AARP Medicare Advantage Choice (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare
Plan ID: H4829-008-000
California Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and Part B) benefits into a single plan.
Most Medicare Advantage plans cover prescription drugs, and many plans may offer other extra benefits Original Medicare doesn’t cover.
Learn more about California Medicare Advantage plans like the one below and find a plan that offers the benefits you want at an affordable price.
This H4829-008 plan is a Medicare Advantage special needs plan offered by AARP with the Plan ID: H4829-008-000. This plan offers all the same benefits of Medicare Plan A and Plan B as well as additional benefits that gives you more coverage. Because of this some of the out-of-pocket costs and coverage might be different, so we've broken down all the details of this plan below!
Plan ID: H4829-008-000
AARP Medicare Advantage Plan is coordinated care Medicare Advantage plan offered by AARP for beneficiaries in California. Below you will find more details on coverage, costs, and specific plan data for the H4829-008-000 plan.
|Monthly plan premium||$43.00|
|Initial drug coverage limit||$0.00|
|Catastrophic drug coverage limit||$7,400.00|
|Primary care doctor visit||In-Network:|
Doctor Office Visit:
Copayment for Primary Care Office Visit $0.00
|Specialty doctor visit|
Doctor Specialty Visit:
Copayment for Medicare Covered Physician Specialist Office Visit $50.00
|Inpatient hospital care||In-Network:|
Acute Hospital Services:
$300.00 per day for days 1 to 4
$0.00 per day for days 5 to 90
Prior Authorization Required for Acute Hospital Services
Copayment for Urgent Care $40.00
Copayment for Worldwide Urgent Coverage $0.00
|Emergency room visit|
Copayment for Emergency Care $90.00
Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours
Copayment for Worldwide Emergency Coverage $0.00
Copayment for Worldwide Emergency Transportation $0.00
Copayment for Ground Ambulance Services $250.00
Copayment for Air Ambulance Services $250.00
Section B - General 10a Note - NOTE ON AUTHORIZATION: Authorization is required for Non-emergency Medicare-covered ambulance ground and air transportation. Emergency Ambulance does not require authorization.
Please see Evidence of Coverage for Prior Authorization rules
AARP Medicare Advantage Choice (PPO) covers a range of additional benefits. Learn more about AARP Medicare Advantage Choice (PPO) benefits, some of which may not be covered by Original Medicare (Part A and Part B).
Copayment for Medicare Covered Chiropractic Services $50.00
|Diabetes supplies, training, nutrition therapy and monitoring||In-Network:|
Diabetic Supplies and Services:
Copayment for Medicare-covered Diabetic Supplies $0.00
Coinsurance for Medicare-covered Diabetic Therapeutic Shoes or Inserts 20%
Prior Authorization Required for Diabetic Supplies and Services
Diabetic Supplies and Services limited to those from specified manufacturers(Please see Evidence of Coverage)
|Durable medical equipment (DME)|
Durable Medical Equipment:
Coinsurance for Medicare Covered Durable Medical Equipment 20% to 50%
|Diagnostic tests, lab and radiology services, and X-rays||In-Network:|
Outpatient Diag Procs/Tests/Lab Services:
Copayment for Medicare-covered Diagnostic Procedures/Tests $30.00
Copayment for Medicare-covered Lab Services $0.00
Prior Authorization Required for Outpatient Diag Procs/Tests/Lab Services
Outpatient Diag/Therapeutic Rad Services:
Copayment for Medicare-covered Diagnostic Radiological Services $0.00 to $105.00
Copayment for Medicare-covered Therapeutic Radiological Services $60.00
Copayment for Medicare-covered X-Ray Services $15.00
Prior Authorization Required for Outpatient Diag/Therapeutic Rad Services
|Home health care||In-Network:|
Home Health Services:
Copayment for Medicare-covered Home Health Services $0.00
Prior Authorization Required for Home Health Services
|Mental health inpatient care|
$500.00 per day for days 1 to 17
$0.00 per day for days 18 to 90
|Mental health outpatient care|
Outpatient Mental Health Services:
Copayment for Medicare Covered Individual Sessions $30.00 to $40.00
Copayment for Medicare Covered Group Sessions $30.00 to $40.00
Outpatient Hospital and ASC Services:
Copayment for Medicare Covered Outpatient Hospital Services $500.00
Copayment for Medicare Covered Ambulatory Surgical Center Services $500.00
|Outpatient substance abuse care||In-Network:|
Outpatient Substance Abuse Services:
Copayment for Medicare-covered Individual Sessions $25.00
Copayment for Medicare-covered Group Sessions $15.00
Prior Authorization Required for Outpatient Substance Abuse Services
Copayment for Medicare Covered Podiatry Services $50.00
Copayment for Non-Medicare Covered Podiatry Services $50.00
|Skilled Nursing Facility (SNF) care|
$225.00 per day for days 1 to 39
$0.00 per day for days 40 to 100
The following dental services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
Medicare Covered Dental Services:
Coinsurance for Medicare Covered Comprehensive Dental 0% to 40%
Non-Medicare Covered Dental Services:
Copayment for Non-Medicare Covered Preventive Dental $0.00
Copayment for Non-Medicare Covered Comprehensive Dental $0.00
The following vision services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
Medicare Covered Vision Services:
Copayment for Medicare Covered Eye Exams $50.00
Copayment for Medicare Covered Eyewear $50.00
Non-Medicare Covered Vision Services:
Copayment for Non-Medicare Covered Eye Exams $50.00
Copayment for Non-Medicare Covered Eyewear $0.00
The following hearing services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
Copayment for Medicare Covered Benefits $0.00
Copayment for Routine Hearing Exams $0.00
Copayment for Hearing Aids $175.00 to $1225.00
Section B - General 18b Note - NOTE ON COST SHARING: Copays will range from a minimum copay of $175 to a maximum of $1,225 based on features and style. NOTE ON COMBINED COVERAGE FOR HEARING AID BENEFIT: Member may purchase a total of two hearing aids every year.
The following services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
|Preventive services and health/wellness education programs|
Medicare-covered Zero Dollar Preventive Services:
Copayment for Medicare Covered Medicare-covered Preventive Services $0.00 to $40.00
When reviewing California Medicare plans, be sure to find out if your doctors are part of the plan network. If a Medicare Advantage plan covers prescription drugs, make sure the plan formulary (list of drugs covered by the plan) includes your drugs.
You may be able to find plans in your part of California that offer similar benefits at similar or lower prices than the plan above. Call 1-800-557-6059 TTY 711, 24/7 to speak with a licensed insurance agent who can help you compare plans.
|Links to plan documents|
Medicare beneficiaries from California may have access to Medicare Advantage plans from AARP and other insurance companies.
Get help comparing your local plan options by calling to speak with a licensed insurance agent who can help you find out if your doctor and prescription drugs are covered by a Medicare Advantage plan in your area.
Every 60 seconds, we help someone enroll in a Medicare Advantage plan.1
Or call a licensed insurance agent1-800-557-6059
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