AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS) Medicare Advantage Plan H5253-040 • 2026 • Robeson County, NC
This Medicare Advantage HMO-POS plan, identified by CMS Plan ID H5253-040, is offered by UnitedHealthcare for the 2026 plan year. The plan uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network and comes without prescription coverage (Part D ).
AARP Medicare Advantage Patriot No Rx NC-MA02 Overview
Plan Overview for
H5253-040-0
|
|
|---|---|
| CMS Plan ID: |
H5253-040-0
|
| Plan Type: | HMO-POS |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $7900.00 (In-Network) |
| Part B Give Back: | −$155.00 reduction |
| Prescription Drug Coverage: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Robeson County, NC |
| Enrollment (Nationwide): | 14,132 beneficiaries |
| Enrollment (CMS – Local) | 233 beneficiaries in Robeson County |
| Provided By: | UnitedHealthcare |
Plan Overview for AARP Medicare Advantage Patriot No Rx NC-MA02
This Medicare Advantage HMO-POS plan provides Medicare Part A and Part B coverage through a network of participating providers, with limited coverage available for out-of-network services in certain situations. The monthly premium is $0.00, and costs are generally lower when services are received from in-network providers.
Primary care visits have a $0 copay, specialist visits come with a $0-$55 copay, urgent care services carry a $0-$40 copay, and ambulance transportation is $290 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $7900.00. After this limit is reached, in-network services are fully covered for the remainder of the year.
This plan is registered with CMS under Plan ID H5253-040. Cost-sharing details for key services are provided below.
Cost Sharing Expenses
AARP Medicare Advantage Patriot No Rx NC-MA02 includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The table below outlines the most common in-network out-of-pocket costs associated with plan H5253-040.
Certain preventive services are covered 100% by AARP Medicare Advantage Patriot No Rx NC-MA02 as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS Star Ratings
Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
What is the monthly premium for AARP Medicare Advantage Patriot No Rx NC-MA02 (HMO-POS)?
For 2026, the monthly premium is $0.00. Medicare Part B premiums apply in addition to this amount.
What is the MOOP for AARP Medicare Advantage Patriot No Rx NC-MA02 in 2026?
For 2026, the in-network maximum out-of-pocket is $7900.00. The plan pays 100% of covered in-network services beyond this amount.
What is the total enrollment for plan H5253-040?
The plan has 14,132 enrolled beneficiaries according to CMS.
What is the prescription drug deductible for 2026?
For 2026, the prescription drug deductible is $0.00.
Contact Information for UnitedHealthcare
| Contact Type | Details |
|---|---|
| Website: | UnitedHealthcare Plan Page |
| New Members: | 1-800-555-5757 |
| Existing Members: | 1-866-272-1967 |
| Plan Address: | P.O. Box 30770 | Salt Lake City, UT 84130 |
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at medicare.gov.
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | September 8, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| UnitedHealthcare (official source) | http://AARPMedicarePlans.com | October 13, 2025 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
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