AARP Medicare Advantage from UHC ID-0010 (PPO) - 2025 UnitedHealth Group, Inc. - H2406 - 112

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AARP Medicare Advantage from UHC ID-0010 (PPO) is a Medicare Advantage Plan by UnitedHealthcare.

This page features plan details for 2025 AARP Medicare Advantage from UHC ID-0010 (PPO) H2406 – 112 – 0 available in Select Counties in Idaho.

Locations

AARP Medicare Advantage from UHC ID-0010 (PPO) is offered in the following locations.

Bonner County, Idaho

Plan Overview

AARP Medicare Advantage from UHC ID-0010 (PPO) offers the following coverage and cost-sharing.

Insurer:	UnitedHealthcare
Health Plan Deductible:	$0
MOOP:	$14,000 In and Out-of-network $6,900 In-network
Drugs Covered:	Yes

Ready to sign up for AARP Medicare Advantage from UHC ID-0010 (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 ID-0010 (PPO) has a monthly premium of $0.00. 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	$0.00	$	$

Drug Info

AARP Medicare Advantage from UHC ID-0010 (PPO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible:	$420.00
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 D	LIS Full
$0.00	$0.00

Initial Coverage Phase

After you pay your $420.00 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.

30 Day

60 Day

90 Day

30 Day

60 Day

90 Day

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 ID-0010 (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)
Diagnostic tests and procedures
- In-Network: $20 copay (Authorization Required)
Diagnostic radiology services (e.g., MRI)
- In-Network: $0-115 copay (Authorization Required)
Lab services
- In-Network: $0 copay (Authorization Required)
- Out-of-Network: $0 copay (Authorization Required)
Diagnostic tests and procedures
- Out-of-Network: 30% coinsurance (Authorization Required)
Outpatient x-rays
- In-Network: $25 copay (Authorization Required)
- Out-of-Network: $40 copay (Authorization Required)

Doctor visits

Primary
- Out-of-Network: $30 copay per visit
Specialist
- Out-of-Network: $70 copay per visit (Authorization Required)
Primary
- In-Network: $0 copay
Specialist
- In-Network: $0-45 copay per visit (Authorization Required)

Emergency care/Urgent care

Urgent care
- $0-45 copay per visit (always covered)
Emergency
- $110 copay per visit (always covered)

Foot care (podiatry services)

Foot exams and treatment
- Out-of-Network: $70 copay (Authorization Required)
Routine foot care
- In-Network: $40 copay (Limits Apply, Authorization Required)
Foot exams and treatment
- In-Network: $40 copay (Authorization Required)

Ground ambulance

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

Health plan deductible

- $0

Hearing

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
- In-Network: $0 copay (Authorization Required)
Fitting/evaluation
- Not covered
Hearing aids
- Out-of-Network: $199-1,249 copay (Limits Apply, Authorization Required)
Medicare-Covered Hearing Exam
- Out-of-Network: $70 copay (Authorization Required)
Hearing aids OTC
- In-Network: $99-829 copay (Limits Apply)

Inpatient hospital coverage

- In-Network: $405 per day for days 1 through 4
  $0 per day for days 5 through 90
  $0 per day for days 91 and beyond (Authorization Required)
- Out-of-Network: $575 per day for days 1 through 25
  $0 per day for days 26 and beyond (Authorization Required)

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

- $14,000 In and Out-of-network
  $6,900 In-network

Medical equipment/supplies

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

Mental health services

Inpatient hospital – psychiatric
- Out-of-Network: $575 per day for days 1 through 25
  $0 per day for days 26 through 90 (Authorization Required)
Outpatient group therapy visit
- Out-of-Network: $30 copay (Authorization Required)
Outpatient group therapy visit with a psychiatrist
- In-Network: $15 copay (Authorization Required)
Outpatient individual therapy visit
- In-Network: $0-25 copay (Authorization Required)
Outpatient individual therapy visit with a psychiatrist
- Out-of-Network: $40 copay (Authorization Required)
Inpatient hospital – psychiatric
- In-Network: $405 per day for days 1 through 3
  $0 per day for days 4 through 90 (Authorization Required)
Outpatient group therapy visit with a psychiatrist
- Out-of-Network: $30 copay (Authorization Required)
Outpatient individual therapy visit
- Out-of-Network: $40 copay (Authorization Required)
Outpatient individual therapy visit with a psychiatrist
- In-Network: $0-25 copay (Authorization Required)
Outpatient group therapy visit
- In-Network: $15 copay (Authorization Required)

Optional supplemental benefits

- Yes

Other health plan deductibles?

- In-Network: No

Outpatient hospital coverage

- In-Network: $0-405 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

Occupational therapy visit
- In-Network: $0-20 copay (Authorization Required)
Physical therapy and speech and language therapy visit
- In-Network: $0-35 copay (Authorization Required)
- Out-of-Network: $70 copay (Authorization Required)
Occupational therapy visit
- Out-of-Network: $70 copay (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)
Other
- Not covered
Upgrades
- Not covered
Eyeglass frames
- Out-of-Network: $0-153 copay (Limits Apply)
Contact lenses
- In-Network: $0 copay (Limits Apply)
Eyeglass lenses
- In-Network: $0-153 copay (Limits Apply)
Eyeglasses (frames and lenses)
- Not covered
Routine eye exam
- Out-of-Network: $70 copay (Limits Apply, Authorization Required)
Eyeglass frames
- In-Network: $0 copay (Limits Apply)
Eyeglass lenses
- Out-of-Network: $0-153 copay (Limits Apply)
Routine eye exam
- In-Network: $0 copay (Limits Apply, Authorization Required)

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 ID-0010 (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 ID-0010 (PPO)? See 2025 AARP Medicare Advantage from UHC ID-0010 (PPO) at MedicareAdvantageRX.com.

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

SMID: MULTIPLAN_HCIHNDOGMED01PY25_M

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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 contactMedicare.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.

AARP Medicare Advantage from UHC ID-0010 (PPO) - 2025 UnitedHealth Group, Inc. - H2406 - 112 - 0 (2024)

Locations

Plan Overview

Premium Breakdown

Drug Info

Part D Premium Reduction

Initial Coverage Phase

Catastrophic Coverage Phase

Additional Benefits

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

Diagnostic and Preventive Dental

Diagnostic procedures/lab services/imaging

Doctor visits

Emergency care/Urgent care

Foot care (podiatry services)

Ground ambulance

Health plan deductible

Hearing

Inpatient hospital coverage

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

Medical equipment/supplies

Medicare Part B drugs

Mental health services

Optional supplemental benefits

Other health plan deductibles?

Outpatient hospital coverage

Preventive care

Rehabilitation services

Skilled Nursing Facility

Transportation

Vision

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

Dental Platinum Rider

Comprehensive Dental

Diagnostic and Preventive Dental

Table of Contents

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