AARP Medicare Advantage from UHC KY-0004 (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare
Plan ID: H5253-127
The following is HelpAdvisor Editorial Team analysis of data from the 2024 MA Landscape Source Files as well as carrier-provided plan data supplied by SunFire Inc.
$0.00
Monthly Premium
AARP Medicare Advantage from UHC KY-0004 (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare
Plan ID: H5253-127
The following is HelpAdvisor Editorial Team analysis of data from the 2024 MA Landscape Source Files as well as carrier-provided plan data supplied by SunFire Inc.
4.5 out of 5 stars
AARP Medicare Advantage from UHC KY-0004 (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare
Plan ID: H5253-127
The following is HelpAdvisor Editorial Team analysis of data from the 2024 MA Landscape Source Files as well as carrier-provided plan data supplied by SunFire Inc.
$0.00
Monthly Premium
Kentucky Counties Served
Montgomery Whitley Caldwell Letcher Johnson Metcalfe Lawrence Hopkins Grayson Estill Mclean Logan Magoffin Franklin Boone Bourbon Clay Nicholas Henry Jessamine Bell Marshall Knox Boyd Grant Harlan Carroll Bullitt Hanco*ck Rowan Todd Graves Anderson Trigg Casey Mason Barren Rockcastle Mccreary Warren Spencer Hart Meade Green Allen Gallatin Harrison Marion Leslie Daviess Muhlenberg Edmonson Cumberland Lee Calloway Carlisle Campbell Butler Shelby Bath Larue Powell Ohio Ballard Kenton Madison Christian Oldham Knott Nelson Monroe Trimble Perry Owsley Simpson Lewis Clark Pendleton Adair Taylor Bracken Clinton Hickman Boyle Owen Carter Morgan Martin Robertson Scott Laurel Jefferson Washington Claiborne Floyd Livingston Russell Fulton Mccracken Wayne Pickett Wolfe Elliott Fayette Jackson Garrard Henderson Pike Mercer Breckinridge Woodford Menifee Hardin Pulaski Webster Lyon Greenup Fleming Crittenden Union
Basic Costs and Coverage
Coverage | Cost |
---|---|
Monthly Deductible | $395 |
Out of Pocket Max | In-Network: $6500 Out-of-Network: N/A |
Initial Coverage Limit | $5030 |
Catastrophic Coverage Limit | $8,000 |
Primary Care Doctor Visit | In-Network: Doctor Office Visit: |
Specialty Doctor Visit | In-Network: Doctor Specialty Visit: |
Inpatient Hospital Care | In-Network: Acute Hospital Services: |
Urgent Care | Copayment for Urgent Care $0.00 to $40.00 Benefit Details - General 4b Note - NOTE ON COST SHARING RANGE FOR URGENTLY NEEDED SERVICES: $0 copayment applies to Medicare covered telehealth. The higher cost share applies to all other Medicare covered services. Worldwide Coverage: |
Emergency Room Visit | Copayment for Emergency Care $100.00 Worldwide Coverage: |
Ambulance Transportation | In-Network: Ground Ambulance: Air Ambulance: Benefit Details - General 10a Note - NOTE ON AUTHORIZATION: Authorization is required for Non-emergency Medicare-covered ambulance ground and air transportation. Emergency Ambulance does not require authorization. |
Health Care Services and Medical Supplies
AARP Medicare Advantage from UHC KY-0004 (HMO-POS) 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: |
Diabetes Supplies, Training, Nutrition Therapy and Monitoring | In-Network: |
Durable Medical Eqipment (DME) | In-Network: |
Diagnostic Tests, Lab and Radiology Services, and X-Rays | In-Network: Outpatient Diag Procs/Tests/Lab Services: Outpatient Diag/Therapeutic Rad Services: |
Home Health Care | In-Network: |
Mental Health Inpatient Care | In-Network: Psychiatric Hospital Services: |
Mental Health Outpatient Care | In-Network: |
Outpatient Services / Surgery | In-Network: Outpatient Hospital Services: Outpatient Observation Services: Ambulatory Surgical Center Services: |
Outpatient Substance Abuse Care | In-Network: |
Podiatry Services | In-Network:
Prior Authorization Required for Podiatry Services |
Skilled Nursing Facility Care | In-Network: Skilled Nursing Facility Services: |
Dental Benefits
The following dental services are covered from in-network providers.
Coverage | Cost |
---|---|
Dental Care | In-Network: Comprehensive Dental: POS (Out-of-Network): Non-Medicare Covered Dental Services: |
Vision Benefits
The following vision services are covered from in-network providers.
Coverage | Cost |
---|---|
Vision Benefits | In-Network: Eye Exams:
Prior Authorization Required for Eye Exams Eyewear:
Maximum Plan Benefit of $200.00 every year for all Non-Medicare covered eyewear |
Hearing Benefits
The following hearing services are covered from in-network providers.
Coverage | Cost |
---|---|
Hearing Benefits | In-Network: Hearing Exams:
Prior Authorization Required for Hearing Exams Hearing Aids:
Prior Authorization Required for Hearing Aids |
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 | In-Network: Abdominal aortic aneurysm screening
Tobacco use cessation |
Prescription Drug Costs and Coverage
The AARP Medicare Advantage from UHC KY-0004 (HMO-POS) plan offers the following prescription drug coverage, with an annual drug deductible of $395 (excludes Tiers 1 and 2) per year.
Coverage | Cost |
---|---|
Coverage & Cost | |
Annual Drug Deductible | $395 (excludes Tiers 1 and 2) |
Preferred Generic |
|
Generic |
|
Annual Drug Deductible | $395 (excludes Tiers 1 and 2) |
Preferred Generic |
|
Generic |
|
Annual Drug Deductible | $395 (excludes Tiers 1 and 2) |
Preferred Generic |
|
Generic |
|
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