AARP Medicare Advantage Patriot No Rx TX-MA04 (PPO) Medicare Advantage Plan H1278-026 • 2026 • Guadalupe County, TX

AARP Medicare Advantage Patriot No Rx TX-MA04 Overview

Coverage Overview for AARP Medicare Advantage Patriot No Rx TX-MA04

As a Medicare Advantage PPO plan, AARP Medicare Advantage Patriot No Rx TX-MA04 covers Medicare Part A and Part B services and allows access to Medicare-approved providers. The monthly premium is $0.00, with lower costs when using in-network providers.

Primary care visits have a $0 copay | Out-of-network: $25 copay, specialist visits come with a $0-$60 copay | Out-of-network: $75 copay, urgent care services carry a $0-$50 copay, and ambulance transportation is $150 copay | Out-of-network: $150 copay. These expenses apply toward the annual maximum out-of-pocket (MOOP) limit of $6700.00. After this limit is reached, in-network services are fully covered.

This plan is registered with CMS under Plan ID H1278-026. Cost-sharing details are outlined below.

Cost-Sharing Overview

Cost-sharing for AARP Medicare Advantage Patriot No Rx TX-MA04 includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H1278-026.

Certain preventive services are covered 100% by AARP Medicare Advantage Patriot No Rx TX-MA04 as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS 5-Star Ratings

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.