medicare Advantage (HMO-POS) received 5 stars for its health plan quality score which is better than the Texas State average health plan quality score of 4.0 stars.
AARP Medicare Advantage (HMO-POS) received 4 stars for its drug plan quality score which is better than the Texas State average drug plan quality score of 3.7 stars.
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Out-of-network: No Data
Out-of-network: No Data
Tests, labs, & imaging
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Hospital Services
$0 per day for days 6 through 90
$0 per day for days 91 and beyond
Out-of-network: Not Applicable
Out-of-network: No Data
Skilled nursing facility
$196 per day for days 21 through 49
$0 per day for days 50 through 100
Out-of-network: Not Applicable
Preventive services
Out-of-network: No Data
Ambulance
Out-of-network: No Data
Therapy services
Out-of-network: No Data
Out-of-network: No Data
Mental health services
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Opioid treatment services
Other services
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Gap coverage phase1 | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic | $0.00 copay | $0.00 copay |
Brand-name drugs :
|
| Generic | $0.00 copay | $0.00 copay | |
| Preferred Brand | $47.00 copay | ||
| Non-Preferred Drug | $100.00 copay | ||
| Specialty Tier | 33% | ||
| 1 For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. | |||
Part B Drugs
Out-of-network: No Data
Out-of-network: No Data
Extra Benefits
Hearing
Out-of-network: No Data
Out-of-network: No Data
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 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Vision
Out-of-network: No Data
Out-of-network: No Data
Out-of-network: No Data
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