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Medicare Advantage Plan H8768-021-0 in Adams County, OH AARP Medicare Advantage Patriot No Rx OH-MA01 (PPO) • 2026

CMS Rating:☆☆☆☆☆(3.5 out of 5 stars*)

AARP Medicare Advantage Patriot No Rx OH-MA01 (PPO), CMS Plan-ID H8768-021-0, is a 2026 Medicare Advantage Plan (Part C), without prescription drug coverage, by UnitedHealthcare. The plan uses a Preferred Provider Organization (PPO) provider network structure.

Based on the most recent CMS data, plan enrollments topped 4,312 members, with 18 in Adams County, Ohio.

Last update:

AARP Medicare Advantage Patriot No Rx OH-MA01 Overview

2026 Medicare Advantage Plan Overview for H8768-021-0
Plan Overview for H8768-021-0
CMS Plan ID: H8768-021-0
Plan Type: PPO
Plan Year: 2026
Monthly Premium: $0.00
Plus your Medicare Part B premium.
Medical Deductible: $0.00
Maximum Out-of-Pocket: $8500.00 (In-Network)
Part B Give Back: −$170.00 reduction
Prescription Drug Coverage: Not Included
Additional Benefits: Dental, Vision, Hearing
Service Area: Adams County, OH
Enrollment (Nationwide): 4,312 beneficiaries
Enrollment (CMS – Local)18 beneficiaries in Adams County
Provided By: UnitedHealthcare
If you qualify for Original Medicare and a Medicare Advantage Plan but don't know where to begin, our HealthCompare licensed insurance agents[1] are available at 1-833-748-3201 (TTY 711) to answer your questions (M-F 8AM-10PM, Sat 9AM-8PM EST) and help you enroll. There's no obligation.

To learn more about your plan options, costs, and enrollment periods without agent assistance, try our helpful Medicare Resources below (click to open).

Frequently Asked Questions About AARP Medicare Advantage Patriot No Rx OH-MA01 (PPO)

Here are some of the most frequently asked questions people have about Plan ID H8768-021-0:

How much does AARP Medicare Advantage Patriot No Rx OH-MA01 cost per month?

AARP Medicare Advantage Patriot No Rx OH-MA01 has a $0.00 monthly premium for 2026. You must also continue to pay any Medicare Part B premium you owe.

What is the maximum out-of-pocket limit for AARP Medicare Advantage Patriot No Rx OH-MA01?

The 2026 in-network maximum out-of-pocket (MOOP) limit is $8500.00. After you reach this limit, the plan pays covered in-network Part A and Part B costs for the remainder of the year.

How many CMS stars does AARP Medicare Advantage Patriot No Rx OH-MA01 have?

For 2026, AARP Medicare Advantage Patriot No Rx OH-MA01 is included under CMS contract H8768, which has a ★3.5 out of 5 Star Rating.

What type of network does Plan ID H8768-021-0 have?

Plan ID H8768-021-0 uses a Preferred Provider Organization (PPO) provider network.

How many people are enrolled in AARP Medicare Advantage Patriot No Rx OH-MA01?

The most recent CMS enrollment data shows approximately 4,312 beneficiaries enrolled in this plan.

Which insurance company offers Plan ID H8768-021-0?

Plan ID H8768-021-0 is offered by UnitedHealthcare.

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Covered Services & Costs

Office Visits

This plan lists in-network cost sharing for primary care and specialist visits, along with related office-based services.

Primary care and specialist visit costs for this plan.
Covered Service In-Network Cost
Primary: In-network: $0 copay | Out-of-network: $25 copay
Specialist: In-network: $0-$50 copay | Out-of-network: $65 copay

Preventive and Wellness Services

Preventive and wellness benefits may include routine exams, telehealth, fitness programs, health education, and other in-network services.

Preventive and wellness service costs and benefits for this plan.
Covered Service In-Network Cost
Annual wellness exam: In-network: $0 copay
Telehealth benefit: In-network: $0 copay
Routine chiropractic: Not covered
Fitness benefits: In-network: $0 copay | Out-of-network: $0 copay
Health education: Not covered
Counseling services: Not covered
Over-the-counter drug benefits: In-network: $0 copay | Out-of-network: $0 copay
Health transportation (non-emergency): Not covered

Diagnostic, Lab, and Imaging Services

Diagnostic coverage includes in-network cost sharing for lab tests, x-rays, radiology, and other diagnostic procedures used to evaluate health conditions.

Diagnostic, laboratory, and imaging service costs for this plan.
Covered Service In-Network Cost
Diagnostic radiology services: In-network: $0-$200 copay | Out-of-network: 30% 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: $45 copay | Out-of-network: 30% coinsurance

Emergency and Urgent Care Services

Emergency and inpatient coverage includes cost sharing for urgent care, emergency room visits, ambulance transportation, hospital stays, and skilled nursing facility care.

Emergency, urgent care, hospital, ambulance, and skilled nursing costs for this plan.
Covered Service In-Network Cost
Emergency room care: $115 copay
Worldwide emergency care: $0 copay
Urgent care: $0-$40 copay
Inpatient hospital care: In-network: | Tier 1 | $485 per day for days 1-5 | $0 per day for days 6-90 | $0 per stay | Out-of-network: | 30% per stay
Skilled Nursing Facility: In-network: | Tier 1 | $0 per day for days 1-20 | $218 per day for days 21-100 | Out-of-network: | $250 per day for days 1-100 | $0 per stay
Ground ambulance: In-network: $275 copay | Out-of-network: $275 copay

Mental Health Services

Mental health coverage includes in-network cost sharing for outpatient individual and group therapy, as well as inpatient psychiatric hospital care.

Mental health therapy and inpatient psychiatric care costs for this plan.
Covered Service In-Network Cost
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 | $485 per day for days 1-5 | $0 per day for days 6-90 | $0 per stay | Out-of-network: | 30% per stay

Rehabilitation Services

Rehabilitation coverage includes in-network cost sharing for physical therapy, speech and language therapy, and occupational therapy services.

Physical, speech, and occupational therapy costs for this plan.
Covered Service In-Network Cost
Physical therapy and speech and language therapy: In-network: $50 copay | Out-of-network: $65 copay
Occupational therapy: In-network: $35 copay | Out-of-network: $65 copay

Medical Equipment and Supplies

Medical equipment coverage includes in-network cost sharing for diabetes supplies, durable medical equipment, prosthetics, and related supplies.

Diabetes supplies, durable medical equipment, and prosthetic costs for this plan.
Covered Service In-Network Cost
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

Medicare Part B drug coverage includes in-network cost sharing for chemotherapy and other medications covered under Medicare Part B.

Chemotherapy and other Medicare Part B-covered drug costs for this plan.
Covered Service In-Network Cost
Chemotherapy: In-network: 0%-20% coinsurance | Out-of-network: 30% coinsurance
Other Part B drugs (Medicare-covered): In-network: 0%-20% coinsurance | Out-of-network: 0%-30% coinsurance

Dental Services

Dental coverage includes in-network cost sharing for preventive care, exams, x-rays, cleanings, and comprehensive dental procedures.

Preventive and comprehensive dental service costs for this plan.
Covered Service In-Network Cost
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: In-network: 50% coinsurance | Out-of-network: 50% coinsurance
Endodontics: In-network: 50% coinsurance | Out-of-network: 50% coinsurance
Restorative services: In-network: 50% coinsurance | Out-of-network: 50% coinsurance
Implant services: Not covered
Orthodontics: Not covered
Oral/Maxillofacial surgery: In-network: 50% coinsurance | Out-of-network: 50% coinsurance

Vision Services

Vision coverage includes in-network cost sharing for routine eye exams, contact lenses, eyeglass frames and lenses, and related eyewear services.

Routine eye exams, contact lenses, and eyewear costs for this plan.
Covered Service In-Network Cost
Routine eye exam: In-network: $0 copay | Out-of-network: $65 copay
Contact lenses: In-network: $0 copay | Out-of-network: $0 copay
Eyeglass frames only: In-network: $0 copay | Out-of-network: $0 copay
Eyeglass lenses only: In-network: $0-$153 copay | Out-of-network: $0-$153 copay
Eyeglasses (frames & lenses): Not covered
Upgrades: Not covered

Hearing Services

Hearing coverage includes in-network cost sharing for hearing exams, fittings and evaluations, prescription hearing aids, and over-the-counter hearing aids.

Hearing exams, fittings, and hearing aid costs for this plan.
Covered Service In-Network Cost
Hearing exam: In-network: $0 copay | Out-of-network: $65 copay
Fitting/evaluation: Not covered
Prescription hearing aids: In-network: $199-$1249 copay | Out-of-network: $199-$1249 copay
OTC hearing aids: In-network: $199-$829 copay | Out-of-network: $199-$829 copay

Additional and Special Needs Services

Additional benefits may include in-network services for adult day health, palliative care, personal emergency response systems, weight management, alternative therapies, and home safety needs.

Additional and special needs service costs and benefits for this plan.
Covered Service In-Network Cost
Adult day health services: Not covered
Home-based palliative care: Not covered
Personal emergency response system: Not covered
Weight management programs: Not covered
Wigs for chemotherapy-related hair loss: Not covered
Alternative therapies: Not covered
Massage therapy: Not covered
Home/bathroom safety devices: In-network: $0 copay | Out-of-network: $0 copay

AARP Medicare Advantage Patriot No Rx OH-MA01 covers 100% of certain preventive services as a required Part B benefit.

Prescription Drug Coverage

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

CMS Medicare Star Ratings

Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates Medicare Advantage PPOs across nine broad categories using a 5-star rating system. These star ratings provide insight into the quality of care and service you can expect from this UnitedHealthcare plan.

2026 Medicare Star Ratings for Contract H8768
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 ☆☆☆☆☆

Contact UnitedHealthcare

Call 833-748-3201 (TTY 711) to speak with a licensed HealthCompare insurance agent (M-F 8AM-10PM, Sat 9AM-8PM EST) and learn more about this plan and other plans on this site. You may also Enroll Online .

UnitedHealthcare Plan Contact Details for AARP Medicare Advantage Patriot No Rx OH-MA01 (PPO)
Contact Type Details
Website: UnitedHealthcare Plan Page
New Members: 1-800-555-5757
Existing Members: 1-877-849-5430
Plan Address: P.O. Box 30770 | Salt Lake City, UT 84130
Medicare Plan Decision Resources
Medicare Plan Data Sources and Methodology
Primary CMS datasets used to compile information about Plan ID H8768-021-0
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services 202608
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2026
Plan Benefits Package Centers for Medicare & Medicaid Services 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-08
Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
UnitedHealthcare (official source) http://AARPMedicarePlans.com October 13, 2025
CMS.gov Medicare Advantage Plan Fact Sheet 25 May, 2025
AARP.org The Big Choice: Original Medicare vs. Medicare Advantage 25 May, 2025
Medicare.gov Your coverage options 25 May, 2025

Medicare.org independently compiles and interprets Medicare plan information using data published by the Centers for Medicare & Medicaid Services (CMS), official plan information, and other authoritative Medicare sources. The sources used for this plan are documented below.

Medicare.org is an independent Medicare information and enrollment resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program. Enrollment assistance is provided through HealthCompare, an Allstate company.