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UniHealth

2027 Medicare plans

AARP Medicare Advantage from UHC CA-0008 (HMO-POS)

UnitedHealthcare · HMO-POS · 2027 coverage

Plan ID H0543_086_000 · Coverage begins January 1, 2027

The big numbers

The plan premium is on top of your Part B premium.

Monthly premium
$121
Most you pay in a year for covered care in network
$7,150
Drug deductible
$685
Medicare star rating
No rating yet

In plain English

Compared with the 2 other plans in Nevada County that the same person could join.

What stands out

  • Dental, vision and hearing extras included

Watch out for

  • You need a referral to see a specialist

What a year could cost

Premiums plus the plan’s copays for three example years. Medicines are not included.

  • A light year$1,452$1,452 in premiums + $0 for care2 checkups and 2 lab tests.
  • A busier year$1,667$1,452 in premiums + $215 for care4 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$5,242$1,452 in premiums + $3,790 for care6 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 $35Depends 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$450 a day for days 1 to 6, then $0 for days 7 to 90Referral 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 $400Depends on the serviceReferral neededPlan approval may be needed
  • Outpatient hospital care$0 to $450Depends on the service
  • X-rays$25Referral neededPlan approval may be needed
  • MRI, CT and other scans$0 to $320Depends on the serviceReferral neededPlan approval may be needed
  • Ground ambulance$350Plan approval may be needed
  • Skilled nursing facility$0 for days 1 to 20, then $221 a day for days 21 to 100Referral neededPlan approval may be needed

From the costs the plan filed with Medicare for 2027. A range like “$0 to $100” means the cost depends on the service or the place. “Lower than most” compares this plan with the 2 other plans in Nevada County that the same person could join. Read the plan’s 2027 booklet (PDF)

What medicines cost

Drug tierNetwork pharmacy
1Preferred Generic$0
2Generic$8
3Preferred BrandAfter the deductible20% of the price
4Non-Preferred DrugAfter the deductible27% of the price
5Specialty TierAfter the deductible26% of the price

For a 1-month supply. The $685 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 2027, 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 $175 every two years.
  • Hearing IncludedHearing test: $0. Hearing aids covered.Hearing aids: plan pays up to $700 a year, both ears.
  • Over-the-counter items Not included
  • Fitness Not included
  • Rides to care Not included

What changed from 2026

  • Monthly premium2026$104 a month2027$121 a month
  • Most you pay in a year2026$5,9002027$7,150
  • Drug deductible2026$4402027$685
  • Specialist visit2026$0 to $302027$0 to $35
  • Hospital stay2026$395 a day for days 1 to 6, then $0 for days 7 to 902027$450 a day for days 1 to 6, then $0 for days 7 to 90
  • Outpatient surgery center2026$0 to $3452027$0 to $400
  • Outpatient hospital care2026$0 to $3952027$0 to $450
  • X-rays2026$302027$25
  • MRI, CT and other scans2026$0 to $1752027$0 to $320
  • Ground ambulance2026$2902027$350
  • Skilled nursing facility2026$0 for days 1 to 20, then $218 a day for days 21 to 1002027$0 for days 1 to 20, then $221 a day for days 21 to 100
  • Dental2026Fillings, crowns and dentures: optional add-on you can buy2027Cleanings and exams: $0
  • Vision2026Yearly eye exam: $0. Glasses or contacts covered. Eyewear: plan pays up to $150 every two years2027Yearly eye exam: $0. Glasses or contacts covered. Eyewear: plan pays up to $175 every two years
  • Hearing2026Hearing test: $0. Hearing aids covered2027Hearing test: $0. Hearing aids covered. Hearing aids: plan pays up to $700 a year, both ears

See the 2026 plan

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-0008 (HMO-POS), plan number H0543-086, for 2027?”

View another coverage year