AARP Medicare Advantage Patriot (HMO-POS)

H5253 - 113 - 0
4.5 out of 5 stars (4.5 / 5)

AARP Medicare Advantage Patriot (HMO-POS) is a Medicare Advantage (Part C) Plan by UnitedHealthcare.

This page features plan details for 2023 AARP Medicare Advantage Patriot (HMO-POS) H5253 – 113 – 0 available in Select Counties in Tennessee and Virginia.

IMPORTANT: This page features the 2023 version of this plan. See the 2024 version using the link below:

Locations

AARP Medicare Advantage Patriot (HMO-POS) is offered in the following locations.

Plan Overview

AARP Medicare Advantage Patriot (HMO-POS) offers the following coverage and cost-sharing.

Insurer:UnitedHealthcare
Health Plan Deductible:$0.00
MOOP:$3,200 In-network
Drugs Covered:No

Ready to sign up for AARP Medicare Advantage Patriot (HMO-POS) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 TTY 711.

8am – 11pm EST. 7 days a week

Medicare Part B Give Back Benefit

The Part B Premium Reduction (Medicare Part B Give Back Benefit) lowers the cost of some Medicare Advantage plans. 

AARP Medicare Advantage Patriot (HMO-POS) qualifies for a monthly Medicare Give Back Benefit of $100.00.

Premium Reduction:$100.00

Premium Breakdown

AARP Medicare Advantage Patriot (HMO-POS) has a monthly premium of $0.00. This amount includes your Part C premium but does not include your Part B premium.
Part B Part C Part B Give Back Total
$164.90 $0.00 $100.00 $64.90
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.

Additional Benefits

AARP Medicare Advantage Patriot (HMO-POS) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

In-Network: No

Dental (comprehensive)

Diagnostic services:In-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Diagnostic services:Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Endodontics:In-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Endodontics:Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Extractions:In-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Extractions:Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Non-routine services:In-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Non-routine services:Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Periodontics:In-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Periodontics:Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Prosthodontics, other oral/maxillofacial surgery, other services:In-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Prosthodontics, other oral/maxillofacial surgery, other services:Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Restorative services:In-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Restorative services:Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required)

Dental (preventive)

Cleaning:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Cleaning:Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Dental x-ray(s):In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Dental x-ray(s):Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Fluoride treatment:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Fluoride treatment:Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Oral exam:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Oral exam:Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)

Diagnostic procedures/lab services/imaging

Diagnostic radiology services (e.g., MRI):In-Network: $0-110 copay (authorization required) (referral not required)
Diagnostic tests and procedures:In-Network: $0 copay (authorization required) (referral not required)
Lab services:In-Network: $0 copay (authorization required) (referral not required)
Outpatient x-rays:In-Network: $15 copay (authorization required) (referral not required)

Doctor visits

Primary:In-Network: $0 copay
Specialist:In-Network: $25 copay per visit (authorization required) (referral not required)

Emergency care/Urgent care

Emergency: $90 copay per visit (always covered)
Urgent care: $40 copay per visit (always covered)

Foot care (podiatry services)

Foot exams and treatment:In-Network: $25 copay (authorization required) (referral not required)
Routine foot care:In-Network: $25 copay (limits may apply) (authorization required) (referral not required)

Ground ambulance

In-Network: $250 copay

Health plan deductible

$0.00

Health plan deductibles (other)

In-Network: No

Hearing

Fitting/evaluation: Not covered (no limits)
Hearing aids:In-Network: $175-1,225 copay (limits may apply) (authorization required) (referral not required)
Hearing exam:In-Network: $0 copay (authorization required) (referral not required)

Hospital coverage (inpatient)

In-Network: $175 per day for days 1 through 5
$0 per day for days 6 through 90
$0 per day for days 91 and beyond (authorization required) (referral not required)
Out-of-Network: Not Applicable (authorization required) (referral not required)

Hospital coverage (outpatient)

In-Network: $0-160 copay per visit (authorization required) (referral not required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

$3,200 In-network

Medical equipment/supplies

Diabetes supplies:In-Network: $0 copay per item (authorization required)
Durable medical equipment (e.g., wheelchairs, oxygen):In-Network: 20% coinsurance per item (authorization required)
Prosthetics (e.g., braces, artificial limbs):In-Network: 20% coinsurance per item (authorization required)

Medicare Part B drugs

Chemotherapy:In-Network: 20% coinsurance (authorization required)
Other Part B drugs:In-Network: 0-20% coinsurance (authorization required)

Mental health services

Inpatient hospital – psychiatric:In-Network: $175 per day for days 1 through 5
$0 per day for days 6 through 90 (authorization required) (referral not required)
Inpatient hospital – psychiatric:Out-of-Network: Not Applicable (authorization required) (referral not required)
Outpatient group therapy visit:In-Network: $15 copay (authorization required) (referral not required)
Outpatient group therapy visit with a psychiatrist:In-Network: $15 copay (authorization required) (referral not required)
Outpatient individual therapy visit:In-Network: $25 copay (authorization required) (referral not required)
Outpatient individual therapy visit with a psychiatrist:In-Network: $25 copay (authorization required) (referral not required)

Optional supplemental benefits

No

Preventive care

In-Network: $0 copay (authorization not required) (referral not required)

Rehabilitation services

Occupational therapy visit:In-Network: $25 copay (authorization required) (referral not required)
Physical therapy and speech and language therapy visit:In-Network: $25 copay (authorization required) (referral not required)

Skilled Nursing Facility

In-Network: $0 per day for days 1 through 20
$196 per day for days 21 through 37
$0 per day for days 38 through 100 (authorization required) (referral not required)
Out-of-Network: Not Applicable (authorization required) (referral not required)

Transportation

In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)

Vision

Contact lenses:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Eyeglass frames: Not covered (no limits)
Eyeglass lenses: Not covered (no limits)
Eyeglasses (frames and lenses):In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Other: Not covered (no limits)
Routine eye exam:In-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Upgrades: Not covered

Wellness programs (e.g., fitness, nursing hotline)

Covered (authorization not required) (referral not required)

Ready to sign up for AARP Medicare Advantage Patriot (HMO-POS) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 TTY 711.

8am – 11pm EST. 7 days a week

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