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AARP Medicare Advantage from UHC NY-0028 (HMO-POS)

Health Insurance Company: UnitedHealthcareⓇ

Medicare Advantage Plan Details

UnitedHealthcareⓇ
$0 /mo
monthly premium
AARP Medicare Advantage from UHC NY-0028 (HMO-POS)
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Vision
  • Hearing
3.5
out of 5 stars

General Plan Details

Medical Deductible
$0
Out-of-Pocket Maximum
$8900
Rx Drug Coverage
Yes
Rx Deductible
$495
Primary Doctor Office Visit
$0 copay
Specialist Office Visit
$0-50 copay per visit

Additional Benefits

Dental Coverage
No
Vision Coverage
Yes
Mental Health Coverage
Yes
Transportation for non-emergency
No
Fitness Benefits
No
Worldwide emergency
Yes
Telehealth
Yes
Part B Give Back
Yes

Doctor & Hospital Coverage

Primary Doctor Office Visit
$0 copay
Specialist Office Visit
$0-50 copay per visit
Periodic Exam Coverage
$0 copay

Emergency Room

$110 copay per visit (always covered)

Ambulance Coverage

$125 copay

Lab, X-Ray, Radiology Coverage

Outpatient diag procs/tests/lab services:
Medicare-covered diagnostic procedures/tests: $25 copay
Medicare-covered lab services: $0 copay
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): $0-150 copay
Medicare-covered x-ray services: $15 copay

Outpatient Surgery Coverage

Outpatient hospital:
Medicare-covered outpatient hospital services: $0-395 copay per visit

Hospitalization Coverage

Inpatient hospital-acute:
$395 per day for days 1 through 5
$0 per day for days 6 through 90
$0 per day for days 91 and beyond
Inpatient hospital psychiatric:
$395 per day for days 1 through 4
$0 per day for days 5 through 90

Rehabilitation Coverage

Occupational therapy services:
$0-20 copay
Physical therapy and speech and language therapy services:
$0-25 copay

Urgent Care Coverage

$0-45 copay per visit (always covered)

Skilled Nursing Facility (SNF)

$0 per day for days 1 through 20
$203 per day for days 21 through 100

Mental Health Coverage

Medicare-covered individual sessions: $0-25 copay
Medicare-covered group sessions: $15 copay

Dental, Vision, Hearing Benefits

Vision Benefits

Eye exams:
Routine eye exams: $0 copay
Eyewear:
Contact Lenses: $0 copay
Eyeglasses: Not covered

Hearing Benefits

Hearing exams:
Routine hearing exams: $0 copay
Hearing aids:
Hearing aids (all types): $199-1,249 copay

Rx Drug Coverage - Standard Retail Cost

Tier 1: Preferred Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 2: Generic

$12.00 copay (30-day supply)
$36.00 copay (90-day supply)

Tier 3: Preferred Brand

$47.00 copay (30-day supply)
$141.00 copay (90-day supply)

Tier 4: Non-Preferred Drug

$100.00 copay (30-day supply)

Tier 5: Specialty Tier

27% coinsurance (30-day supply)

Tier 1: Preferred Generic

$0.00 copay (90-day supply)

Tier 2: Generic

$36.00 copay (90-day supply)

Tier 3: Preferred Brand

$141.00 copay (90-day supply)

Tier 4: Non-Preferred Drug

$100.00 copay (30-day supply)

Tier 5: Specialty Tier

27% coinsurance (30-day supply)

Tier 1: Preferred Generic

$0.00 copay (90-day supply)

Tier 2: Generic

$0.00 copay (90-day supply)

Tier 3: Preferred Brand

$131.00 copay (90-day supply)

Tier 4: Non-Preferred Drug

$100.00 copay (30-day supply)

Tier 5: Specialty Tier

27% coinsurance (30-day supply)

More Additional Benefits

Annual physical exams
Yes
Chiropractic Coverage
No
Acupuncture
No
Massage Therapy
No
Health Education
No
Counseling Services
No
Support for Caregivers of Enrollees
No
Personal Emergency Response System (PERS)
No
In-home support services
No
Home and bathroom safety devices
No
Meals for short duration
Yes

Plan Links

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Where This Plan is Available

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Additional Plan Info

Plan Year:
2025
Insurance Company Website:
UnitedHealthcareⓇ

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following insurance companies:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Anthem Blue Cross
  • Anthem Blue Cross and Blue Shield
  • Aspire Health Plan
  • Baylor Scott & White Health Plan
  • Capital Blue Cross
  • Cigna Healthcare
  • Dean Health Plan
  • Devoted Health
  • Florida Blue Medicare
  • Freedom Health
  • GlobalHealth
  • Health Care Service Corporation
  • Healthy Blue
  • HealthSun
  • Humana
  • Molina Healthcare
  • Mutual of Omaha
  • Medica Central Health Plan
  • Optimum HealthCare
  • Premera Blue Cross
  • SCAN Health Plan
  • Simply
  • UnitedHealthcareⓇ
  • Wellcare
  • WellPoint