AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS) Medicare Advantage Plan H5253-021 • 2026 • Marathon County, WI

AARP Medicare Advantage Patriot No Rx WI-MA02 Overview

Coverage Overview for AARP Medicare Advantage Patriot No Rx WI-MA02

AARP Medicare Advantage Patriot No Rx WI-MA02 is a Medicare Advantage HMO-POS plan that includes Medicare Part A and Part B coverage, with limited access to out-of-network providers in certain situations. The monthly premium is $0.00, and costs are generally lower when services are received from in-network providers.

Primary care visits have a $0 copay, specialist visits come with a $0-$55 copay, urgent care services carry a $0-$50 copay, and ambulance transportation is $290 copay. These costs 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 listed by CMS under Plan ID H5253-021. A summary of cost sharing is provided below.

Out-of-Pocket Costs

Cost-sharing for AARP Medicare Advantage Patriot No Rx WI-MA02 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 H5253-021.

Certain preventive services are covered 100% by AARP Medicare Advantage Patriot No Rx WI-MA02 as a Part B benefit.

Prescription Drug Coverage

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

CMS 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.