Plan vs plan · Bibb County, AL · 2027 plan year

AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS) vs Blue Advantage Core (PPO)

Medicare.gov compares Medicare Advantage plans with each other. This page also shows Original Medicare, so you can see the full trade-off: premiums, copays, the yearly limit, extra benefits, and the rules about doctors and approvals.

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AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

Plan premium
$0 a month
Yearly limit, in network
$6,300
2027 star rating
3.5 of 5
Prior authorization needed for
24 services

Blue Advantage Core (PPO)

Plan premium
$19.50 a month
Yearly limit, in network
$6,000
2027 star rating
4 of 5
Prior authorization needed for
5 services

In most states, including Alabama, you cannot count on getting Medigap later

You can buy any Medigap plan with no health questions in the 6 months that start when you are 65 or older and have Part B. After that, a Medigap company in Alabama can ask about your health. It can say no, or it can charge you more. So if you join a Medicare Advantage plan now, you may not be able to get Medigap later.

One exception is the trial right. If you joined Medicare Advantage when you first got Medicare at 65, or you left a Medigap plan to try Medicare Advantage for the first time, you can switch back within 12 months. Then you can buy a Medigap plan with no health questions.

Read about Medigap rights on Medicare.gov

Your yearly cost, side by side

Move the controls to match your year. Totals include premiums, the Part B premium, copays, and drug costs.

How much care do you expect?

Ongoing specialist care

Medigap plan with Original Medicare

Plan G pays almost everything after the $292 yearly Part B deductible.

Want to check your exact drugs? Medicare.gov lets you enter each drug and shows what each plan charges for it. Enter your drugs on Medicare.gov

$

We have no Medigap Plan G price for a 65-year-old woman in Bibb County. Enter the monthly price from your quote, or check Medigap prices for ZIP 35042 on Medicare.gov.

Original Medicare

We have no Medigap Plan G price for a 65-year-old woman here, so we cannot show this total yet. Enter your quote above to see it. Check Medigap prices on Medicare.gov

AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

HMO-POS from UnitedHealthcare

$5,865 a year

Premiums
$2,514
Medical costs
$1,365
Drugs
$1,986

Most you can pay in a bad year, before drugs: $8,814.

Blue Advantage Core (PPO)

PPO from Blue Cross and Blue Shield of Alabama

$5,670 a year

Premiums
$2,748
Medical costs
$1,281
Drugs
$1,641

Most you can pay in a bad year, before drugs: $8,748.

With these settings, Blue Advantage Core (PPO) costs about $195 less a year than AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS).

These are estimates, not quotes. Check every number with Medicare (Medicare.gov or 1-800-MEDICARE) and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Drug costs use typical prices for generic and brand-name drugs. Original Medicare amounts are 2027 projections from the 2026 Medicare Trustees Report. CMS sets the final amounts in November.

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What you pay each time you get care

In-network costs for one visit or one stay. The Original Medicare amounts follow your Medigap choice above: Plan G.

Primary doctor visit

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

    $0

  • Blue Advantage Core (PPO)

    $6

Specialist visit

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

    $0-$50

    Prior authorization
  • Blue Advantage Core (PPO)

    $10-$35

Lab tests

  • Original Medicare + Medigap Plan G

    $0

    most Medicare-covered tests

  • AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

    $0

    Prior authorization
  • Blue Advantage Core (PPO)

    $0 copay

MRI or CT scan

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

    $0-$320

    Prior authorization
  • Blue Advantage Core (PPO)

    $130

    Prior authorization

Emergency room

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

    $130

  • Blue Advantage Core (PPO)

    $130

Urgent care

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

    $0-$50

  • Blue Advantage Core (PPO)

    $6-$35

Outpatient surgery

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

    $0-$405

    Prior authorization
  • Blue Advantage Core (PPO)

    $0-$325

Ground ambulance

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

    $350

    Prior authorization
  • Blue Advantage Core (PPO)

    $345

Hospital stay, 5 days

  • Original Medicare + Medigap Plan G

    $0

    Plan G pays the $1,788 Part A deductible

  • AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

    $2,275

    for a 5-day stay

    Prior authorization
  • Blue Advantage Core (PPO)

    $1,925

    for a 5-day stay

See every cost in one table
What you pay in networkOriginal Medicare + Medigap Plan GAARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)Blue Advantage Core (PPO)
Monthly premiumPart B $209.50 + Medigap Plan G at the price of your quote + drug plan $5.30$0 + Part B $209.50$19.50 + Part B $209.50
Yearly limit on what you payYou pay the $292 Part B deductible. Plan G pays the rest.$6,300 in network$6,000 in network; $10,000 in and out of network
Medical deductible$292 Part B. Plan G pays the $1,788 Part A deductible.$0$295
Primary doctor visit$0, after the $292 yearly Part B deductible$0 copay$6 copay
Specialist visit$0, after the $292 yearly Part B deductible$0-$50 copayPrior authorization$10-$35 copay
Lab tests$0, most Medicare-covered tests$0 copayPrior authorization$0 copay
MRI or CT scan$0, after the $292 yearly Part B deductible$0-$320 copayPrior authorization$130 copayPrior authorization
X-rays$0, after the $292 yearly Part B deductible$30 copayPrior authorization$20 copayPrior authorization
Emergency room$0, after the $292 yearly Part B deductible$130 copay$130 copay
Urgent care$0, after the $292 yearly Part B deductible$0-$50 copay$6-$35 copay
Outpatient hospital$0, after the $292 yearly Part B deductible$0-$455 copayPrior authorization$0-$380 copay
Surgery center$0, after the $292 yearly Part B deductible$0-$405 copayPrior authorization$0-$325 copay
Ground ambulance$0, after the $292 yearly Part B deductible$350 copayPrior authorization$345 copay
Hospital stay$0, Plan G pays the $1,788 Part A deductible$455 per day for days 1-6; $0 per day for days 7-90Prior authorization$385 per day for days 1-7; $0 per day for days 8-90
Skilled nursing facility$0, Plan G pays days 21-100$0 per day for days 1-20; $221 per day for days 21-100Prior authorization$10 per day for days 1-20; $221 per day for days 21-100Prior authorization
Mental health visit$0, after the $292 yearly Part B deductible$0-$25 copayPrior authorization$6-$35 copay
Physical therapy$0, after the $292 yearly Part B deductible$45 copayPrior authorization$35 copayPrior authorization
Home health care$0, Medicare-covered home health$0 copayPrior authorization$0 copay
Medical equipment$0, after the $292 yearly Part B deductible20% coinsurancePrior authorization18% coinsurance
Part B drugs$0 after the $292 Part B deductible0%-20% coinsurancePrior authorization0%-20% coinsurance
Drug deductible (Part D)$700 with Wellcare Value Script (PDP)$685$625
Drug tiers (one month, retail)Generic: $0 copayPreferred Brand: 25% coinsuranceNon-Preferred Drug: 50% coinsuranceInjectable Drugs: 15% coinsuranceSpecialty Tier: 25% coinsuranceSelect Care Drugs: $11 copayPreferred Generic: $0 copayGeneric: $0 copayPreferred Brand: 22% coinsuranceNon-Preferred Drug: 29% coinsuranceSpecialty Tier: 26% coinsurancePreferred Generic: $0 copayGeneric: $5 copayPreferred Brand: 17% coinsuranceNon-Preferred Drug: 36% coinsuranceSpecialty Tier: 26% coinsurance

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A higher drug plan premium is not, by itself, a reason to switch

With Original Medicare, you buy a separate drug plan. In Alabama, 11 drug plans are for sale for 2027, from $5.30 to $204.60 a month. Half of them cost $110.40 a month or less.

  • Every 2027 drug plan limits what you pay for covered drugs to $2,400 a year. The drug coverage in Medicare Advantage plans has the same limit.
  • The premium is one part of your yearly cost. The calculator above adds premiums, medical costs, and drug costs, so you can see the whole year.
  • A Medicare Advantage plan can cost less in a light year. But you also take on its network and prior authorization rules, and you may not be able to get Medigap later.
  • If your income is limited, Extra Help can pay most of your drug plan premium and drug costs. Check Extra Help at SSA.gov

Doctors, referrals, and prior authorization

Cost is one side. The other side is how you get care. These rules come from the CMS plan files. Prior authorization means the plan must approve a service before you get it.

Original Medicare

  • Any doctor or hospital in the U.S. that takes Medicare
  • No referrals
  • Prior authorization only for a short list of services

AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

HMO-POS

  • You use the plan network. Some care outside the network is covered at a higher cost.
  • You need a referral to see a specialist.

Prior authorization for 24 services

Specialist visits, Diagnostic tests, MRI or CT, Radiation therapy, Outpatient hospital, Observation stay, Surgery center, Ambulance, Mental health visits, Psychiatrist visits, Physical therapy, Occupational therapy, Home health, Partial hospitalization, Cardiac rehab, Pulmonary rehab, Medical equipment, Prosthetics, Diabetic supplies, Dialysis, Substance use care, Hospital stay, Skilled nursing, Part B drugs

Blue Advantage Core (PPO)

PPO

  • The plan has a network. You can go outside it, but you pay more.
  • No referral needed to see a specialist.

Prior authorization for 5 services

MRI or CT, Radiation therapy, Physical therapy, Occupational therapy, Skilled nursing

Extra benefits

Extra benefitOriginal MedicareAARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)Blue Advantage Core (PPO)
DentalNoComprehensive, up to $750 a yearComprehensive, up to $650 a year
Eye examNoYesYes
Glasses or contactsNoYes, $200 allowanceYes, $100 allowance
Hearing aidsNoYes, up to $700Yes, copays from $499
Over-the-counter allowanceNoNoNo
Fitness benefitNoYesNo
Rides to careNoNoNo
Meals after a hospital stayNoYesNo
Emergency care abroadPlan G and Plan N pay 80% after a $250 deductibleNoYes
Part B premium givebackNoNoNo

What changed for 2027

AARP Medicare Advantage Essentials from UHC AL-3 (HMO-POS)

Renewal Plan with SAR · 2026 plan H2802-041-0

  • In-network out-of-pocket maximum up from $5,900 to $6,300
  • Drug deductible up from $440 to $685
  • Specialist visit: $0-$35 copay to $0-$50 copay
  • Diagnostic radiology (MRI, CT): $0-$240 copay to $0-$320 copay
  • Outpatient hospital: $0-$395 copay to $0-$455 copay
  • Ground ambulance: $275 copay to $350 copay
  • Inpatient hospital: $395 per day for days 1-6; $0 per day for days 7-90 to $455 per day for days 1-6; $0 per day for days 7-90
  • Skilled nursing facility: $0 per day for days 1-20; $218 per day for days 21-100 to $0 per day for days 1-20; $221 per day for days 21-100
  • Dental maximum down from $2,000 to $750
  • Eyewear allowance down from $300 to $200
  • OTC allowance removed
  • Worldwide emergency coverage removed
  • Overall star rating down from 4 to 3.5

Blue Advantage Core (PPO)

Renewal Plan · 2026 plan H0104-014-0

  • Monthly premium up from $0 to $20
  • In-network out-of-pocket maximum up from $5,900 to $6,000
  • Medical deductible up from $0 to $295
  • Drug deductible up from $370 to $625
  • Primary doctor visit: $5 copay to $6 copay
  • Specialist visit: $35 copay to $10-$35 copay
  • Urgent care: $5-$35 copay to $6-$35 copay
  • Diagnostic radiology (MRI, CT): $125 copay to $130 copay
  • Outpatient hospital: $0-$345 copay to $0-$380 copay
  • Ground ambulance: $350 copay to $345 copay
  • Inpatient hospital: $330 per day for days 1-7; $0 per day for days 8-90 to $385 per day for days 1-7; $0 per day for days 8-90
  • Skilled nursing facility: $10 per day for days 1-20; $218 per day for days 21-100 to $10 per day for days 1-20; $221 per day for days 21-100
  • Dental maximum down from $680 to $650

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Sources and method

Plan data comes from the CMS 2027 Plan Benefit Package and landscape files. The data is from 2026-10-10. We checked a sample of plans field by field against Medicare.gov. Original Medicare amounts are the 2027 projections in the 2026 Medicare Trustees Report (Tables V.E1 and V.E2). CMS sets the final amounts in November. We do not have a Medigap price for Bibb County, AL. So the Original Medicare total needs your own Medigap quote. You can look up prices for ZIP 35042 on Medicare.gov. Totals use typical Medicare-allowed amounts for each service and typical drug prices.

These are estimates, not quotes, and they are for education only. Check every number with Medicare and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Plans can change their benefits, premiums, drug lists, and networks each year.

Pinnie is not an insurance agent or broker and does not sell Medicare plans. Pinnie is not connected with or endorsed by the U.S. government or the federal Medicare program. For all your options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.

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