AARP Medicare Advantage from UHC IA-0003 (PPO)

CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. · 2027 plan year

Plan ID H8768-017-001

Local PPO★ 4 CMS Stars
MOOP (in-network)
$7,150
MOOP (combined)
$10,750
Monthly premium
$46/mo
Part C $1 + Part D $45, before Extra Help
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H8768-017-001
Medical deductible
$1,000
Part D premium
$45/mo (part of the monthly premium above)Before Extra Help, which can lower or remove it for people with limited income.
Part D deductible
$685/yr
Also owed
Your Medicare Part B premium, paid separately

Other segments for this plan:

More CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. plans in IA

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$685/day for days 1–4, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$685/day for days 1–3, $0 after

Pharmacy

BenefitIn-network
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Other Part B Drugs0%-20% coinsurance
Part B DrugsSee plan details

Mental Health

BenefitIn-network
Mental Health — Group SessionsNo charge
Mental Health — Individual SessionsNo charge
Mental Health Specialty ServicesSee plan details

Other

BenefitIn-network
Skilled Nursing Facility (SNF)$0/day for days 1–20, $221/day for days 21–100
Cardiac Rehabilitation — Additional SessionsNo charge
Intensive Cardiac Rehabilitation — Additional SessionsNo charge
Pulmonary Rehabilitation — Additional SessionsNo charge
Supervised Exercise Therapy (SET)No charge
Emergency Services$130
Urgently Needed Services$0-$50
Partial Hospitalization Program$55
Intensive Outpatient Program (IOP)$55
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Occupational Therapy Services$50
Physician Specialist Services$0-$75
Podiatry Services$45
Podiatry Services$45
Other Health Care Professional Services$0-$75
Psychiatric Services — Individual SessionsNo charge
Psychiatric Services — Group SessionsNo charge
Physical Therapy & Speech-Language Pathology$20
Opioid Treatment Program ServicesNo charge
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests$5
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology$0-$320
Therapeutic Radiology$60
X-Ray Services$10
Outpatient Hospital Services$0-$685
Hospital Observation Services$685/day
Ambulatory Surgical Center (ASC)$0-$585
Substance Abuse — Individual SessionsNo charge
Substance Abuse — Group SessionsNo charge
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$150
Air Ambulance$150
Durable Medical Equipment (DME)20% coinsurance
Prosthetics & OrthoticsSee plan details
Prosthetic Devices20% coinsurance
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic SuppliesNo charge
Diabetic Therapeutic Shoes & Inserts20% coinsurance
Diabetic MonitorsNo charge
Dialysis Services20% coinsurance
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)0%-20% coinsurance (max $35)
Dental — Medicare-Covered Services20% coinsurance
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Fluoride TreatmentNo charge
Dental — Other Preventive ServicesNo charge
Vision — Eye ExamsNo charge
Vision — EyewearNo charge
Hearing — Routine ExamsNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)No charge
Cardiac & Pulmonary RehabilitationSee plan details
Psychiatric ServicesSee plan details
Outpatient Substance Abuse ServicesSee plan details
Hearing — ExamsNo charge
Hearing — ExamsSee plan details

Service area

  • IA: 7 counties

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