AARP Medicare Advantage Plan 2 (HMO-POS) H6706-001-000 2023 Plan Details and Costs (2023)

AARP Medicare Advantage Plan 2 (HMO-POS) H6706-001-000 2023 Plan Details and Costs (1)

Not enough data available* for plan year 2023

$0.00 Monthly Premium

AARP Medicare Advantage Plan 2 (HMO-POS) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare

Plan ID: H6706-001-000

$0.00 Monthly Premium

Colorado 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 Colorado Medicare Advantage plans like the one below and find a plan that offers the benefits you want at an affordable price.

Basic Costs and Coverage

Coverage Details
Monthly plan premium$0.00
Vision coverage
Dental coverage
Hearing coverage
Prescription drugs
Medical deductible$0.00
Out-of-pocket maximum$3,500.00
Initial drug coverage limit$0.00
Catastrophic drug coverage limit$7,400.00
Primary care doctor visitIn-Network:

Doctor Office Visit:
Copayment for Primary Care Office Visit $0.00

Specialty doctor visitIn-Network:

Doctor Specialty Visit:
Copayment for Physician Specialist Office Visit $20.00
Prior Authorization Required for Doctor Specialty Visit
Referral Required for Doctor Specialty Visit

Inpatient hospital careIn-Network:

Acute Hospital Services:
$225.00 per day for days 1 to 6
$0.00 per day for days 7 to 90
Prior Authorization Required for Acute Hospital Services
Referral Required for Acute Hospital Services

Urgent care
Urgent Care:
Copayment for Urgent Care $40.00

Worldwide Coverage:
Copayment for Worldwide Urgent Coverage $0.00

Emergency room visit
Emergency Care:
Copayment for Emergency Care $90.00
Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours

Worldwide Coverage:
Copayment for Worldwide Emergency Coverage $0.00
Copayment for Worldwide Emergency Transportation $0.00

Ambulance transportationIn-Network:

Ground Ambulance:
Copayment for Ground Ambulance Services $250.00

Air Ambulance:
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. Section B - General 10a Note - NOTE ON REFERRALS: Referrals are required for Non-emergency Medicare-covered ambulance ground and air transportation. Emergency Ambulance does not require a referral.
Please see Evidence of Coverage for Prior Authorization rules

Health Care Services and Medical Supplies

AARP Medicare Advantage Plan 2 (HMO-POS) covers a range of additional benefits. Learn more about AARP Medicare Advantage Plan 2 (HMO-POS) benefits, some of which may not be covered by Original Medicare (Part A and Part B).

Coverage Details
Chiropractic servicesIn-Network:

Chiropractic Services:
Copayment for Medicare-covered Chiropractic Services $10.00
Copayment for Routine Care $10.00

  • Maximum 12 Routine Care every year
Prior Authorization Required for Chiropractic Services
Referral Required for Chiropractic Services
Diabetes supplies, training, nutrition therapy and monitoringIn-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)In-Network:

Durable Medical Equipment:
Coinsurance for Medicare-covered Durable Medical Equipment 20%
Prior Authorization Required for Durable Medical Equipment

Diagnostic tests, lab and radiology services, and X-raysIn-Network:

Outpatient Diag Procs/Tests/Lab Services:
Copayment for Medicare-covered Diagnostic Procedures/Tests $25.00
Copayment for Medicare-covered Lab Services $0.00
Prior Authorization Required for Outpatient Diag Procs/Tests/Lab Services
Referral Required for Outpatient Diag Procs/Tests/Lab Services

Outpatient Diag/Therapeutic Rad Services:
Copayment for Medicare-covered Diagnostic Radiological Services $0.00 to $75.00
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
Referral Required for Outpatient Diag/Therapeutic Rad Services

Home health careIn-Network:

Home Health Services:
Copayment for Medicare-covered Home Health Services $0.00
Prior Authorization Required for Home Health Services
Referral Required for Home Health Services

Mental health inpatient careIn-Network:

Psychiatric Hospital Services:
$225.00 per day for days 1 to 6
$0.00 per day for days 7 to 90
Prior Authorization Required for Psychiatric Hospital Services
Referral Required for Psychiatric Hospital Services

Mental health outpatient careIn-Network:

Outpatient Mental Health Services:
Copayment for Medicare-covered Individual Sessions $25.00
Copayment for Medicare-covered Group Sessions $15.00
Prior Authorization Required for Outpatient Mental Health Services
Referral Required for Outpatient Mental Health Services

Outpatient services/surgeryIn-Network:

Outpatient Hospital Services:
Copayment for Medicare Covered Outpatient Hospital Services $0.00 to $200.00
Prior Authorization Required for Outpatient Hospital Services
Referral Required for Outpatient Hospital Services

Outpatient Observation Services:
Copayment for Medicare Covered Observation Services - Per day $200.00
Prior Authorization Required for Outpatient Observation Services
Referral Required for Outpatient Observation Services

Ambulatory Surgical Center Services:
Copayment for Ambulatory Surgical Center Services $0.00 to $200.00
Prior Authorization Required for Ambulatory Surgical Center Services
Referral Required for Ambulatory Surgical Center Services

Outpatient substance abuse careIn-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
Referral Required for Outpatient Substance Abuse Services

Over-the-counter itemsIn-Network:

Over-The-Counter (OTC) Items:
Copayment for Over-The-Counter (OTC) Items $0.00
Maximum Plan Benefit of $80.00 every three months
Nicotine Replacement Therapy (NRT) offerred as a Part C OTC benefit

Podiatry servicesIn-Network:

Podiatry Services:
Copayment for Medicare-Covered Podiatry Services $20.00
Copayment for Routine Foot Care $20.00

  • Maximum 6 visits every year
Prior Authorization Required for Podiatry Services
Referral Required for Podiatry Services
Skilled Nursing Facility (SNF) careIn-Network:

Skilled Nursing Facility Services:
$0.00 per day for days 1 to 20
$196.00 per day for days 21 to 38
$0.00 per day for days 39 to 100
Prior Authorization Required for Skilled Nursing Facility Services
Referral Required for Skilled Nursing Facility Services

Dental Benefits

The following dental services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.

Coverage Details
Dental careIn-Network:

Preventive Dental:
Copayment for Oral Exams $0.00

  • Maximum 2 visits every year
Copayment for Prophylaxis (Cleaning) $0.00
  • Maximum 3 visits every year
Copayment for Fluoride Treatment $0.00
  • Maximum 2 visits every year
Copayment for Dental X-Rays $0.00
  • Maximum 1 visit (Please see Evidence of Coverage for details)
Maximum Plan Benefit of $500.00 every year for Preventive and Non-Medicare Covered Comprehensive combined

Comprehensive Dental:
Coinsurance for Medicare-covered Benefits 20%
Copayment for Non-routine Services $0.00
Copayment for Diagnostic Services $0.00

  • Maximum 1 visit (Please see Evidence of Coverage for details)
Copayment for Restorative Services $0.00
  • Maximum 1 visit (Please see Evidence of Coverage for details)
Copayment for Endodontics $0.00
  • Maximum 1 visit (Please see Evidence of Coverage for details)
Copayment for Periodontics $0.00
  • Maximum 1 visit (Please see Evidence of Coverage for details)
Copayment for Extractions $0.00
  • Maximum 1 visit (Please see Evidence of Coverage for details)
Copayment for Prosthodontics, Other Oral/Maxillofacial Surgery, Other Services $0.00
  • Maximum 1 visit (Please see Evidence of Coverage for details)
Maximum Plan Benefit of $500.00 every year for Preventive and Non-Medicare Covered Comprehensive combined
Prior Authorization Required for Comprehensive Dental
Referral Required for Comprehensive Dental

Vision Benefits

The following vision services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.

Coverage Details
Vision benefitsIn-Network:

Eye Exams:
Copayment for Medicare Covered Benefits $0.00
Copayment for Routine Eye Exams $0.00

  • Maximum 1 Routine Eye Exam every year
Prior Authorization Required for Eye Exams
Referral Required for Eye Exams

Eyewear:
Copayment for Medicare-Covered Benefits $0.00
Copayment for Contact Lenses $0.00
Copayment for Eyeglasses (lenses and frames) $0.00

  • Maximum 1 Pair every year
Maximum Plan Benefit of $200.00 every year for all Non-Medicare covered eyewear
Referral Required for Eyewear

Hearing Benefits

The following hearing services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.

Coverage Details
Hearing benefitsIn-Network:

Hearing Exams:
Copayment for Medicare Covered Benefits $0.00
Copayment for Routine Hearing Exams $0.00

  • Maximum 1 visit every year
Prior Authorization Required for Hearing Exams
Referral Required for Hearing Exams

Hearing Aids:
Copayment for Hearing Aids $175.00 to $1225.00

  • Maximum 2 Hearing Aids every year
Prior Authorization Required for Hearing Aids
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.

Preventive Services and Health/Wellness Education Programs

The following services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.

Coverage Details
Preventive services and health/wellness education programsIn-Network:
$0.00 copay for Medicare Covered Preventive Services:

Abdominal aortic aneurysm screening
Alcohol misuse screenings & counseling
Bone mass measurements (bone density)
Cardiovascular disease screenings
Cardiovascular disease (behavioral therapy)
Cervical & vaginal cancer screening
Colorectal cancer screenings
Depression screenings
Diabetes screenings
Diabetes self-management training
Glaucoma tests
Hepatitis B (HBV) infection screening
Hepatitis C screening test
HIV screening
Lung cancer screening
Mammograms (screening)
Nutrition therapy services
Obesity screenings & counseling
One-time Welcome to Medicare preventive visit
Prostate cancer screenings(PSA)
Sexually transmitted infections screening & counseling
Shots:

  • COVID-19 shots
  • Flu shots
  • Hepatitis B shots
  • Pneumococcal shots
  • Tobacco use cessation
    Yearly "Wellness" visit

    When reviewing Colorado 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 Colorado 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.

    Plan Documents

    Links to plan documents

    Colorado Counties Served

    Boulder

    Back to plans in Colorado

    FAQs

    What is AARP Medicare Advantage Plan 2 HMO POS? ›

    AARP® Medicare Advantage Plan 2 (HMO-POS) is a Medicare Advantage HMOPOS plan with a Medicare contract. To join this plan, you must be entitled to Medicare Part A, be enrolled in Medicare Part B, live within our service area listed below, and be a United States citizen or lawfully present in the United States.

    What is the maximum out-of-pocket for Medicare Advantage for 2023? ›

    Maximum Out-of-Pocket Costs

    For 2023 the max you will spend is $8,300. The out-of-pocket maximum for plans that allow you to see out of network providers may be higher. If your Medicare Advantage plan includes prescription drug coverage you will have a separate out-of-pocket maximum for prescription drug costs.

    Is AARP Medicare plan any good? ›

    Yes, AARP/UnitedHealthcare Medicare Advantage plans provide good coverage and have an average overall rating of 4.2 stars. The company stands out for cheap PPO plans that cost $15 per month on average. The downside is overall customer satisfaction trails behind other companies such as Humana and Anthem.

    What are the benefits of AARP Medicare Advantage plan? ›

    Medical Benefits Under AARP Medicare Advantage Plans from UnitedHealthcare
    • $0 copays for in-network primary care provider visits.
    • $0 copay for many lab tests.
    • $0 prescription drug copays for most common prescription medications.
    • $0 copay to speak to an in-network healthcare provider using 24/7 telehealth services.

    What is the most popular Medicare Advantage plan? ›

    AARP/UnitedHealthcare is the most popular Medicare Advantage provider with 28% of all enrollment.

    Is AARP health insurance worth it? ›

    Is AARP supplemental insurance good? A supplemental insurance plan from AARP/UnitedHealthcare is a good value. It can help you reduce your out-of-pocket costs for medical care, and it includes discounts on vision, dental, hearing, gym membership and more.

    What is the most popular AARP Medicare Supplement plan? ›

    By and large, Plan F is the most popular Medicare Supplement plan due to its coverage of more out-of-pocket Medicare costs than any other Medigap plan type.

    Why are people leaving Medicare Advantage plans? ›

    Network restrictions are another common reason why beneficiaries leave their Medicare Advantage plans. With Medicare Advantage plans, staying within your policy's network is key to paying the lowest possible costs for health services. Going out of your network could mean high fees or no coverage.

    Does AARP Medicare Advantage cover eyeglasses? ›

    En español | No. Medicare doesn't cover eyeglasses, contact lenses or eye exams to determine your prescriptions. However, you'll find one exception: Medicare provides limited coverage for glasses or contact lenses after cataract surgery.

    What is the cost of AARP Medicare Advantage plan? ›

    The Cost. UnitedHealthcare Medicare Advantage monthly premiums range from $0 to $199. The majority (70%) of enrollees enroll in $0 premium plans while 17% enroll in low-premium plans (at or below $30 a month), according to an AARP UnitedHealthcare Medicare Advantage representative.

    What is the out-of-pocket maximum on a Medicare Advantage Plan? ›

    Since 2011, federal regulation has required Medicare Advantage plans to provide an out-of-pocket limit for services covered under Parts A and B. In 2022, the out-of-pocket limit may not exceed $7,550 for in-network services and $11,300 for in-network and out-of-network services combined.

    Do you pay more out-of-pocket with Medicare Advantage? ›

    Plans may have lower out-of-pocket costs than Original Medicare. Plans may offer some extra benefits that Original Medicare doesn't cover—like vision, hearing, and dental services. service area (for non-emergency care). Some plans offer non-emergency coverage out of network, but typically at a higher cost.

    What does maximum out-of-pocket mean for Medicare Advantage plans? ›

    Maximum out-of-pocket: the most money you'll pay for covered health care in a calendar year, aside from any monthly premium. After reaching your MOOP, your insurance company pays for 100% of covered services. The US government sets the standard Medicare Advantage maximum out-of-pocket limit every year.

    What are the downsides to advantage plans? ›

    There are a few disadvantages of Medicare Advantage plans, including dealing with a limited network, being limited to medical care in your geographical area and paying for unexpected out-of-pocket expenses.

    Do Medicare Advantage plans pay 100 %? ›

    Medicare Advantage plans don't pay 100% of your medical costs. Like most health insurance, Medicare Advantage plans have a “cost-sharing” structure for many services. If your plan covers the service, it'll usually pay most of the costs and charge you a copayment or coinsurance amount. A yearly deductible may apply.

    Can I drop my Medicare Advantage plan and go back to original Medicare? ›

    Yes, you can elect to switch to traditional Medicare from your Medicare Advantage plan during the Medicare Open Enrollment period, which runs from October 15 to December 7 each year. Your coverage under traditional Medicare will begin January 1 of the following year.

    Which is better PPO or HMO? ›

    Generally speaking, an HMO might make sense if lower costs are most important and if you don't mind using a PCP to manage your care. A PPO may be better if you already have a doctor or medical team that you want to keep but doesn't belong to your plan network.

    What is the biggest difference between Original Medicare and Medicare Advantage? ›

    Original Medicare covers inpatient hospital and skilled nursing services – Part A - and doctor visits, outpatient services and some preventative care – Part B. Medicare Advantage plans cover all the above (Part A and Part B), and most plans also cover prescription drugs (Part D).

    Which Medicare Advantage plan has the best customer reviews? ›

    Kaiser Permanente's Medicare Advantage plans score above all other major Medicare Advantage providers in terms of Medicare star ratings. Kaiser Permanente earned 844 points out of 1,000 in J.D. Power's 2022 Medicare Advantage Study, netting it the top spot for customer satisfaction out of nine providers measured.

    Is insurance cheaper with AARP? ›

    Rates: If you're an AARP member, you could save up to 10% on your car insurance rates just for being a member. Personalized car insurance policies: Our representatives will help you find the right coverage for your individual needs.

    What is the best supplemental health insurance for seniors? ›

    Best Medicare Supplement (Medigap) Companies of 2023
    • Best Overall: AARP / UnitedHealthcare.
    • Most Medigap Plan Types: Blue Cross Blue Shield.
    • Best Medigap High-Deductible Plan G Provider: Mutual of Omaha.
    • Lowest Cost High-Deductible Plan G: Humana.
    • Best for Financial Strength: State Farm.

    What is the most popular Medicare Supplement plan for 2022? ›

    While Plan F is the most popular plan, Medigap Plan C, Plan G and Plan N are the next most popular Medicare Supplement Insurance plans. The most popular Medigap plans include: 46% of all Medigap beneficiaries are enrolled in Plan F.

    Are Medicare Advantage plans too good to be true? ›

    For many seniors, Medicare Advantage plans can work well. A 2021 study in the Journal of the American Medical Association found that Advantage enrollees often receive more preventive care than those in traditional Medicare. But if you have chronic conditions or significant health needs, you may want to think twice.

    What changes are coming to Medicare in 2023? ›

    For 2023, the Part A deductible will be $1,600 per stay, an increase of $44 from 2022. For those people who have not worked long enough to qualify for premium-free Part A, the monthly premium will also rise. The full Part A premium will be $506 a month in 2023, a $7 increase.

    What are 3 types of Medicare Advantage plans? ›

    Below are the most common types of Medicare Advantage Plans.
    • Health Maintenance Organization (HMO) Plans.
    • Preferred Provider Organization (PPO) Plans.
    • Private Fee-for-Service (PFFS) Plans.
    • Special Needs Plans (SNPs)

    What is the difference between a Medicare Supplement and an Advantage plan? ›

    Medicare Advantage and Medicare Supplement are different types of Medicare coverage. You cannot have both at the same time. Medicare Advantage bundles Part A and B often with Part D and other types of coverage. Medicare Supplement is additional coverage you can buy if you have Original Medicare Part A and B.

    Which is better Medigap or Advantage plans? ›

    A Medicare Advantage plan may be a better choice if it has an out-of-pocket maximum that protects you from huge bills. Regular Medicare plus a Medigap insurance plan generally allows you more choice in where you receive your care.

    What is the highest rated Medicare Supplement company? ›

    Best Medicare Supplement Plan G Providers of 2023
    • Best Overall: Mutual of Omaha.
    • Runner-Up: Blue Cross Blue Shield.
    • Lowest Cost High-Deductible Plan G: Humana.
    • Lowest Cost Plan G: AARP by UnitedHealthcare.
    Dec 8, 2022

    Does Medicare Advantage cover CT scans? ›

    Medicare Part A will cover your CT scan if you have it during an inpatient hospital stay. Medicare Part B will cover your CT scan when you have it as an outpatient. A Medicare Advantage plan will also cover a CT scan, but you'll typically need to stay within your plan's network.

    Do you have to pay for Medicare Part B if you have an Advantage plan? ›

    In addition to your Part B premium, you usually pay a monthly premium for the Medicare Advantage Plan. In 2023, the standard Part B premium amount is $164.90 (or higher depending on your income). If you need a service that the plan says isn't medically necessary, you may have to pay all the costs of the service.

    How many pairs of glasses can you get with Medicare? ›

    Part B will provide coverage for one pair of eyeglasses with standard frames or a single set of contact lenses, and you will pay 20 percent of the Medicare-approved amount for the lenses after each surgery.

    Does AARP pay for cataract surgery? ›

    One of our top recommendations is to sign up for Medigap Plan G from AARP, which gives you cataract surgery at a $0 copayment, with an average policy costing about $150 per month.

    Do Over 60s get free prescription glasses? ›

    Once you are over the age of 60 you are entitled to a free eye examination through the NHS, usually every two years. If you're on certain qualifying benefits, you'll get a voucher towards the cost of your glasses - your optician will be able to tell you this.

    What does HMO POS stand for in Medicare? ›

    HMO, POS, PPO – all of these signify different plan types. We'll spell it out for you. HMO stands for health maintenance organization. POS stands for point of service. PPO stands for preferred provider organization.

    What does HMO POS mean in insurance? ›

    An HMO POS plan is a Health Maintenance Organization (HMO) plan with added Point of Service (POS) benefits. These added benefits give you more flexibility when you need care. Under the HMO benefits of the plan, you have access to certain doctors and hospitals, called your HMO provider network.

    What is a POS 2 plan? ›

    Administered by Aetna, the Point-of-Service (POS) II plan doesn't require a Primary Care Provider (PCP) or referrals, even when using in-network providers. You can go to any provider, but your out-of-pocket costs are based on the type of provider you use: In-Network Providers.

    What is HMO vs HMO POS? ›

    Most HMOs provide care through a network of doctors, hospitals and other medical professionals that you must use to be covered for your care. With an HMO-POS you can go outside of the network for care, but you'll pay more. You'll need to choose a primary care physician (PCP) to coordinate all your care.

    What is the maximum out-of-pocket for Medicare Advantage plans? ›

    Since 2011, federal regulation has required Medicare Advantage plans to provide an out-of-pocket limit for services covered under Parts A and B. In 2022, the out-of-pocket limit may not exceed $7,550 for in-network services and $11,300 for in-network and out-of-network services combined.

    What is the difference between a HMO and a PPO Medicare Advantage plan? ›

    The main difference: Using the plan's provider network

    In general, Medicare PPOs give plan members more leeway to see providers outside the network than Medicare HMOs do. A provider network is a list of doctors, hospitals and other health care providers under contract with a health plan.

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