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1-on-1 Medicare for Californians

San Fernando Valley, California

MAPD 2027 plan HMOPOS

AARP Medicare Advantage from UHC CA-0012 (HMO-POS)

Plan information effective January 1, 2027.

UnitedHealthcare Plan ID H0543-152-000 Plan #152 MAPD

Plan costs & ratings

Monthly premium$0.00
Annual premium$0.00
Medical premium$0.00
Medical deductible$0
Drug premium$0.00
Drug deductible$355
Medical out-of-pocket limit (in network)$3,900
Part D annual out-of-pocket threshold$2,400

Availability

Available in San Diego County, CA

San Diego County, CA

Available Cities

This plan is available in 31+ cities in California.

Benefits

Primary care In Network

In-Network: $0 copay per visit

Inpatient hospital In Network

In-Network: $395 copay per day for days 1-7, $0 copay per day for days 8-90.

Skilled nursing In Network

In-Network: $0 copay per day for days 1-20, $221 copay per day for days 21-100.

Emergency care In Network

In-Network: $150 copay per visit

Urgently needed care In Network

In-Network: $65 copay for Medicare-covered urgently-needed-care visits.

Ambulance In Network

In-Network: $200 copay per trip

Dental In Network

In-Network: $0 copay for covered preventive services such as oral exams, routine cleanings, X-rays and fluoride You will have access to one of Medicare Advantage's largest dental networks, or you can choose any dentist.

Vision In Network

This plan includes: Eye Exams, Eyewear.

Hearing In Network

In-Network: $0 copay for Medicare-covered Hearing Services

Over-the-counter In Network

$50 Credit per quarter for OTC products like vitamins, pain relievers, first aid supplies and more in store or online. There is a minimum of $35 before applicable tax applies to online orders. Shop at thousands of participating stores, including Walmart, Walgreens and Dollar general, or at neighborhood stores near you.

Transportation In Network

In-Network: $0 copay; Limit of 12 visits every year.

Fitness In Network

In-Network: $0 copay for Renew Active®, which includes a free membership at core and premium gyms

Notes

Drug deductible details: $0 Deductible on Tier(s) 1, 2; $355 Deductible on Tier(s) 3, 4, 5

Plan Overview

CarrierUnitedHealthcare
Plan typeMAPD
PlanHMOPOS
Marketing nameUnitedHealthcare
Drug coverageIncluded
Enrollment hours8 a.m.-8 p.m. local time, 7 days a week
Carrier websiteOpen website

Plan identifiers

Plan IDH0543-152-000
Plan number152
ContractH0543
Segment0
DRX IDKTZPRRNC9C
Carrier ID141
Formulary ID27002
Formulary versionv1 Last Updated 08-06-2026

Carrier contact

Carrier phone1-800-555-5757
Enrollment phone1-800-555-5757
Enrollment TTY711
Carrier hours8 a.m.-8 p.m. local time, 7 days a week

Network & documents

Preferred pharmacy networkNo
Preferred retail pharmacyNo
Preferred mail pharmacyNo
Mail drug benefitsYes