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AARP Medicare Advantage from UHC PA-0014 (PPO)

H2001 - 105 - 0
4 out of 5 stars (4 / 5)

AARP Medicare Advantage from UHC PA-0014 (PPO) is a Medicare Advantage Plan by UnitedHealthcare.

This page features plan details for 2025 AARP Medicare Advantage from UHC PA-0014 (PPO) H2001 – 105 – 0 available in Select Counties in Pennsylvania.

Locations

AARP Medicare Advantage from UHC PA-0014 (PPO) is offered in the following locations.

Allegheny County, Pennsylvania
Armstrong County, Pennsylvania
Beaver County, Pennsylvania

Click to see more locations

Plan Overview

AARP Medicare Advantage from UHC PA-0014 (PPO) offers the following coverage and cost-sharing.

Insurer:UnitedHealthcare
Health Plan Deductible:$0
MOOP:$10,100 In and Out-of-network
$5,900 In-network
Drugs Covered:Yes

Ready to sign up for AARP Medicare Advantage from UHC PA-0014 (PPO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Premium Breakdown

AARP Medicare Advantage from UHC PA-0014 (PPO) has a monthly premium of $31.00. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$185.00 $0.00 $31.00 $ $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

AARP Medicare Advantage from UHC PA-0014 (PPO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible: $255.00
Drug Out-Of-Pocket maximum: $2,000.00
Drug Benefit Type: Enhanced Alternative

Part D Premium Reduction

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 DLIS Full
$31.00$0.00

Initial Coverage Phase

After you pay your $255.00 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 $2,000.00. Once you reach that amount, you will enter the next coverage phase.

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,000.00, 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.

Additional Benefits

AARP Medicare Advantage from UHC PA-0014 (PPO) also provides the following benefits.

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

    • In-Network: No

Diagnostic and Preventive Dental

  • Dental X-Rays
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: No Coins – 0.00 Copay
  • Fluoride Treatment
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: No Coins – 0.00 Copay
  • Oral Exams
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: No Coins – 0.00 Copay
  • Other Preventive Dental Services
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: No Coins – 0.00 Copay
  • Prophylaxis (cleaning)
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: No Coins – 0.00 Copay

Diagnostic procedures/lab services/imaging

  • Diagnostic radiology services (e.g., MRI)
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Lab services
    • In-Network: $0 copay (Authorization Required)
  • Diagnostic radiology services (e.g., MRI)
    • In-Network: $0-195 copay (Authorization Required)
  • Diagnostic tests and procedures
    • In-Network: $25 copay (Authorization Required)
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Lab services
    • Out-of-Network: $0 copay (Authorization Required)
  • Outpatient x-rays
    • In-Network: $10 copay (Authorization Required)
    • Out-of-Network: $25 copay (Authorization Required)

Doctor visits

  • Primary
    • Out-of-Network: 30% coinsurance per visit
  • Specialist
    • Out-of-Network: 30% coinsurance per visit (Authorization Required)
    • In-Network: $0-35 copay per visit (Authorization Required)
  • Primary
    • In-Network: $0 copay

Emergency care/Urgent care

  • Emergency
    • $125 copay per visit (always covered)
  • Urgent care
    • $0-55 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • In-Network: $35 copay (Authorization Required)
  • Routine foot care
    • In-Network: $35 copay (Limits Apply, Authorization Required)
  • Foot exams and treatment
    • Out-of-Network: 30% coinsurance (Authorization Required)

Ground ambulance

    • In-Network: $275 copay
    • Out-of-Network: $275 copay

Health plan deductible

    • $0

Hearing

  • Medicare-Covered Hearing Exam
    • In-Network: $0 copay (Authorization Required)
  • Hearing aids OTC
    • In-Network: $99-829 copay (Limits Apply)
  • Hearing aids
    • Out-of-Network: $199-1,249 copay (Limits Apply, Authorization Required)
  • Fitting/evaluation
    • Not covered
  • Hearing aids
    • In-Network: $199-1,249 copay (Limits Apply, Authorization Required)
  • Hearing aids OTC
    • Out-of-Network: $99-829 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • Out-of-Network: 30% coinsurance (Authorization Required)

Inpatient hospital coverage

    • In-Network: $390 per stay
      $0 per day for days 91 and beyond (Authorization Required)
    • Out-of-Network: 30% per stay (Authorization Required)

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

    • $10,100 In and Out-of-network
      $5,900 In-network

Medical equipment/supplies

  • Diabetes supplies
    • In-Network: $0 copay per item (Authorization Required)
    • Out-of-Network: 50% coinsurance per item (Authorization Required)
  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • In-Network: 20% coinsurance per item (Authorization Required)
    • Out-of-Network: 50% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • Out-of-Network: 50% coinsurance per item (Authorization Required)
    • In-Network: 20% coinsurance per item (Authorization Required)

Medicare Part B drugs

  • Other Part B drugs
    • Out-of-Network: 0-30% coinsurance (Authorization Required)
  • Chemotherapy
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Other Part B drugs
    • In-Network: 0-20% coinsurance (Authorization Required)
  • Chemotherapy
    • In-Network: 0-20% coinsurance (Authorization Required)

Mental health services

  • Outpatient group therapy visit
    • Out-of-Network: $30 copay (Authorization Required)
  • Outpatient individual therapy visit
    • In-Network: $0-25 copay (Authorization Required)
    • Out-of-Network: $40 copay (Authorization Required)
  • Inpatient hospital – psychiatric
    • In-Network: $390 per stay (Authorization Required)
  • Outpatient group therapy visit
    • In-Network: $15 copay (Authorization Required)
  • Outpatient individual therapy visit with a psychiatrist
    • Out-of-Network: $40 copay (Authorization Required)
  • Inpatient hospital – psychiatric
    • Out-of-Network: 30% per stay (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • Out-of-Network: $30 copay (Authorization Required)
  • Outpatient individual therapy visit with a psychiatrist
    • In-Network: $0-25 copay (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $15 copay (Authorization Required)

Optional supplemental benefits

    • Yes

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • In-Network: $0-390 copay per visit (Authorization Required)
    • Out-of-Network: 30% coinsurance per visit (Authorization Required)

Preventive care

    • In-Network: $0 copay
    • Out-of-Network: 0-30% coinsurance

Rehabilitation services

  • Physical therapy and speech and language therapy visit
    • In-Network: $0-30 copay (Authorization Required)
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Occupational therapy visit
    • In-Network: $0-30 copay (Authorization Required)
    • Out-of-Network: 30% coinsurance (Authorization Required)

Skilled Nursing Facility

    • In-Network: $0 per day for days 1 through 20
      $203 per day for days 21 through 100 (Authorization Required)
    • Out-of-Network: $225 per day for days 1 through 100 (Authorization Required)

Transportation

    • Not covered

Vision

  • Contact lenses
    • Out-of-Network: $0-153 copay (Limits Apply)
  • Eyeglass lenses
    • In-Network: $0-153 copay (Limits Apply)
  • Routine eye exam
    • Out-of-Network: 30% coinsurance (Limits Apply, Authorization Required)
  • Eyeglass frames
    • Out-of-Network: $0-153 copay (Limits Apply)
  • Eyeglass lenses
    • Out-of-Network: $0-153 copay (Limits Apply)
  • Other
    • Not covered
  • Routine eye exam
    • In-Network: $0 copay (Limits Apply, Authorization Required)
  • Upgrades
    • Not covered
  • Contact lenses
    • In-Network: $0 copay (Limits Apply)
  • Eyeglass frames
    • In-Network: $0 copay (Limits Apply)
  • Eyeglasses (frames and lenses)
    • Not covered

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

    • Covered

Dental Platinum Rider

Comprehensive Dental

  • Restorative Services, Endodontics, Periodontics, Prosthodontics, removable, Maxillofacial Prosthetics, Prosthodontics, fixed, Oral and Maxillofacial Surgery, Adjunctive General Services
    • Monthly Premium: $54.00

Diagnostic and Preventive Dental

  • Oral Exams, Dental X-Rays, Other Diagnostic Dental Services, Prophylaxis (Cleaning), Fluoride Treatment, Other Preventive Dental Services
    • Monthly Premium: $54.00

Ready to sign up for AARP Medicare Advantage from UHC PA-0014 (PPO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Need more information on AARP Medicare Advantage from UHC PA-0014 (PPO)? See 2025 AARP Medicare Advantage from UHC PA-0014 (PPO) at MedicareAdvantageRX.com.

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Get help enrolling in a Medicare Advantage or Medicare Prescription Drug Plan by calling a licensed insurance agent today.

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint

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