AARP Medicare Advantage from UHC CA-002P (HMO-POS) is a Medicare Advantage (Part C) Plan by UnitedHealthcare.
This page features plan details for 2024 AARP Medicare Advantage from UHC CA-002P (HMO-POS) H0543 – 146 – 0 available in Placer, Sacramento, and Yolo Counties.
IMPORTANT: This page has been updated with plan and premium data for 2024.
AARP Medicare Advantage from UHC CA-002P (HMO-POS) is offered in the following locations.
AARP Medicare Advantage from UHC CA-002P (HMO-POS) offers the following coverage and cost-sharing.
Insurer: | UnitedHealthcare |
Health Plan Deductible: | $0.00 |
MOOP: | $3,900 In-network |
Drugs Covered: | Yes |
Ready to sign up for AARP Medicare Advantage from UHC CA-002P (HMO-POS) ?
Part B | Part C | Part D | Part B Give Back | Total |
---|---|---|---|---|
$174.70 | $0.00 | $19.00 | $0.00 | $193.70 |
AARP Medicare Advantage from UHC CA-002P (HMO-POS) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
Drug Deductible: | $0.00 |
Initial Coverage Limit: | $5,030.00 |
Catastrophic Coverage Limit: | $8,000.00 |
Drug Benefit Type: | Enhanced Alternative |
Additional Gap Coverage: | Yes |
Formulary Link: | Formulary Link |
The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.
The table below shows how the LIS impacts the Part D premium of this plan.
Part D | LIS Full |
---|---|
$19.00 | $ |
NOTE: The Inflation Reduction Act of 2022 has expanded full subsidy eligibility under the LIS program to individuals with incomes up to 150% of the Federal Poverty Level. People who qualify for Extra Help generally will pay no more than $4.50 for each generic drug and $11.20 for each brand-name drug.
After you pay your $0.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $5,030.00. Once you reach that amount, you will enter the next coverage phase.
Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
---|---|---|---|---|
1 (Preferred Generic) | $0.00 copay | |||
2 (Generic) | $12.00 copay | |||
3 (Preferred Brand) | $47.00 copay | |||
4 (Non-Preferred Drug) | $100.00 copay | |||
5 (Specialty Tier) | 33% | 33% | 33% |
Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
---|---|---|---|---|
1 (Preferred Generic) | ||||
2 (Generic) | ||||
3 (Preferred Brand) | ||||
4 (Non-Preferred Drug) | ||||
5 (Specialty Tier) |
Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
---|---|---|---|---|
1 (Preferred Generic) | $0.00 copay | $0.00 copay | $0.00 copay | |
2 (Generic) | $36.00 copay | $0.00 copay | $36.00 copay | |
3 (Preferred Brand) | $141.00 copay | $131.00 copay | $141.00 copay | |
4 (Non-Preferred Drug) | $300.00 copay | $290.00 copay | $300.00 copay | |
5 (Specialty Tier) |
After your total drug costs (including what this plan has paid and what you have paid) reach $5,030.00, you will pay no more than the amounts below for any drug tier until you reach $8,000.00.
Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
---|---|---|---|---|
1 (Preferred Generic) | $0.00 copay | |||
2 (Generic) * | $12.00 copay | |||
1 (Preferred Generic) | ||||
2 (Generic) | ||||
3 (Preferred Brand) | ||||
4 (Non-Preferred Drug) | ||||
5 (Specialty Tier) |
Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
---|---|---|---|---|
1 (Preferred Generic) | $0.00 copay | $0.00 copay | $0.00 copay | |
2 (Generic) * | $36.00 copay | $0.00 copay | $36.00 copay | |
1 (Preferred Generic) | ||||
2 (Generic) | ||||
3 (Preferred Brand) | ||||
4 (Non-Preferred Drug) | ||||
5 (Specialty Tier) |
Tier | Cost |
---|---|
All other tiers (Generic) | 25% |
All other tiers (Brand-name) | 25% |
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $8,000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit. Please note, that this plan has a Enhanced Alternative benefit type.
AARP Medicare Advantage from UHC CA-002P (HMO-POS) also provides the following benefits.
$0 |
In-network | No |
$3,900 In-network |
Yes |
In-network | No |
$0-195 copay per visit (Authorization is required.) (Referral is required.) |
Primary | $0 copay (Not applicable.) (Not applicable.) |
Specialist | $0-25 copay per visit (Authorization is required.) (Referral is required.) |
$0 copay (Authorization is not required.) (Referral is not required.) |
Emergency | $120 copay per visit (always covered) (Not applicable.) (Not applicable.) |
Urgent care | $0-40 copay per visit (always covered) (Not applicable.) (Not applicable.) |
Diagnostic tests and procedures | $0 copay (Authorization is required.) (Referral is required.) |
Lab services | $0 copay (Authorization is required.) (Referral is required.) |
Diagnostic radiology services (e.g., MRI) | $0-55 copay (Authorization is required.) (Referral is required.) |
Outpatient x-rays | $15 copay (Authorization is required.) (Referral is required.) |
Hearing exam | $0 copay (Authorization is required.) (Referral is required.) |
Fitting/evaluation | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Hearing aids | $99-1,249 copay (Limits may apply.) (Authorization is required.) (Referral is not required.) |
Oral exam | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Cleaning | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Fluoride treatment | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Dental x-ray(s) | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Non-routine services | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Diagnostic services | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Restorative services | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Endodontics | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Periodontics | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Extractions | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Prosthodontics, other oral/maxillofacial surgery, other services | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Routine eye exam | $0 copay (Limits may apply.) (Authorization is required.) (Referral is required.) |
Other | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Contact lenses | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is required.) |
Eyeglasses (frames and lenses) | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is required.) |
Eyeglass frames | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Eyeglass lenses | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
Upgrades | Not covered (Not applicable.) (Not applicable.) |
Occupational therapy visit | $0-20 copay (Authorization is required.) (Referral is required.) |
Physical therapy and speech and language therapy visit | $0-20 copay (Authorization is required.) (Referral is required.) |
$250 copay (Not applicable.) (Not applicable.) |
Not covered (Not applicable.) (Not applicable.) |
Foot exams and treatment | $25 copay (Authorization is required.) (Referral is required.) |
Routine foot care | $25 copay (Limits may apply.) (Authorization is required.) (Referral is required.) |
Durable medical equipment (e.g., wheelchairs, oxygen) | 20% coinsurance per item (Authorization is required.) (Not applicable.) |
Prosthetics (e.g., braces, artificial limbs) | 20% coinsurance per item (Authorization is required.) (Not applicable.) |
Diabetes supplies | $0 copay per item (Authorization is required.) (Not applicable.) |
Covered (Authorization is not required.) (Referral is not required.) |
Chemotherapy | 0-20% coinsurance (Authorization is required.) (Not applicable.) |
Other Part B drugs | 0-20% coinsurance (Authorization is required.) (Not applicable.) |
Part B Insulin drugs | 0-20% coinsurance (up to $35) (Authorization is required.) (Not applicable.) |
$220 per day for days 1 through 8 $0 per day for days 9 through 90 $0 per day for days 91 and beyond (Authorization is required.) (Referral is required.) |
Inpatient hospital – psychiatric | $220 per day for days 1 through 8 $0 per day for days 9 through 90 (Authorization is required.) (Referral is required.) |
Outpatient group therapy visit with a psychiatrist | $15 copay (Authorization is required.) (Referral is required.) |
Outpatient individual therapy visit with a psychiatrist | $0-25 copay (Authorization is required.) (Referral is required.) |
Outpatient group therapy visit | $15 copay (Authorization is required.) (Referral is required.) |
Outpatient individual therapy visit | $0-25 copay (Authorization is required.) (Referral is required.) |
$0 per day for days 1 through 20 $203 per day for days 21 through 100 (Authorization is required.) (Referral is required.) |
Monthly Premium | $62.00 |
Deductible | nan |
Ready to sign up for AARP Medicare Advantage from UHC CA-002P (HMO-POS) ?
SMID: MULTIPLAN_HCIHNDOGMED01_M
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