AARP Medicare Advantage Patriot No Rx NM-MA02 (PPO) Medicare Advantage Plan H2406-092 • 2027
CMS Rating:
(4.0 out of 5 stars*)
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $7150.00In-network
- Part B Giveback
- −$90.00 reduction
- Prescription Coverage
- Not Included
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- See List
- Total Enrollment
- 1,398 beneficiaries
Last update:
AARP Medicare Advantage Patriot No Rx NM-MA02 (PPO) Introduction
This Medicare Advantage PPO plan, AARP Medicare Advantage Patriot No Rx NM-MA02, is offered by UnitedHealthcare and uses a Preferred Provider Organization (PPO) provider network. It comes without prescription drug coverage. For the 2027 plan year, the monthly premium is $0.00, the medical deductible is $0.00, and the in-network maximum out-of-pocket is $7150.00. The plan is identified by CMS Plan ID H2406-092.
Plan Benefits
Cost-sharing for AARP Medicare Advantage Patriot No Rx NM-MA02 includes out-of-pocket expenses for covered healthcare services. The following tables provide a summary of typical in-network out-of-pocket costs for plan H2406-092.
Compare 2027 plan benefits with 2026.
Office Visits
| Covered Service | 2027 | 2026 |
|---|---|---|
| Primary care | In-network: $0 copay Out-of-network: $35 copay |
In-network: $0 copay Out-of-network: $35 copay |
| Specialist | In-network: $0-$65 copay Out-of-network: $90 copay |
In-network: $0-$60 copay Out-of-network: $85 copay |
Preventive and Wellness Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Annual wellness exam | In-network: $0 copay Out-of-network: 40% coinsurance |
In-network: $0 copay |
| Telehealth benefit | Not covered | In-network: $0 copay |
| Routine chiropractic | Not covered | Not covered |
| Fitness benefits | Coming soon | In-network: $0 copay Out-of-network: $0 copay |
| Health education | Not covered | Not covered |
| Counseling services | Not covered | Not covered |
| Over-the-counter drug benefits | In-network: $0 copay Out-of-network: 90% coinsurance |
In-network: $0 copay Out-of-network: $0 copay |
| Health transportation (non-emergency) | Coming soon | Not covered |
Diagnostic, Lab, and Imaging Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diagnostic radiology services | In-network: $0-$320 copay Out-of-network: 40% coinsurance |
In-network: $0-$260 copay Out-of-network: 40% coinsurance |
| Lab services | In-network: $0 copay Out-of-network: $0 copay |
In-network: $0 copay Out-of-network: $0 copay |
| Outpatient x-rays | In-network: $5 copay Out-of-network: $25 copay |
In-network: $30 copay Out-of-network: $50 copay |
| Diagnostic tests and procedures | In-network: $5 copay Out-of-network: 40% coinsurance |
In-network: $50 copay Out-of-network: 40% coinsurance |
Emergency and Urgent Care Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Emergency room care | $130 copay | $130 copay |
| Worldwide emergency care | Coming soon | $0 copay |
| Urgent care | $0-$50 copay | $0-$50 copay |
| Inpatient hospital care | In-network: Tier 1 $535 per day for days 1-5 $0 per day for days 6-90 $0 per stay Out-of-network: $720 per day for days 1-15 $0 per day for days 16-999 $0 per stay |
In-network: Tier 1 $535 per day for days 1-4 $0 per day for days 5-90 $0 per stay Out-of-network: $720 per day for days 1-15 $0 per day for days 16-999 $0 per stay |
| Skilled Nursing Facility | In-network: Tier 1 $0 per day for days 1-20 $221 per day for days 21-100 Out-of-network: $250 per day for days 1-100 $0 per stay |
In-network: Tier 1 $0 per day for days 1-20 $218 per day for days 21-100 Out-of-network: $250 per day for days 1-100 $0 per stay |
| Ground ambulance | In-network: $290 copay Out-of-network: $290 copay |
In-network: $290 copay Out-of-network: $290 copay |
Mental Health Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Outpatient individual therapy | In-network: $0-$25 copay Out-of-network: $40 copay |
In-network: $0-$25 copay Out-of-network: $40 copay |
| Outpatient group therapy | In-network: $15 copay Out-of-network: $30 copay |
In-network: $15 copay Out-of-network: $30 copay |
| Inpatient psychiatric hospital care | In-network: Tier 1 $535 per day for days 1-5 $0 per day for days 6-90 $0 per stay Out-of-network: $720 per day for days 1-15 $0 per day for days 16-999 $0 per stay |
In-network: Tier 1 $535 per day for days 1-4 $0 per day for days 5-90 $0 per stay Out-of-network: $720 per day for days 1-15 $0 per day for days 16-999 $0 per stay |
Rehabilitation Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Physical therapy and speech and language therapy | In-network: $65 copay Out-of-network: $90 copay |
In-network: $60 copay Out-of-network: $85 copay |
| Occupational therapy | In-network: $50 copay Out-of-network: $90 copay |
In-network: $50 copay Out-of-network: $85 copay |
Medical Equipment and Supplies
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diabetes supplies | In-network: $0 copay Out-of-network: 50% coinsurance |
In-network: $0 copay Out-of-network: 50% coinsurance |
| Durable medical equipment | In-network: 20% coinsurance Out-of-network: 50% coinsurance |
In-network: 20% coinsurance Out-of-network: 50% coinsurance |
| Prosthetics | In-network: 20% coinsurance Out-of-network: 50% coinsurance |
In-network: 20% coinsurance Out-of-network: 50% coinsurance |
Medicare Part B Drugs
| Covered Service | 2027 | 2026 |
|---|---|---|
| Chemotherapy | In-network: 0%-20% coinsurance Out-of-network: 40% coinsurance |
In-network: 0%-20% coinsurance Out-of-network: 40% coinsurance |
| Other Part B drugs (Medicare-covered) | In-network: 0%-20% coinsurance Out-of-network: 0%-40% coinsurance |
In-network: 0%-20% coinsurance Out-of-network: 0%-40% coinsurance |
Dental Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Oral exam | In-network: $0 copay Out-of-network: $0 copay |
In-network: $0 copay Out-of-network: $0 copay |
| Dental x-rays | In-network: $0 copay Out-of-network: $0 copay |
In-network: $0 copay Out-of-network: $0 copay |
| Cleaning | In-network: $0 copay Out-of-network: $0 copay |
In-network: $0 copay Out-of-network: $0 copay |
| Periodontics | In-network: 50% coinsurance Out-of-network: 50% coinsurance |
In-network: 50% coinsurance Out-of-network: 50% coinsurance |
| Endodontics | In-network: 50% coinsurance Out-of-network: 50% coinsurance |
In-network: 50% coinsurance Out-of-network: 50% coinsurance |
| Restorative services | In-network: 50% coinsurance Out-of-network: 50% coinsurance |
In-network: 50% coinsurance Out-of-network: 50% coinsurance |
| Implant services | Not covered | Not covered |
| Orthodontics | Not covered | Not covered |
| Oral/Maxillofacial surgery | In-network: 50% coinsurance Out-of-network: 50% coinsurance |
In-network: 50% coinsurance Out-of-network: 50% coinsurance |
Vision Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Routine eye exam | In-network: $0 copay Out-of-network: $90 copay |
In-network: $0 copay Out-of-network: $85 copay |
| Contact lenses | In-network: $0 copay Out-of-network: 90% coinsurance |
In-network: $0 copay Out-of-network: $0 copay |
| Eyeglass frames only | Not covered | In-network: $0 copay Out-of-network: $0 copay |
| Eyeglass lenses only | Not covered | In-network: $0-$153 copay Out-of-network: $0-$153 copay |
| Eyeglasses (frames & lenses) | In-network: $0 copay Out-of-network: 90% coinsurance |
Not covered |
| Upgrades | Not covered | Not covered |
Hearing Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Hearing exam | In-network: $0 copay Out-of-network: $90 copay |
In-network: $0 copay Out-of-network: $85 copay |
| Fitting/evaluation | Not covered | Not covered |
| Prescription hearing aids | In-network: $0 copay Out-of-network: 90% coinsurance |
In-network: $199-$1249 copay Out-of-network: $199-$1249 copay |
| OTC hearing aids | Not covered | In-network: $199-$829 copay Out-of-network: $199-$829 copay |
Additional and Special Needs Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Adult day health services | Not covered | Not covered |
| Home-based palliative care | Not covered | Not covered |
| Personal emergency response system | Coming soon | Not covered |
| Weight management programs | Not covered | Not covered |
| Wigs for chemotherapy-related hair loss | Coming soon | Not covered |
| Alternative therapies | Not covered | Not covered |
| Massage therapy | Not covered | Not covered |
| Home/bathroom safety devices | In-network: $0 copay Out-of-network: 90% coinsurance |
In-network: $0 copay Out-of-network: $0 copay |
Certain preventive services are covered 100% by AARP Medicare Advantage Patriot No Rx NM-MA02 as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Performance Ratings (Contract ID: H2406)
CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2027 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 |
Contact Information for UnitedHealthcare
- Website
- UnitedHealthcare Plan Page
- Providers
- UnitedHealthcare Providers Page
- Formulary
- UnitedHealthcare Formulary Page
- Pharmacy
- UnitedHealthcare Pharmacy Page
- New Member Health Plan Help
- (800)555-5757
- New Member Health Plan TTY
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Plan Availability
AARP Medicare Advantage Patriot No Rx NM-MA02 (H2406-092-0) is available in the following locations:
Frequently Asked Questions
Here are some of the most frequently asked questions about this plan (click to open).
Frequently Asked Questions About AARP Medicare Advantage Patriot No Rx NM-MA02 (PPO)
How much does plan H2406-092 cost per month?
The 2027 monthly premium is $0.00. The Medicare Part B premium is paid separately.
What is the MOOP for AARP Medicare Advantage Patriot No Rx NM-MA02 in 2027?
The annual in-network MOOP is $7150.00 for 2027. After this limit is reached, covered in-network services are fully paid.
What is the total enrollment for plan H2406-092?
CMS reports 1,398 beneficiaries enrolled in this plan.
Is there a Part D deductible for this plan?
For 2027, the prescription drug deductible is $0.00.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| UnitedHealthcare (official source) | http://AARPMedicarePlans.com | October 4, 2026 |
| 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 | Explore your Medicare coverage options | 25 May, 2025 |
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