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AARP Medicare Advantage Patriot No Rx WA-MA01 (PPO)

H1278 - 031 - 0
4 out of 5 stars (4 / 5)

AARP Medicare Advantage Patriot No Rx WA-MA01 (PPO) is a Medicare Advantage Plan by UnitedHealthcare.

This page features plan details for 2025 AARP Medicare Advantage Patriot No Rx WA-MA01 (PPO) H1278 – 031 – 0 available in Select Counties in Washington.

Locations

AARP Medicare Advantage Patriot No Rx WA-MA01 (PPO) is offered in the following locations.

Clark County, Washington
Cowlitz County, Washington
Franklin County, Washington

Click to see more locations

Plan Overview

AARP Medicare Advantage Patriot No Rx WA-MA01 (PPO) offers the following coverage and cost-sharing.

Insurer:UnitedHealthcare
Health Plan Deductible:$0
MOOP:$10,100 In and Out-of-network
$6,700 In-network
Drugs Covered:No

Ready to sign up for AARP Medicare Advantage Patriot No Rx WA-MA01 (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

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 No Rx WA-MA01 (PPO) qualifies for a monthly Medicare Give Back Benefit of $75.00.

Premium Reduction:$75.00

Premium Breakdown

AARP Medicare Advantage Patriot No Rx WA-MA01 (PPO) 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
$185.00 $0.00 $75.00 $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.

Additional Benefits

AARP Medicare Advantage Patriot No Rx WA-MA01 (PPO) also provides the following benefits.

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

    • In-Network: No

Comprehensive Dental

  • Adjunctive General Services
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
    • Out-of-Network: No Coins – 0.00 Copay (Authorization Required)
  • Endodontics
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
    • Out-of-Network: No Coins – 0.00 Copay (Authorization Required)
  • Maxillofacial Prosthetics
    • Out-of-Network: No Coins – 0.00 Copay (Authorization Required)
  • Maxillofacial Prosthetics
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
  • Oral and Maxillofacial Surgery
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
    • Out-of-Network: No Coins – 0.00 Copay (Authorization Required)
  • Periodontics
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
    • Out-of-Network: No Coins – 0.00 Copay (Authorization Required)
  • Prosthodontics, fixed
    • In-Network: 0-50 Coins – No Co pay (Authorization Required)
  • Prosthodontics, removable
    • In-Network: 0-50 Coins – No Co pay (Authorization Required)
  • Restorative Services
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
    • Out-of-Network: No Coins – 0.00 Copay (Authorization Required)

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 Diagnostic Dental Services
    • 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)
    • In-Network: $0-250 copay (Authorization Required)
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Lab services
    • In-Network: $0 copay (Authorization Required)
  • Outpatient x-rays
    • Out-of-Network: $30 copay (Authorization Required)
  • Diagnostic tests and procedures
    • In-Network: $50 copay (Authorization Required)
  • Outpatient x-rays
    • In-Network: $25 copay (Authorization Required)
  • Diagnostic tests and procedures
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Lab services
    • Out-of-Network: $0 copay (Authorization Required)

Doctor visits

  • Primary
    • In-Network: $0 copay
  • Specialist
    • In-Network: $0-55 copay per visit (Authorization Required)
  • Primary
    • Out-of-Network: $25 copay per visit
  • Specialist
    • Out-of-Network: $75 copay per visit (Authorization Required)

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: $45 copay (Authorization Required)
  • Routine foot care
    • In-Network: $45 copay (Limits Apply, Authorization Required)
  • Foot exams and treatment
    • Out-of-Network: $75 copay (Authorization Required)

Ground ambulance

    • In-Network: $290 copay
    • Out-of-Network: $290 copay

Health plan deductible

    • $0

Hearing

  • Hearing aids
    • Out-of-Network: $199-1,249 copay (Limits Apply, Authorization Required)
  • Hearing aids OTC
    • In-Network: $99-829 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • In-Network: $0 copay (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: $75 copay (Authorization Required)

Inpatient hospital coverage

    • In-Network: $515 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)
    • Out-of-Network: $625 per day for days 1 through 17
      $0 per day for days 18 and beyond (Authorization Required)

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

    • $10,100 In and Out-of-network
      $6,700 In-network

Medical equipment/supplies

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

Medicare Part B drugs

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

Mental health services

  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $15 copay (Authorization Required)
  • Outpatient individual therapy visit
    • Out-of-Network: $40 copay (Authorization Required)
  • Inpatient hospital – psychiatric
    • In-Network: $515 per day for days 1 through 4
      $0 per day for days 5 through 90 (Authorization Required)
  • Outpatient group therapy visit
    • Out-of-Network: $30 copay (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • Out-of-Network: $30 copay (Authorization Required)
  • Outpatient individual therapy visit
    • In-Network: $0-25 copay (Authorization Required)
  • Inpatient hospital – psychiatric
    • Out-of-Network: $625 per day for days 1 through 17
      $0 per day for days 18 through 90 (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)
    • In-Network: $0-25 copay (Authorization Required)

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • In-Network: $0-515 copay per visit (Authorization Required)
    • Out-of-Network: $595 copay per visit (Authorization Required)

Preventive care

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

Rehabilitation services

  • Occupational therapy visit
    • In-Network: $0-45 copay (Authorization Required)
    • Out-of-Network: $75 copay (Authorization Required)
  • Physical therapy and speech and language therapy visit
    • In-Network: $0-50 copay (Authorization Required)
    • Out-of-Network: $75 copay (Authorization Required)

Skilled Nursing Facility

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

Transportation

    • Not covered

Vision

  • Eyeglasses (frames and lenses)
    • Not covered
  • Eyeglass lenses
    • In-Network: $0-153 copay (Limits Apply)
  • Other
    • Not covered
  • Routine eye exam
    • Out-of-Network: $75 copay (Limits Apply, Authorization Required)
  • Contact lenses
    • Out-of-Network: $0-153 copay (Limits Apply)
  • Eyeglass frames
    • In-Network: $0 copay (Limits Apply)
    • Out-of-Network: $0-153 copay (Limits Apply)
  • Eyeglass lenses
    • Out-of-Network: $0-153 copay (Limits Apply)
  • Routine eye exam
    • In-Network: $0 copay (Limits Apply, Authorization Required)
  • Upgrades
    • Not covered
  • Contact lenses
    • In-Network: $0 copay (Limits Apply)

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

    • Covered

Ready to sign up for AARP Medicare Advantage Patriot No Rx WA-MA01 (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

Table of Contents

Get Help Enrolling

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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Medicare has neither approved nor endorsed any information on this site.

This is a promotional communication.

Every year, Medicare evaluates plans based on a 5-star rating system.

Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.

All plan-related information on this site is from CMS.gov and Medicare.gov. We only use data released publicly each year. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Contact a plan for a Summary of Benefits.

Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period.

We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan’s contract renewal.

Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.

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