AARP Medicare Advantage from UHC CA-0005 (HMO-POS)
UnitedHealthcare · HMO-POS · 2026 coverage
The big numbers
The plan premium is on top of your Part B premium.
- Monthly premium
- $59
- Higher than most plans here
- Most you pay in a year for covered care in network
- $6,700
- Higher than most plans here
- Drug deductible
- $440
- Higher than most plans here
- Medicare star rating
- 4 of 5
In plain English
Compared with the 20 other plans in Madera County that the same person could join.
What stands out
- Dental, vision and hearing extras included
Watch out for
- $59 monthly premium, higher than most plans here
- Up to $6,700 a year for covered care, higher than most plans here
- $2,275 for a 5-day hospital stay, highest of 20 plans here
- $440 drug deductible, higher than most plans here
What a year could cost
Premiums plus the plan’s copays for three example years. Medicines are not included.
- A light year$708$708 in premiums + $0 for careHigher than most plans here2 checkups and 2 lab tests.
- A busier year$848$708 in premiums + $140 for careHigher than most plans here4 checkups, 4 specialist visits, 4 lab tests, 1 X-ray and 1 urgent care visit.Uses the highest listed cost for: Specialist visit, Urgent care.
- A hard year$4,103$708 in premiums + $3,395 for careHighest of 21 plans here6 checkups, 12 specialist visits, 6 lab tests, 2 scans, an ambulance ride, an ER visit and a 5-day hospital stay.Uses the highest listed cost for: Specialist visit, MRI, CT and other scans.
The visit counts are examples we chose to show how costs add up, not a prediction. Your costs depend on the care you get.
What you pay for care
Your cost each time, at doctors and hospitals in the plan’s network.
- Primary care visit$0
- Specialist visit$0 to $15Depends on the serviceReferral neededPlan approval may be needed
- Urgent care$0 to $50Depends on the service
- Emergency room$130Not charged if you stay in the hospital within 24 hours
- Hospital stay$455 a day for days 1 to 6, then $0 for days 7 to 90Highest of 20 plans hereReferral neededPlan approval may be needed
- Lab tests$0Referral neededPlan approval may be needed
More care: surgery, X-rays, scans, ambulance, nursing home
- Outpatient surgery center$0 to $355Depends on the serviceReferral neededPlan approval may be needed
- Outpatient hospital care$0 to $455Depends on the service
- X-rays$30Highest of 15 plans hereReferral neededPlan approval may be needed
- MRI, CT and other scans$0 to $260Depends on the serviceReferral neededPlan approval may be needed
- Ground ambulance$290Plan approval may be needed
- Skilled nursing facility$0 for days 1 to 20, then $218 a day for days 21 to 100Referral neededPlan approval may be needed
From the costs the plan filed with Medicare for 2026. A range like “$0 to $100” means the cost depends on the service or the place. “Lower than most” compares this plan with the 20 other plans in Madera County that the same person could join. Read the plan’s 2026 booklet (PDF)
What medicines cost
| Drug tier | Network pharmacy |
|---|---|
| 1Preferred Generic | $0 |
| 2Generic | $12 |
| 3Preferred BrandAfter the deductible | 15% of the price |
| 4Non-Preferred DrugAfter the deductible | 38% of the price |
| 5Specialty TierAfter the deductible | 28% of the price |
For a 1-month supply. The $440 drug deductible applies only to the tiers marked. Covered insulin costs at most $35 for a month’s supply. Your medicine’s tier is on the plan’s drug list; check it below.
Check my medicines
See if this plan covers each medicine you take in 2026, and what a month costs.
Type the name on the bottle. Add the strength to narrow it down.
Add each medicine once. We’ll show if this plan covers it, what a month costs, and any rules.
Extras
Help Original Medicare doesn’t give you.
- Dental IncludedCleanings and exams: $0.
- Vision IncludedYearly eye exam: $0. Glasses or contacts covered.Eyewear: plan pays up to $150 every two years.
- Hearing IncludedHearing test: $0. Hearing aids covered.
- Over-the-counter items Not included
- Fitness IncludedIncludes gym or fitness classes and memory fitness.
- Rides to care Not included
Is my doctor in this plan?
Look up your doctors, then confirm with their office.
Call each doctor’s office and ask:
“Do you take AARP Medicare Advantage from UHC CA-0005 (HMO-POS), plan number H0543-035, for 2026?”