AARP Medicare Advantage from UHC MI-0002 (PPO)

3.5 out of 5 stars

^$64.00

Monthly Premium

AARP Medicare Advantage from UHC MI-0002 (PPO) is a PPO plan offered by UnitedHealthcare

Plan ID: H0294-018

HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.

Medicare beneficiaries may find it helpful to review available Medicare Advantage plans in their area. Medicare Advantage plans are designed to combine the coverage offered from Original Medicare (Medicare Part A and Part B) while also offering additional benefits.

Many Medicare Advantage plans may cover prescription drug coverage as well as additional benefits such as Dental, Vision and Hearing.

Learn more about Medicare Advantage plans such as AARP Medicare Advantage from UHC MI-0002 (PPO) - H0294-018 by UnitedHealthcare as well as other Medicare Advantage plans available in your area.

^$64.00

Monthly Premium

Basic Costs and Coverage

Coverage	Cost
Monthly Deductible	$600
Out of Pocket Max	In-Network: $5400 Out-of-Network: 5400
Initial Coverage Limit	$0
Catastrophic Coverage Limit	$2100
Primary Care Doctor Visit	Out-of-Network: Doctor Office Visit Services: Copayment for Medicare Covered Primary Care Office Visit $0
Specialty Doctor Visit	$50 copay
Inpatient Hospital Care	Out-of-Network: Acute Hospital Services: $425 per day for days 1 to 6 $0 per day for days 7 to 999 Note: All inpatient substance abuse and mental health care (including both care received in an acute care facility and a Medicare-certified psychiatric facility) are included in category 1b.
Urgent Care	$50 copay per visit ($0 copay when outside of the United States)
Emergency Room Visit	Emergency Care: Copayment for Emergency Care $130 Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital with in 24 hours Worldwide Coverage: Copayment for Worldwide Emergency Coverage $0 Copayment for Worldwide Emergency Transportation $0
Ambulance Transportation	In-Network: Ground Ambulance: Copayment for Ground Ambulance Services $275 Air Ambulance: Copayment for Air Ambulance Services $275 Prior Authorization Required for Air Ambulance

Health Care Services and Medical Supplies

AARP Medicare Advantage from UHC MI-0002 (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B).

Coverage	Cost
Chiropractic Services	In-Network: Chiropractic Services: Copayment for Medicare-covered Chiropractic Services $15 Prior Authorization Required for Chiropractic Services Out-of-Network: Chiropractic Services: Copayment for Medicare Covered Chiropractic Services $15
Diabetes Supplies, Training, Nutrition Therapy and Monitoring	In-Network: Diabetic Supplies and Services: Copayment for Medicare-covered Diabetic Supplies $0 Coinsurance for Medicare-covered Diabetic Therapeutic Shoes or Inserts 20%
Durable Medical Equipment (DME)	In-Network: Durable Medical Equipment: Coinsurance for Medicare-covered Durable Medical Equipment 20% Prior Authorization Required for Durable Medical Equipment
Diagnostic Tests, Lab and Radiology Services, and X-Rays	Out-of-Network: Diagnostic Procedures/Tests Services: Copayment for Medicare Covered Diagnostic Procedures/Tests $45 Copayment for Medicare Covered Lab Services $0 Copayment for Medicare Covered Diagnostic Radiological Services $0 to $260 Coinsurance for Medicare Covered Therapeutic Radiological Services 20% Copayment for Medicare Covered Outpatient X-Ray Services $30
Home Health Care	Out-of-Network: Home Health Services: Coinsurance for Medicare Covered Home Health 50%
Mental Health Inpatient Care	In-Network: Psychiatric Hospital Services: $425 per day for days 1 to 5 $0 per day for days 6 to 90 Prior Authorization Required for Psychiatric Hospital Services Benefit Details - General Note - NOTE ON INPATIENT SUBSTANCE ABUSE: All inpatient substance abuse and mental health care (including both care received in an acute care facility and a Medicare-certified psychiatric facility) are included in category 1b.
Mental Health Outpatient Care	Out-of-Network: Mental Health Services: Copayment for Medicare Covered Individual Sessions $25 Copayment for Medicare Covered Group Sessions $15
Outpatient Services / Surgery	Outpatient Hospital Services: Copayment for Outpatient Hospital Services $425 copay
Outpatient Substance Abuse Care	In-Network: Outpatient Substance Abuse Services: Copayment for Medicare-covered Individual Sessions $0 to $25 Copayment for Medicare-covered Group Sessions $15 Prior Authorization Required for Outpatient Substance Abuse Services Note: $0 copayment applies to Medicare covered telehealth for individual sessions. The higher cost share applies to all other Medicare covered services. Out-of-Network: Outpatient Substance Abuse Services: Copayment for Medicare Covered Individual Sessions $25 Copayment for Medicare Covered Group Sessions $15 Note: $0 copayment applies to Medicare covered telehealth for individual sessions. The higher cost share applies to all other Medicare covered services.
Over-the-counter (OTC) Items	Out-of-Network: Over-The-Counter (OTC) Items Services: Copayment for Non-Medicare Covered Over-The-Counter (OTC) Items $0
Podiatry Services	$45 copay 6 visits per year Out-of-Network: Podiatry Services: Copayment for Medicare Covered Podiatry Services $45
Skilled Nursing Facility Care	Out-of-Network: Skilled Nursing Facility Services: $0 per day for days 1 to 20 $218 per day for days 21 to 100

Dental Benefits

The following dental services are covered from in-network providers.

Coverage	Cost
Dental Care	Out-of-Network: Preventive Dental Services: Coinsurance for Medicare Covered Preventive Dental 20%

Vision Benefits

The following vision services are covered from in-network providers.

Coverage	Cost
Vision Benefits	Routine Eye Exam: $0 copay 1 per year Routine Eyewear: $0 copay for standard prescription lenses $200 allowance every 2 years for 1 pair of lenses/frames or contacts.

Hearing Benefits

The following hearing services are covered from in-network providers.

Coverage	Cost
Hearing Benefits	Out-of-Network: Hearing Exams Services: Copayment for Medicare Covered Hearing Exams $50

Preventive Services and Health/Wellness Education Programs

The following services are covered from in-network providers.

Coverage	Cost
Preventive Services and Health/Wellness Education Programs	Out-of-Network: Medicare-covered Preventive Services: Copayment for Medicare Covered Medicare-covered Preventive Services $0

Prescription Drug Costs and Coverage

The AARP Medicare Advantage from UHC MI-0002 (PPO) plan offers the following prescription drug coverage, with an annual drug deductible of $600 (excludes Tiers 1 and 2) per year.

Coverage	Cost
Coverage & Cost
Annual Drug Deductible	$600 (excludes Tiers 1 and 2)
Preferred Generic	Preferred cost-share mail order N/A Standard retail $0.00 Standard mail order N/A
Generic	Preferred cost-share mail order N/A Standard retail $8.00 Standard mail order N/A
Annual Drug Deductible	$600 (excludes Tiers 1 and 2)
Preferred Generic	Preferred cost-share mail order N/A Standard retail N/A Standard mail order N/A
Generic	Preferred cost-share mail order N/A Standard retail N/A Standard mail order N/A
Annual Drug Deductible	$600 (excludes Tiers 1 and 2)
Preferred Generic	Preferred cost-share mail order $0.00 Standard retail $0.00 Standard mail order $0.00
Generic	Preferred cost-share mail order $0.00 Standard retail $24.00 Standard mail order $24.00

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