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AARP Medicare Advantage Patriot No Rx TX-MA05 (PPO) Medicare Advantage Plan H1278-027 • 2027 • Jim Wells County, TX

CMS Rating: ☆☆☆☆☆ (3.0 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
−$70.00 reduction
Prescription Coverage
Not Included
Additional Benefits
Dental, Vision, Hearing
Service Area
Jim Wells County, TX
Local Enrollment
11 beneficiaries in Jim Wells County
Last update:

AARP Medicare Advantage Patriot No Rx TX-MA05 (PPO) Introduction

AARP Medicare Advantage Patriot No Rx TX-MA05 is a Medicare Advantage PPO plan offered by UnitedHealthcare. It uses a Preferred Provider Organization (PPO) provider network and comes without prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $7150.00 in-network maximum out-of-pocket. CMS Plan ID H1278-027 identifies this plan.

This plan is available to eligible residents of Jim Wells County, Texas. CMS reports 11 beneficiaries enrolled in this plan in Jim Wells County. For assistance with this plan, new members can call (800)555-5757 (TTY 711).

Compare Similar Plans in Jim Wells County

Compare this plan with the two most-enrolled PPO plans available in Jim Wells County, Texas. Enrollment is based on CMS local enrollment data.

PPO plan comparison for Jim Wells County, Texas
Plan Detail AARP Medicare Advantage Patriot No Rx TX-MA05 AARP Medicare Advantage from UHC TX-0008 HumanaChoice Giveback H5216-358
CMS Plan ID H1278-027-0 H1278-016-0 H5216-358-0
Local Enrollment 11 139 83
Monthly Premium $0.00 $32.00 $0.00
Medical Deductible $0.00 $0.00 $400
Maximum Out-of-Pocket $7,150.00 $7,150.00 $8,300.00
Part B Giveback −$70.00 reduction Not offered −$81.00 reduction
Primary Care $0 copay $0 copay $0 copay
Specialist $0-$65 copay $0-$55 copay $40 copay
Part D Deductible Not Applicable $520.00 $50.00
CMS Star Rating 3.0 3.0 4.0
Dental $0 copay $0 copay $0 copay
Vision $0 copay $0 copay $0 copay
Hearing $0 copay $0 copay $0 copay

Plan Benefits

Cost-sharing for AARP Medicare Advantage Patriot No Rx TX-MA05 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 H1278-027.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H1278-027-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Out-of-network: $25 copay
Specialist
In-network: $0-$65 copay
Out-of-network: $105 copay

Preventive and Wellness Services

Annual wellness exam
In-network: $0 copay
Out-of-network: 40% coinsurance
Telehealth benefit
Not covered
Routine chiropractic
Not covered
Fitness benefits
Coming soon
Health education
Not covered
Counseling services
Not covered
Over-the-counter drug benefits
Not covered
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: $0-$320 copay
Out-of-network: 40% coinsurance
Lab services
In-network: $0 copay
Out-of-network: $0 copay
Outpatient x-rays
In-network: $30 copay
Out-of-network: $40 copay
Diagnostic tests and procedures
In-network: $50 copay
Out-of-network: 40% coinsurance

Emergency and Urgent Care Services

Emergency room care
$130 copay
Worldwide emergency care
Coming soon
Urgent care
$0-$50 copay
Inpatient hospital care
In-network:
Tier 1
$610 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Out-of-network:
$710 per day for days 1-16
$0 per day for days 17-999
$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
Ground ambulance
In-network: $350 copay
Out-of-network: $350 copay

Mental Health Services

Outpatient individual therapy
In-network: $0-$25 copay
Out-of-network: $40 copay
Outpatient group therapy
In-network: $15 copay
Out-of-network: $30 copay
Inpatient psychiatric hospital care
In-network:
Tier 1
$610 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Out-of-network:
$710 per day for days 1-16
$0 per day for days 17-999
$0 per stay

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $65 copay
Out-of-network: $105 copay
Occupational therapy
In-network: $50 copay
Out-of-network: $105 copay

Medical Equipment and Supplies

Diabetes supplies
In-network: $0 copay
Out-of-network: 50% coinsurance
Durable medical equipment
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Prosthetics
In-network: 20% coinsurance
Out-of-network: 50% coinsurance

Medicare Part B Drugs

Chemotherapy
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

Dental Services

Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Periodontics
Not covered
Endodontics
Not covered
Restorative services
Not covered
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
Not covered

Vision Services

Routine eye exam
In-network: $0 copay
Out-of-network: $105 copay
Contact lenses
Not covered
Eyeglass frames only
Not covered
Eyeglass lenses only
Not covered
Eyeglasses (frames & lenses)
Not covered
Upgrades
Not covered

Hearing Services

Hearing exam
In-network: $0 copay
Out-of-network: $105 copay
Fitting/evaluation
Not covered
Prescription hearing aids
In-network: $0 copay
Out-of-network: 90% coinsurance
OTC hearing aids
Not covered

Additional and Special Needs Services

Adult day health services
Not covered
Home-based palliative care
Not covered
Personal emergency response system
Coming soon
Weight management programs
Not covered
Wigs for chemotherapy-related hair loss
Coming soon
Alternative therapies
Not covered
Massage therapy
Not covered
Home/bathroom safety devices
Not covered

Certain preventive services are covered 100% by AARP Medicare Advantage Patriot No Rx TX-MA05 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: H1278)

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.

2027 Medicare Star Ratings for Contract H1278
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 ☆☆☆☆☆
Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services CY2027 Landscape (202609.1)
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2027 Star Ratings Data Tables
Plan Benefits Package Centers for Medicare & Medicaid Services PBP Benefits-2027
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-09

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
UnitedHealthcare (official source) http://AARPMedicarePlans.com October 4, 2026
CMS.gov Medicare Advantage Plan Fact Sheet 25 May, 2025
Medicare.gov Joining a plan 25 May, 2025
Medicare.gov Your coverage options 25 May, 2025

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.