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AARP Medicare Advantage Value (HMO-POS)
Medicare Plan Details (2022 Plan)
Monthly Premium
by UnitedHealthcare
Additional Coverage
HearingVisionDental
Overall Government Star Rating
5.0out of 5 stars
Ready to Enroll Online?
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
Plan Details
$0
$0
$0
$0
$4,900 In-network
No
Yes
Yes
Yes
Medical Benefits
Doctor Services
In-network: $10 copay per visit
Out-of-network: No Data
Out-of-network: No Data
In-network: $50 copay per visit
Out-of-network: No Data
Out-of-network: No Data
Tests, labs, & imaging
In-network: $25 copay
Out-of-network: No Data
Out-of-network: No Data
In-network: $0 copay
Out-of-network: No Data
Out-of-network: No Data
In-network: $0-160 copay
Out-of-network: No Data
Out-of-network: No Data
In-network: $15 copay
Out-of-network: No Data
Out-of-network: No Data
$90 copay per visit (always covered)
$40 copay per visit (always covered)
Hospital Services
In-network: $420 per day for days 1 through 4
$0 per day for days 5 through 90
$0 per day for days 91 and beyond
Out-of-network: Not Applicable
$0 per day for days 5 through 90
$0 per day for days 91 and beyond
Out-of-network: Not Applicable
In-network: $0-395 copay per visit
Out-of-network: No Data
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 47
$0 per day for days 48 through 100
Out-of-network: Not Applicable
$188 per day for days 21 through 47
$0 per day for days 48 through 100
Out-of-network: Not Applicable
Preventive services
In-network: $0 copay
Out-of-network: No Data
Out-of-network: No Data
Ambulance
In-network: $280 copay
Out-of-network: No Data
Out-of-network: No Data
Therapy services
In-network: $40 copay
Out-of-network: No Data
Out-of-network: No Data
In-network: $40 copay
Out-of-network: No Data
Out-of-network: No Data
Mental health services
In-network: $10 copay
Out-of-network: No Data
Out-of-network: No Data
In-network: $15 copay
Out-of-network: No Data
Out-of-network: No Data
In-network: $10 copay
Out-of-network: No Data
Out-of-network: No Data
In-network: $15 copay
Out-of-network: No Data
Out-of-network: No Data
Opioid treatment services
Covered
Other services
In-network: 20% coinsurance per item
Out-of-network: No Data
Out-of-network: No Data
In-network: 20% coinsurance per item
Out-of-network: No Data
Out-of-network: No Data
In-network: $0 copay per item
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 | $14.00 copay | $14.00 copay | |
| Preferred Brand | $47.00 copay | ||
| Non-Preferred Drug | $100.00 copay | ||
| Specialty Tier | 27% | ||
| 1 * 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
Out-of-network: No Data
In-network: 0-20% coinsurance
Out-of-network: No Data
Out-of-network: No Data
Extra Benefits
Hearing
In-network: $0 copay
Out-of-network: No Data
Out-of-network: No Data
Not covered
In-network: $375-1,425 copay
Out-of-network: No Data
Out-of-network: No Data
Preventive Dental
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Vision
In-network: $0 copay
Out-of-network: No Data
Out-of-network: No Data
Not covered
Not covered
Not covered
Not covered
Not covered
Other benefits
Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Limited coverage
Limited coverage
Health Plan Star Ratings
(government star ratings are out of 5 stars)
Prescription Drug Plan Star Ratings
(government star ratings are out of 5 stars)
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TTY 711
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