AARP Medicare Advantage from UHC TC-0003 (HMO-POS) Medicare Advantage Plan H5253-048 • 2026 • Washington County, VA
AARP Medicare Advantage from UHC TC-0003 is a Medicare Advantage HMO-POS plan offered by UnitedHealthcare for the 2026 plan year. It is identified by CMS Plan ID H5253-048 and uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network. The plan comes with prescription drug coverage.
AARP Medicare Advantage from UHC TC-0003 Overview
Plan Overview for
H5253-048-0
|
|
|---|---|
| CMS Plan ID: |
H5253-048-0
|
| Plan Type: | HMO-POS |
| Plan Year: | 2026 |
| Monthly Premium: |
$42.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $3500.00 (In-Network) |
| Part B Give Back: | Not offered |
| Prescription Drug Coverage: | Enhanced, $355.00 deductible |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Washington County, VA |
| Enrollment (Nationwide): | 12,628 beneficiaries |
| Enrollment (CMS – Local) | 583 beneficiaries in Washington County |
| Provided By: | UnitedHealthcare |
Coverage Overview for AARP Medicare Advantage from UHC TC-0003
This Medicare Advantage MAPD HMO-POS plan includes hospital, medical, and prescription drug coverage under Medicare Parts A and B. The monthly premium is $42.00, and the plan provides coverage through a network of participating providers, with limited access to out-of-network services in certain situations. The annual Part D deductible is $355.00.
Primary care visits have a $0 copay, specialist visits come with a $0-$30 copay, urgent care services carry a $0-$65 copay, and ambulance transportation is $290 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $3500.00. After this limit is reached, in-network services are fully covered.
This plan is registered with CMS under Plan ID H5253-048. A summary of cost sharing is provided below.
Out-of-Pocket Costs
AARP Medicare Advantage from UHC TC-0003 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 H5253-048.
Certain preventive services are covered 100% by AARP Medicare Advantage from UHC TC-0003 as a Part B benefit.
Prescription Drug Coverage
AARP Medicare Advantage from UHC TC-0003 includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Deductible
This plan has a $355.00 annual Part D deductible. You'll pay this deductible at the pharmacy before UnitedHealthcare starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, AARP Medicare Advantage from UHC TC-0003 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $5.00 copay | Coming soon |
| Preferred Brand | 21% coinsurance | Coming soon |
| Non-Preferred Drug | 39% coinsurance | Coming soon |
| Specialty Tier | 29% coinsurance | Coming soon |
| *Deductible does not apply. | ||
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.
| 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 from UHC TC-0003 (HMO-POS)?
The 2026 monthly premium is $42.00. The Medicare Part B premium is paid separately.
What is the in-network MOOP for plan H5253-048?
For 2026, the in-network maximum out-of-pocket is $3500.00. The plan pays 100% of covered in-network services beyond this amount.
What is the star rating for plan H5253-048 in 2026?
For 2026, plan H5253-048 has a CMS star rating of ★4.0 out of 5 stars.
What is the total enrollment for plan H5253-048?
Total enrollment is 12,628 beneficiaries based on the latest CMS data.
Is there a Part D deductible for this plan?
The Part D deductible is $355.00.
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 |
| Medicare.gov | Joining a plan | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
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