AARP Medicare Advantage Patriot No Rx WV-MA01 (PPO) Medicare Advantage Plan H8211-005 • 2026 • Gilmer County, WV

AARP Medicare Advantage Patriot No Rx WV-MA01 Overview

Coverage Overview for AARP Medicare Advantage Patriot No Rx WV-MA01

As a Medicare Advantage PPO plan, AARP Medicare Advantage Patriot No Rx WV-MA01 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: $0 copay, specialist visits come with a $0-$55 copay | Out-of-network: $55 copay, urgent care services carry a $0-$40 copay, and ambulance transportation is $290 copay | Out-of-network: $290 copay. These expenses apply toward the annual maximum out-of-pocket (MOOP) limit of $8900.00. After this limit is reached, in-network services are fully covered.

This plan is registered with CMS under Plan ID H8211-005. Cost-sharing details are outlined below.

Cost Sharing Expenses

AARP Medicare Advantage Patriot No Rx WV-MA01 has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The table below details the most common in-network out-of-pocket expenses for plan H8211-005.

Certain preventive services are covered 100% by AARP Medicare Advantage Patriot No Rx WV-MA01 as a Part B benefit.

Prescription Drug Coverage

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

CMS 5-Star Ratings

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.