2027 Medicare Advantage plan
AARP Medicare Advantage Patriot No Rx KS-MA01 (PPO): 2027 benefits and costs
UnitedHealthcare PPO
CMS plan ID: H8768-025-0 · Plan year: 2027
AARP Medicare Advantage Patriot No Rx KS-MA01 (PPO) is a 2027 Medicare Advantage plan offered by UnitedHealthcare. It is listed in Kansas, Missouri.
2027 plan costs at a glance
- Organization
- UnitedHealthcare
- Plan organization
- CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.
- Parent company
- UnitedHealth Group, Inc.
- Plan type
- PPO
- Part C premium
- $0.00
- Prescription drug coverage
- No
- 2027 CMS Star Rating
- Standard monthly Medicare Part B premium
- $209.50 (estimated)
- Monthly Part B premium after plan reduction
- $94.50 (estimated)$209.50 standard premium less $115.00 plan reduction.
You must continue to pay your Medicare Part B premium.
- Annual medical deductible
- None
- In-network medical maximum
- $7,150.00
- Combined in/out-of-network medical maximum
- $10,750.00
- Out-of-network medical maximum
- Not applicable
- Part B premium reduction
- $115.00
2027 benefit summary
Doctor visits and medical care
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Primary care doctor | $0.00 copay
| $25.00 copay
| |
| Specialist visit | $0.00 to $65.00 copay
| $100.00 copay
|
|
| Emergency care | $130.00 copay | Not summarized. Check coverage with the plan. | |
| Urgent care | $0.00 to $50.00 copay | Not summarized. Check coverage with the plan. | |
| Home health | $0.00 copay
| 50% coinsurance
|
|
| Dialysis | 20% coinsurance
| 20% coinsurance
|
|
| Part B chemotherapy and radiation drugs | 0% to 20% coinsurance
| 40% coinsurance
|
|
| Other Part B drugs | 0% to 20% coinsurance
| 0% to 40% coinsurance
|
|
| Kidney disease education services | $0.00 copay
| 40% coinsurance
|
|
| Medicare-covered chiropractic | $15.00 copay
| $100.00 copay
|
|
| Medicare-covered foot care | $45.00 copay
| $100.00 copay
|
|
| Other health professionals | $0.00 to $65.00 copay
| $25.00 to $100.00 copay
|
|
Hospital, outpatient surgery and observation care
Inpatient stays and skilled nursing care
| Care | Your share of the cost | What to know |
|---|---|---|
| Inpatient hospital stay | $0.00 copay per stay Days 1–4: $645.00 copay per day Days 5–90: $0.00 copay per day |
|
| Inpatient mental health care | $0.00 copay per stay Days 1–3: $645.00 copay per day Days 4–90: $0.00 copay per day |
|
| Skilled nursing facility | Days 1–20: $0.00 copay per day Days 21–100: $221.00 copay per day |
|
See plan documents for out-of-network hospital and skilled nursing costs.
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Outpatient hospital care | $0.00 to $645.00 copay
| 40% coinsurance
| |
| Hospital observation services | $645.00 copay
| 40% coinsurance
| |
| Ambulatory surgical center | $0.00 to $545.00 copay
| 40% coinsurance
|
|
| Outpatient blood | $0.00 copay
| $0.00 copay
|
|
Tests, imaging and laboratory services
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Diagnostic procedures and tests | $50.00 copay
| $70.00 copay
|
|
| Laboratory services | $0.00 copay
| $0.00 copay
|
|
| Diagnostic radiology (CT, MRI) | $0.00 to $320.00 copay
| $420.00 copay
|
|
| Therapeutic radiology | 20% coinsurance
| 40% coinsurance
|
|
| X-rays | $30.00 copay
| $40.00 copay
|
|
Mental health and substance use treatment
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Partial hospitalization | $55.00 copay
| $75.00 copay
|
|
| Intensive outpatient program | $55.00 copay
| $75.00 copay
|
|
| Substance use treatment, individual sessions | $0.00 to $25.00 copay
| $40.00 copay
|
|
| Substance use treatment, group sessions | $15.00 copay
| $30.00 copay
|
|
| Opioid treatment program | $0.00 copay
| $0.00 copay
|
|
| Mental health, individual sessions | $0.00 to $25.00 copay
| $40.00 copay
|
|
| Mental health, group sessions | $15.00 copay
| $30.00 copay
|
|
| Psychiatry, individual sessions | $0.00 to $25.00 copay
| $40.00 copay
|
|
| Psychiatry, group sessions | $15.00 copay
| $30.00 copay
|
|
Therapy and rehabilitation
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Occupational therapy | $50.00 copay
| $100.00 copay
|
|
| Physical and speech therapy | $65.00 copay
| $100.00 copay
|
|
| Cardiac rehabilitation | $0.00 copay
| 40% coinsurance
|
|
| Intensive cardiac rehabilitation | $0.00 copay
| 40% coinsurance
|
|
| Pulmonary rehabilitation | $0.00 copay
| 40% coinsurance
|
|
| Supervised exercise for peripheral artery disease | $0.00 copay
| 40% coinsurance
|
|
Ambulance, medical equipment and supplies
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Ground ambulance | $350.00 copay
| $350.00 copay
|
|
| Air ambulance | $350.00 copay
| $350.00 copay
|
|
| Durable medical equipment | 20% coinsurance
| 50% coinsurance
|
|
| Prosthetic devices | 20% coinsurance
| 50% coinsurance
|
|
| Medical supplies | 20% coinsurance
| 50% coinsurance
|
|
| Diabetic supplies | $0.00 copay
| 50% coinsurance
|
|
| Diabetic shoes and inserts | 20% coinsurance
| 50% coinsurance
|
|
| Diabetic monitors | $0.00 copay
| 50% coinsurance
|
|
Dental benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Medicare-covered dental | 20% coinsurance | 40% coinsurance
| |
| Oral examsAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Dental X-raysAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Other diagnostic dentalAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Dental cleaningAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| FluorideAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Other preventive dentalAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Restorative dental careAdditional plan benefit | 50% coinsurance | 50% coinsurance
| |
| Root canal treatment (endodontics)Additional plan benefit | 50% coinsurance | 50% coinsurance
| |
| Gum treatment (periodontics)Additional plan benefit | 50% coinsurance | 50% coinsurance
| |
| Removable dentures (prosthodontics)Additional plan benefit | 50% coinsurance | 50% coinsurance
| |
| Maxillofacial prostheticsAdditional plan benefit | 50% coinsurance | 50% coinsurance
| |
| Fixed dental restorations (prosthodontics)Additional plan benefit | 50% coinsurance | 50% coinsurance
| |
| Oral surgeryAdditional plan benefit | 50% coinsurance | 50% coinsurance
| |
| Other dental servicesAdditional plan benefit | 50% coinsurance | 50% coinsurance
|
Additional network details
These costs apply to the listed service categories and networks.
| Service | Network | Your share of the cost | What to know |
|---|---|---|---|
| Diagnostic and preventive dental (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
| Comprehensive dental (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
Vision benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Medicare-covered eye exams | $0.00 copay
| $100.00 copay
|
|
| Routine eye examsAdditional plan benefit | $0.00 copay | $100.00 copay
|
|
| Medicare-covered eyewear | $0.00 copay
| 40% coinsurance
|
|
| Contact lensesAdditional plan benefit | $0.00 copay | 90% coinsurance
|
|
| Eyeglasses, lenses and framesAdditional plan benefit | $0.00 copay | 90% coinsurance
|
|
Additional network details
These costs apply to the listed service categories and networks.
| Service | Network | Your share of the cost | What to know |
|---|---|---|---|
| Eye exams (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
| Eyewear (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
Hearing benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Medicare-covered hearing exams | $0.00 copay
| $100.00 copay
|
|
| Routine hearing examsAdditional plan benefit | $0.00 copay | $100.00 copay
|
|
| Prescription hearing aids (all types)Additional plan benefit | $0.00 copay
| 90% coinsurance
|
|
Additional network details
These costs apply to the listed service categories and networks.
| Service | Network | Your share of the cost | What to know |
|---|---|---|---|
| Hearing exams (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
| Prescription hearing aids (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
Extra benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Over-the-counter health itemsAdditional plan benefit | $0.00 copay
| 90% coinsurance
| |
| Annual physical examAdditional plan benefit | $0.00 copay
| 40% coinsurance
|
|
| Fitness benefitAdditional plan benefit | $0.00 copay
| 90% coinsurance
|
|
Additional services and network costs
Additional network details
These costs apply to the listed service categories and networks.
| Service | Network | Your share of the cost | What to know |
|---|---|---|---|
| Podiatry Services - Routine Foot CareAdditional plan benefit | Out-of-network | $100.00 copay
|
|
| Medicare-covered preventive servicesMedicare-covered care | Out-of-network | 0% to 40% coinsurance
| |
| Home and Bathroom Safety Devices and ModificationsAdditional plan benefit | Out-of-network | 90% coinsurance
|
|
| Glaucoma ScreeningMedicare-covered care | Out-of-network | $100.00 copay
| |
| Diabetes Self-Management TrainingMedicare-covered care | Out-of-network | 40% coinsurance
| |
| Digital Rectal ExamsMedicare-covered care | Out-of-network | 40% coinsurance
| |
| EKG after a Welcome to Medicare visitMedicare-covered care | Out-of-network | 40% coinsurance
| |
| Medicare Part B insulinMedicare-covered care | Out-of-network | 40% coinsurance
|
Allowances and optional benefits
Combined Benefit 1
One shared limit covers the listed services, not a separate allowance for each service.
- Services sharing this allowance
- Over-the-counter health items; Home and Bathroom Safety Devices and Modifications
- How benefits are provided
- Catalogue Purchase; Debit Card
- Advance choice of benefits required
- No
- Shared benefit limit
- $90.00
- How often this limit applies
- Every three months
- Shared limit on visits or trips
- No
Prescription drug coverage
This plan does not include a Part D prescription drug benefit.
Where this plan is offered
CMS lists this plan in 2 states or territories. Availability can vary by county and ZIP code.
View all locations 99 county listings across 2 states or territories
Kansas
- Allen, Kansas
- Anderson, Kansas
- Atchison, Kansas
- Barber, Kansas
- Bourbon, Kansas
- Brown, Kansas
- Butler, Kansas
- Chase, Kansas
- Chautauqua, Kansas
- Cherokee, Kansas
- Clay, Kansas
- Cowley, Kansas
- Crawford, Kansas
- Dickinson, Kansas
- Doniphan, Kansas
- Douglas, Kansas
- Edwards, Kansas
- Elk, Kansas
- Ellsworth, Kansas
- Franklin, Kansas
- Geary, Kansas
- Greenwood, Kansas
- Harper, Kansas
- Harvey, Kansas
- Jackson, Kansas
- Jefferson, Kansas
- Jewell, Kansas
- Johnson, Kansas
- Kingman, Kansas
- Kiowa, Kansas
- Labette, Kansas
- Leavenworth, Kansas
- Lincoln, Kansas
- Linn, Kansas
- Lyon, Kansas
- Marion, Kansas
- Marshall, Kansas
- McPherson, Kansas
- Miami, Kansas
- Mitchell, Kansas
- Montgomery, Kansas
- Morris, Kansas
- Nemaha, Kansas
- Neosho, Kansas
- Osage, Kansas
- Osborne, Kansas
- Ottawa, Kansas
- Pawnee, Kansas
- Phillips, Kansas
- Pratt, Kansas
- Reno, Kansas
- Republic, Kansas
- Rice, Kansas
- Rooks, Kansas
- Rush, Kansas
- Russell, Kansas
- Saline, Kansas
- Sedgwick, Kansas
- Shawnee, Kansas
- Smith, Kansas
- Stafford, Kansas
- Sumner, Kansas
- Wabaunsee, Kansas
- Washington, Kansas
- Wilson, Kansas
- Woodson, Kansas
- Wyandotte, Kansas
Missouri
- Andrew, Missouri
- Atchison, Missouri
- Bates, Missouri
- Benton, Missouri
- Buchanan, Missouri
- Caldwell, Missouri
- Carroll, Missouri
- Cass, Missouri
- Chariton, Missouri
- Clay, Missouri
- Clinton, Missouri
- Daviess, Missouri
- DeKalb, Missouri
- Gentry, Missouri
- Grundy, Missouri
- Harrison, Missouri
- Henry, Missouri
- Holt, Missouri
- Jackson, Missouri
- Johnson, Missouri
- Lafayette, Missouri
- Linn, Missouri
- Livingston, Missouri
- Mercer, Missouri
- Nodaway, Missouri
- Pettis, Missouri
- Platte, Missouri
- Putnam, Missouri
- Ray, Missouri
- Saline, Missouri
- Sullivan, Missouri
- Worth, Missouri