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UniHealth

2026 Medicare plans

AARP Medicare Advantage from UHC CA-0010 (HMO-POS)

UnitedHealthcare · HMO-POS · 2026 coverage

Plan ID H0543_140_000 · Coverage begins January 1, 2026

The big numbers

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

Monthly premium
$89
Most you pay in a year for covered care in network
$6,700
Drug deductible
$600
Medicare star rating
4 of 5

In plain English

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$1,068$1,068 in premiums + $0 for care2 checkups and 2 lab tests.
  • A busier year$1,348$1,068 in premiums + $280 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$5,358$1,068 in premiums + $4,290 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 $50Depends 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$550 a day for days 1 to 5, then $0 for days 6 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 $500Depends on the serviceReferral neededPlan approval may be needed
  • Outpatient hospital care$0 to $550Depends on the service
  • X-rays$30Referral 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. Read the plan’s 2026 booklet (PDF)

What medicines cost

Drug tierNetwork pharmacy
1Preferred Generic$0
2Generic$12
3Preferred BrandAfter the deductible18% of the price
4Non-Preferred DrugAfter the deductible31% of the price
5Specialty TierAfter the deductible26% of the price

For a 1-month supply. The $600 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 IncludedFillings, crowns and dentures: optional add-on you can buy.
  • Vision IncludedYearly eye exam: $0.
  • Hearing IncludedHearing test: $0. Hearing aids covered.
  • Over-the-counter items IncludedCovered for things like vitamins, pain relief and bandages.
  • Fitness Not included
  • 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-0010 (HMO-POS), plan number H0543-140, for 2026?”

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