AARP Medicare Advantage Plan Details and Costs (HMO-POS) H2802-012 2022 (2023)

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Medicare
Health insurance
AARP Medicare Advantage (HMO-POS)

AARP Medicare Advantage Plan (HMO-POS) H2802-012 details

4.5 out of 5 stars

Indiana counties served

David Crawford Dubois Gibson Knox Martin blade Pique poetic Spencer Vanderburgh Warrik

Base Costs and Coverage

Roof	Cost
Monthly Deductible	$ 0
out of pocket max	On the network:3.900 $ From the web:N / D
Initial Coverage Limit	4660 $
Catastrophic Coverage	7.400 $
Visit to the family doctor	On the network: Visit to the doctor's office: Co-payment for visiting the primary care practice$ 0,00
Specialist advice	On the network: Specialist visit: Co-payment for visiting a specialized doctor's office$ 40,00 Prior approval is required for specialist visits Prior approval required
hospital care	On the network: Services in the acute hospital: $ 360,00per day for days 1 to 5 $ 0,00per day for days 6 to 90 Prior approval is required for acute hospital services Prior approval required
emergency care	Co-payment for urgent care$ 40,00 Worldwide Coverage: Co-payment for Global Urgent Coverage$ 0,00
Visit to the emergency room	Co-payment for emergency care$ 90,00 The co-payment for Medicare-covered emergency care is waived if you are hospitalized within 24 hours Worldwide Coverage: Co-payment for global emergency response$ 0,00 Co-payment for worldwide emergency transport$ 0,00
ambulance	On the network: Ambulance on the ground: Co-payment for ground rescue services$ 210,00 Ambulance: Co-payment for air ambulance services$ 210,00 Section B - General 10a Notice - AUTHORIZATION NOTE: Authorization is required for ground and air ambulance services not covered by Medicare. Ambulances do not require a permit. See Proof of Coverage for pre-authorization rules Prior approval required

health services and medical supplies

AARP Medicare Advantage (HMO-POS) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B).

Roof	Cost
chiropractic services	On the network: Co-payment for Medicare-covered chiropractic services$ 20,00 Prior approval is required for chiropractic services Prior approval required
Diabetes needs, exercise, nutritional therapy and monitoring	On the network: Co-payment for Medicare-covered diabetic items$ 0,00 Co-insurance for shoes or therapeutic insoles for Medicare-insured diabetics20% Prior approval is required for supplies and services to diabetics Supplies and services for diabetics restricted to those provided by certain manufacturers (see Proof of Coverage) Prior approval required
Durable Medical Equipment (DME)	On the network: Co-insurance for Medicare-covered long-life medical devices20% Prior approval is required for long-life medical devices Prior approval required
Diagnostic examinations, laboratory services and radiology and X-rays	On the network: Outpatient diagnostics/tests/laboratory services: Co-payment for Medicare-covered diagnostic procedures/tests$ 30,00 Co-payment for Medicare-covered laboratory services$ 0,00 Prior approval is required for outpatient diagnostic laboratory procedures/tests/services Outpatient diagnostics/therapeutic radiation therapy: Co-payment for Medicare-covered diagnostic radiology services$ 0,00for$ 160,00 Co-payment for Medicare-covered therapeutic radiology services$ 60,00 Co-payment for Medicare-covered X-ray services$ 25,00 Prior approval required for ambulatory diagnostic/therapeutic radar services Prior approval required
Home care	On the network: Co-payment for Medicare-covered home healthcare services$ 0,00 Prior approval is required for home health care Prior approval required
Inpatient psychiatric care	On the network: Psychiatric hospital services: $ 360,00per day for days 1 to 5 $ 0,00per day for days 6 to 90 Prior approval is required for psychiatric hospital services Prior approval required
Mental Health Outpatient Clinic	On the network: Co-payment for individual sessions covered by Medicare$ 25,00 Co-payment for Medicare-covered group sessions$ 15,00 Prior approval is required for outpatient mental health services Prior approval required
Ambulatory Services / Surgery	On the network: Outpatient hospital services: Co-payment for Medicare-covered outpatient hospital services$ 0,00for$ 350,00 Prior approval is required for outpatient hospital services Ambulatory Observation Services: Co-payment for Medicare-covered monitoring services - per day$ 350,00 Prior approval required for ambulatory observation services Ambulatory surgery center services: Co-payment for outpatient surgery center services$ 0,00for$ 250,00 Prior approval is required for outpatient surgical center services Prior approval required
Outpatient addiction treatment	On the network: Co-payment for individual sessions covered by Medicare$ 25,00 Co-payment for Medicare-covered group sessions$ 15,00 Prior approval is required for outpatient substance abuse services Prior approval required
Over-the-counter (OTC) Artikel	On the network: Over-the-counter (OTC) Artikel: Co-payment for over-the-counter (OTC) items$ 0,00 Maximum benefit of the plan$ 40,00every three months Nicotine Replacement Therapy (NRT) offered as an OTC Part C service
podiatry services	On the network: Co-payment for Medicare-covered podiatry services$ 40,00 Co-payment for routine foot care$ 40,00 Maximum 6 visits per year Prior approval is required for podiatry services Prior approval required
Care in qualified care facilities	On the network: Qualified care service: $ 0,00per day during days 1 to 20 $ 196,00per day during days 21 to 40 $ 0,00per day for days 41 to 100 Prior approval is required for specialized care facilities Prior approval required

dental benefits

The following dental services are provided by in-network providers.

Roof	Cost
dental care	On the network: Preventive Dentistry: Additional payment for oral exams$ 0,00 Maximum 2 visits per year Surcharge for prophylaxis (cleaning)$ 0,00 Maximum 3 visits per year Surcharge for fluoride treatment$ 0,00 Maximum 2 visits per year Co-payment for dental X-ray$ 0,00 Maximum 1 visit (see proof of cover for details) Maximum benefit of the plan$ 1.000,00each year for combined preventive and comprehensive coverage without Medicare Comprehensive Dentistry: Co-insurance for Medicare-covered services20% Co-payment for non-routine services$ 0,00 Co-payment for diagnostic services$ 0,00 Maximum 1 visit (see proof of cover for details) Co-payment for recovery services$ 0,00 Maximum 1 visit (see proof of cover for details) Supplement for endodontics$ 0,00 Maximum 1 visit (see proof of cover for details) Co-payment for periodontology$ 0,00 Maximum 1 visit (see proof of cover for details) Co-payment for extractions$ 0,00 Maximum 1 visit (see proof of cover for details) Co-payment for dentures, other oral and maxillofacial surgery, other services$ 0,00 Maximum 1 visit (see proof of cover for details) Maximum benefit of the plan$ 1.000,00each year for combined preventive and comprehensive coverage without Medicare Prior approval is required for full dental care Prior approval required POS (off-network): Dental services not covered by Medicare: Co-payment for preventative dentistry not covered by Medicare$ 0,00 Co-payment for comprehensive dental care not covered by Medicare$ 0,00

Roof

Cost

dental care

On the network:

Preventive Dentistry:
Additional payment for oral exams$ 0,00

Maximum 2 visits per year

Surcharge for prophylaxis (cleaning)$ 0,00

Maximum 3 visits per year

Surcharge for fluoride treatment$ 0,00

Maximum 2 visits per year

Co-payment for dental X-ray$ 0,00

Maximum 1 visit (see proof of cover for details)

Maximum benefit of the plan$ 1.000,00each year for combined preventive and comprehensive coverage without Medicare

Comprehensive Dentistry:
Co-insurance for Medicare-covered services20%
Co-payment for non-routine services$ 0,00
Co-payment for diagnostic services$ 0,00

Maximum 1 visit (see proof of cover for details)

Co-payment for recovery services$ 0,00

Maximum 1 visit (see proof of cover for details)

Supplement for endodontics$ 0,00

Maximum 1 visit (see proof of cover for details)

Co-payment for periodontology$ 0,00

Maximum 1 visit (see proof of cover for details)

Co-payment for extractions$ 0,00

Maximum 1 visit (see proof of cover for details)

Co-payment for dentures, other oral and maxillofacial surgery, other services$ 0,00

Maximum 1 visit (see proof of cover for details)

Maximum benefit of the plan$ 1.000,00each year for combined preventive and comprehensive coverage without Medicare
Prior approval is required for full dental care
Prior approval required

POS (off-network):

Dental services not covered by Medicare:
Co-payment for preventative dentistry not covered by Medicare$ 0,00
Co-payment for comprehensive dental care not covered by Medicare$ 0,00

Sehvorteil

The following image processing services are covered by network providers.

Roof	Cost
Sehvorteil	On the network: eye exams: Co-payment for Medicare-covered benefits$ 0,00 Co-payment for routine eye exams$ 0,00 Maximum 1 routine eye exam per year Prior approval is required for eye exams Glasses: Co-payment for Medicare-covered benefits$ 0,00 Supplement for contact lenses$ 0,00 Additional payment for glasses (lenses and frames)$ 0,00 Maximum 1 pair per year Maximum benefit of the plan$ 150,00each year for all glasses not covered by Medicare Prior approval required

Roof

Cost

Sehvorteil

On the network:

eye exams:
Co-payment for Medicare-covered benefits$ 0,00
Co-payment for routine eye exams$ 0,00

Maximum 1 routine eye exam per year

Prior approval is required for eye exams

Glasses:
Co-payment for Medicare-covered benefits$ 0,00
Supplement for contact lenses$ 0,00
Additional payment for glasses (lenses and frames)$ 0,00

Maximum 1 pair per year

Maximum benefit of the plan$ 150,00each year for all glasses not covered by Medicare
Prior approval required

auditory benefits

The following listening services are covered by network providers.

Roof	Cost
auditory benefits	On the network: Hearing tests: Co-payment for Medicare-covered benefits$ 0,00 Co-payment for routine hearing tests$ 0,00 Maximum 1 visit per year Prior approval is required for hearing tests hearing aids: Co-payment for hearing aids$ 175,00for$ 1.225,00 Maximum 2 hearing aids per year Prior approval is required for hearing aids Section B - General 18b Notice - SHARING COSTS NOTE: Co-payments range from a minimum co-payment of175 $up to max$ 1.225 based on features and style. COMBINED HEARING AIDS INSURANCE NOTICE: A member may purchase a total of two hearing aids per year. Prior approval required

Roof

Cost

auditory benefits

On the network:

Hearing tests:
Co-payment for Medicare-covered benefits$ 0,00
Co-payment for routine hearing tests$ 0,00

Maximum 1 visit per year

Prior approval is required for hearing tests

hearing aids:
Co-payment for hearing aids$ 175,00for$ 1.225,00

Maximum 2 hearing aids per year

Prior approval is required for hearing aids
Section B - General 18b Notice - SHARING COSTS NOTE: Co-payments range from a minimum co-payment of175 $up to max$ 1.225 based on features and style. COMBINED HEARING AIDS INSURANCE NOTICE: A member may purchase a total of two hearing aids per year.
Prior approval required

Preventive services and health/wellness educational programs

The following services are covered by network providers.

Roof	Cost
Preventive services and health/wellness educational programs	On the network: $ 0,00Co-payment for preventive care covered by Medicare: Bauchaortenaneurysma-Screening Testing and advice on alcohol abuse Bone mass measurements (bone density) Cardiovascular disease screening Cardiovascular diseases (behavioral therapy) Cervical and vaginal cancer screening Colorectal Cancer Prevention Depressionsscreenings diabetes tests Diabetes self-management training Glaucoma-Test Screening for hepatitis B infection (HBV). Hepatitis-C-Screening-Test HIV-Screening lung cancer screening Mammographie (Screening) nutritional therapy services Obesity screening and counseling One-time Medicare Welcome Visit Prostatakrebstests (PSA) Screening and counseling for sexually transmitted infections shots: Covid-19 vaccinations flu shots Hepatitis B vaccines pneumococcal injections cessation of tobacco use Annual visit "Wellness"

Roof

Cost

Preventive services and health/wellness educational programs

On the network:
$ 0,00Co-payment for preventive care covered by Medicare:

Bauchaortenaneurysma-Screening
Testing and advice on alcohol abuse
Bone mass measurements (bone density)
Cardiovascular disease screening
Cardiovascular diseases (behavioral therapy)
Cervical and vaginal cancer screening
Colorectal Cancer Prevention
Depressionsscreenings
diabetes tests
Diabetes self-management training
Glaucoma-Test
Screening for hepatitis B infection (HBV).
Hepatitis-C-Screening-Test
HIV-Screening
lung cancer screening
Mammographie (Screening)
nutritional therapy services
Obesity screening and counseling
One-time Medicare Welcome Visit
Prostatakrebstests (PSA)
Screening and counseling for sexually transmitted infections
shots:

Covid-19 vaccinations

flu shots

Hepatitis B vaccines

pneumococcal injections

cessation of tobacco use
Annual visit "Wellness"

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