AARP Medicare Advantage 2026-2027 Review: Pros, Cons, Costs

Backed by big hitter UnitedHealthcare, AARP Medicare Advantage plans are OK but unexceptional for 2027.
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Oct 22, 2026
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The bottom line: AARP Medicare Advantage plans are insured by UnitedHealthcare, the largest Medicare Advantage company. In general, they earn scores similar to other UHC plans, but we’ve reviewed just the AARP-branded ones here.

AARP plans are just so-so for 2027. That’s not to say that they’re terrible choices, but you can probably find competing plans with lower costs, higher quality and better customer service. For example, Humana is our strongest performer among the major national companies. And it’s worth taking a look at the smaller companies in your area to see whether there’s an even better fit.

Pros: AARP plans are backed by UnitedHealthcare, which is the largest seller of Medicare plans in the country. So they get the advantages of UHC’s wide reach and large provider network. And AARP’s average caps on annual out-of-pocket costs are some of the lowest among companies with plans available nationally.

Cons: AARP plans get middling government quality ratings for 2027. And their out-of-pocket costs for medical care can be pricier than average. That’s especially true for hospital copays, where AARP had some of the highest averages among the companies we analyzed.

AARP Medicare Advantage
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NerdWallet star rating for AARP Medicare Advantage

AARP earned 3.8 out of 5 stars in our analysis. Like UnitedHealthcare, which insures its plans, AARP’s performance on our cost, quality and customer service metrics is OK, but not great. You can probably find plans in your area that outperform AARP in each of these areas.

How we score companies

NerdWallet's editorial team uses huge quantities of data to score Medicare Advantage companies. Unlike the government's quality ratings, we include costs as a factor in our scoring. And compared with review sites across the web, NerdWallet's editorial assessments are more comprehensive in a range of areas:

  • More data: Our analysis includes hundreds of thousands of rows of data. We incorporate data from all 45 Centers for Medicare & Medicaid Services (CMS) quality measures — and that’s just the start. We’ve also built and analyzed our own measures for customer service, premiums, prescription drug costs, and out-of-pocket costs for emergency visits, ambulance rides and hospital stays to provide a more well-rounded picture of plans’ performance.

  • More plans and companies: We don’t just stick to a few big names. We've analyzed and assigned scores to every single one of over 5,000 commercial Medicare Advantage plan offerings, down to individual plans offered state-by-state. Our reviews span 23 companies covering about 31.5 million enrollees. That’s about 87% of all Medicare Advantage members.

  • More timely updates: You don’t want to rely on out-of-date reviews when shopping for your coverage. Our team grabs the new year’s data as soon as it’s released in September and October, delivering the freshest updates for open enrollment season.

  • More detail: We’re not just providing surface-level summaries. We publish multiple roundups of the best plans, individual deep-dive reviews of nearly two dozen Medicare Advantage companies, 50 state roundups with information specific to the best plans available in each state, and data-driven head-to-head comparisons for many of the big companies you might be choosing between.

  • CMS quality measures

    • C01: Breast Cancer Screening.

    • C02: Colorectal Cancer Screening.

    • C03: Annual Flu Vaccine.

    • C04: Improving or Maintaining Physical Health.

    • C05: Improving or Maintaining Mental Health.

    • C06: Monitoring Physical Activity.

    • C07: Special Needs Plan (SNP) Care Management.

    • C08: Care for Older Adults – Medication Review.

    • C09: Care for Older Adults - Functional Status Assessment.

    • C10: Osteoporosis Management in Women who had a Fracture.

    • C11: Diabetes Care – Eye Exam.

    • C12: Diabetes Care – Blood Sugar Controlled.

    • C13: Kidney Health Evaluation for Patients with Diabetes.

    • C14: Controlling High Blood Pressure.

    • C15: Reducing the Risk of Falling.

    • C16: Improving Bladder Control.

    • C17: Plan All-Cause Readmissions.

    • C18: Statin Therapy for Patients with Cardiovascular Disease.

    • C19: Transitions of Care.

    • C20: Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions.

    • C21: Getting Needed Care.*

    • C22: Getting Appointments and Care Quickly.*

    • C23: Customer Service.*

    • C24: Rating of Health Care Quality.*

    • C25: Rating of Health Plan.*

    • C26: Care Coordination.*

    • C27: Complaints about the Health Plan.

    • C28: Members Choosing to Leave the Plan.

    • C29: Health Plan Quality Improvement.

    • C30: Plan Makes Timely Decisions about Appeals.

    • C31: Reviewing Appeals Decisions.

    • C32: Call Center – Foreign Language Interpreter and TTY Availability.

    • D01: Call Center – Foreign Language Interpreter and TTY Availability.

    • D02: Complaints about the Drug Plan.

    • D03: Members Choosing to Leave the Plan.

    • D04: Drug Plan Quality Improvement.

    • D05: Rating of Drug Plan.

    • D06: Getting Needed Prescription Drugs.

    • D07: MPF Price Accuracy.

    • D08: Medication Adherence for Diabetes Medications.

    • D09: Medication Adherence for Hypertension (RAS antagonists).

    • D10: Medication Adherence for Cholesterol (Statins).

    • D11: Statin Use in Persons with Diabetes (SUPD).

    • D12: Concurrent Use of Opioids and Benzodiazepines (COB).

    • D13: Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH).

    * Also used to calculate NerdWallet's Member Experience sub-score for Medicare Advantage plans.

    NerdWallet's unique measures

    • Percentage of plans with $0 premiums.

    • Percentage of members in plans with $0 premiums.

    • Average non-$0 premium.

    • Average maximum out-of-pocket cost.

    • Percentage of plans offering prescription drug coverage. Percentage of plans with no deductible for Tier 1 prescription drugs.

    • Percentage of plans with no deductible for Tier 2 prescription drugs.

    • Percentage of plans with no deductible for Tier 3 prescription drugs.

    • Average non-$0 deductible for Tier 1 prescription drugs.

    • Average non-$0 deductible for Tier 2 prescription drugs.

    • Average non-$0 deductible for Tier 3 prescription drugs.

    • Average cost of a typical emergency department visit.

    • Average cost of a typical ambulance ride.

    • Average cost of a typical hospital stay.

    • Plan disenrollment reasons index.

    • Percentage of plans rated 4 stars or higher.

    • Percentage of members in plans rated 4 stars or higher.

    • Prevalence of "Giveback" plans.

Government quality ratings for AARP Medicare Advantage

Average CMS star rating, weighted by enrollment: 3.82

AARP plans received an average rating of 3.82 out of 5 from the Centers for Medicare & Medicaid Services (CMS), weighted by enrollment for plans available in 2027. For comparison, the weighted average for all 2027 plans is 3.92 out of 5.

Among AARP members in rated plans, 71% are in a Medicare Advantage plan rated 4 stars or above for 2027.

  • CMS maintains its own database of star ratings, which rank each plan from best (5 stars) to worst (1 star). The agency bases these ratings on plans’ quality of care and measurements of customer satisfaction, and ratings may change from year to year.

    All Medicare Advantage plans are evaluated on health plan measures, and Medicare Advantage plans that include prescription drug coverage are also evaluated on drug plan measures.

    You can find a plan’s rating with Medicare's plan finding tool.

    NerdWallet star ratings are different from CMS ratings for Medicare plans.

    Our data-driven, consumer-first scoring rubric for Medicare Advantage plans includes crucial metrics like cost and a wider range of data sources for quality and customer satisfaction in addition to the information incorporated into CMS ratings.

How much does AARP Medicare Advantage cost?

About 69% of AARP Medicare Advantage plans have a $0 premium.

AARP plans with a premium cost about $53.51 per month, on average, weighted by enrollment. The weighted average among all Medicare Advantage plans is $49.28 for 2027.

  • With any Medicare Advantage plan, you'll still be responsible for paying your Medicare Part B premium, which is $202.90 per month in 2026.

    Most people pay this standard Part B amount, but if your income is above a certain threshold, you'll pay the income-related monthly adjustment amount (IRMAA). Some Medicare Advantage plans cover part or all of your Part B premium.

Prescription drug costs for AARP Medicare Advantage

About 84% of AARP Medicare Advantage plans include prescription drug coverage.

Here’s what you might pay for prescription drugs at some common price points.

Tier 1 (Preferred generics) 99.4% of AARP Medicare Advantage plans have $0 copays/coinsurance.

$3.75: Average out-of-pocket cost for a drug with a $15 retail price, among AARP plans with copays or coinsurance.

Tier 2 (Most generics) 35.9% of AARP Medicare Advantage plans have $0 copays/coinsurance.

$5.99: Average out-of-pocket cost for a drug with a $50 retail price, among AARP plans with copays or coinsurance.

Tier 3 (Preferred brands) 16% of AARP's Medicare Advantage plans have $0 copays/coinsurance.

$42.52: Average out-of-pocket cost for a drug with a $200 retail price, among AARP plans with copays or coinsurance.

  • Formulary tiers

    We evaluate Medicare Advantage plans based on their prices for the first three tiers on their formulary, the list of covered drugs. Many plans have five-tier formularies:

    • Tier 1: Preferred generic drugs.

    • Tier 2: Most generic drugs.

    • Tier 3: Preferred brand-name drugs.

    • Tier 4: Non-preferred brand-name drugs.

    • Tier 5: Specialty drugs.

    We evaluate Tiers 1–3 individually based on their out-of-pocket costs and whether a prescription drug deductible applies.

    We don't compare plans based on higher tiers because there are fewer significant differences in plan design. Nearly all plans charge coinsurance for Tier 4 and Tier 5 drugs, so what you'll pay depends mostly on the retail price of the drug.

    Scoring

    Plans get the highest scores for offering the lowest out-of-pocket costs. Plans get a perfect score for the tier if they offer $0 copays.

    We evaluate plans that do charge copays or coinsurance based on reference prices:

    • Tier 1: $15.

    • Tier 2: $50.

    • Tier 3: $200.

    Using reference prices lets us compare plans with copays and coinsurance. For example, with a copay, you might owe a flat $40 for a Tier 3 drug. An 18% coinsurance could work out slightly cheaper, at $36 for a $200 drug. But a plan with a 25% coinsurance would cost you $50 — and we'd score it lower.

    Plans also earn points based on whether a prescription drug deductible applies at each of the first three tiers. We prefer plans that start covering your medications immediately, rather than after you've met a deductible.

    Plan details

    We give two numbers in the boxes above. First, the percentage of the company's plans with $0 copays for the tier. These percentages are often pretty high for Tier 1, but can drop off sharply afterward. Second, we list averages of what plans that do charge copays or coinsurance would cost. We don't include the plans with $0 copays in these averages because we want to give a realistic sense of what you might actually pay. The averages are estimates based on our reference prices, after you've met your prescription drug deductible, if any.

    Medicare Advantage plans that don't include prescription drug coverage don't get scored on these measures. They're not penalized for the lack of coverage, but their scores for other cost factors like premiums and out-of-pocket costs for medical care get higher weight in their overall ratings.

Medical costs with AARP

While many Medicare Advantage plans have $0 or low premiums, you should also keep an eye on out-of-pocket costs when comparing plans. We calculated average potential out-of-pocket costs for a few kinds of unexpected medical care: emergency department visits, ambulance rides and hospital stays.

🏥 Emergency department

$134: Average out-of-pocket cost for a typical emergency visit.

The weighted average among all 2027 plans is about $124.

🚑 Ambulance

$307: Average out-of-pocket cost for a typical ambulance ride.

The weighted average among all 2027 plans is about $278.

🛌🏽 Hospital stay

$2,348: Average out-of-pocket costs for a 7-day hospitalization.

The weighted average among all 2027 plans is about $1,801.

  • Services

    We evaluate Medicare Advantage plans based on the out-of-pocket costs they charge for three services: a visit to the emergency department, an ambulance ride and a seven-day hospital stay.

    We chose these services for several reasons:

    • They’re all reasonably common.

    • They could result in unexpected healthcare costs.

    • Plans can differ significantly in terms of their out-of-pocket costs for these services.

    Emergency and ambulance charges

    We extracted plan-level cost information from CMS’ “MPF Benefit Summary,” a giant spreadsheet that lays out whether and how plans cover an array of healthcare services.

    Emergency visits and ambulance rides often have coinsurance, which means you owe a percentage of Medicare’s allowed cost. To put plans on a level playing field, we used reference prices for these services. We used $1,200 as a round reference price for an ambulance ride, based on numbers from MedPAC’s June 2026 report to Congress.

    For an emergency department visit, we used $800 to represent the allowed amounts for a high-severity visit that doesn’t result in an admission to the hospital for inpatient care. That’s based on the sum of Medicare’s physician payment rate for CPT 99285 and facility fee for APC 5025.

    We used these reference prices to calculate out-of-pocket costs for plans that charge coinsurance for either of the services above. That allows us to compare plans with copays against plans with coinsurance on an even playing field.

    Hospital stays

    Out-of-pocket costs for hospital stays are typically copays per day for a certain number of days. We used a seven-day hospital stay to compare costs. The average length of stay for Medicare Advantage beneficiaries is 7.1 days, according to a study published by the American Medical Association in 2025. Using this reference length of stay allows us to compare plans that charge out-of-pocket costs on a per-day basis against ones that charge per stay, regardless of length.

    Scoring

    For each service, we score plans more highly when they have lower out-of-pocket costs. Company-level averages are weighted by plan enrollment within the company.

Maximum out-of-pocket costs

AARP Medicare Advantage plans have an average maximum out-of-pocket (MOOP) spending cap of $5,934, weighted by enrollment. The weighted average among all Medicare Advantage plans is about $6,505 for 2027.

The MOOP is the annual limit on what you’ll owe for out-of-pocket costs like copays, coinsurance and deductibles. If you expect to use a lot of medical care, it’s worth looking for a plan with a relatively low MOOP. But if you don’t use much medical care, this number might not be very important.

Compare against other providers

Humana Medicare Advantage - Main
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🔍 Humana Medicare Advantage

Aetna Medicare Advantage - Main
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🔍 Aetna Medicare Advantage

» More options in our roundup of the best Medicare Advantage plans

Compare against other providers

Humana Medicare Advantage - Main
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🔍 Humana Medicare Advantage

Aetna Medicare Advantage - Main
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🔍 Aetna Medicare Advantage

» More options in our roundup of the best Medicare Advantage plans

Why do people leave AARP Medicare Advantage plans?

CMS surveys people who voluntarily leave their Medicare plans about their reasons for leaving. Here’s the breakdown of problems people identified with their former AARP Medicare plans.

  • Problems getting covered care: 15% (All-company average: 16%).

  • Problems with doctor/hospital networks: 20% (All-company average: 21%).

  • Financial issues: 20% (All-company average: 19%).

  • Problems with prescription drug benefits: 8% (All-company average: 9%).

  • Problems getting information from the plan: 11% (All-company average: 12%).

(Members can give more than one reason for leaving on the survey and might leave plans for other reasons, so the categories won’t add up to 100%.)

AARP Medicare Advantage plan types

AARP offers Medicare Advantage prescription drug plans and Medicare Advantage plans without prescription drug coverage. Available plan types include:

  • Health maintenance organization (HMO) point-of-service plans are HMO plans that allow members to get some out-of-network services, but you’ll pay more for those services.

  • Preferred provider organization (PPO) plans provide the most freedom, allowing you to see any provider that accepts the insurance. You may not need to choose a primary doctor, and you don’t need referrals to see specialists. You can seek out-of-network care, although it may cost more than seeing an in-network doctor.

AARP Medicare service area

AARP Medicare Advantage plans are available in 43 states and Washington, D.C. More than 4.1 million people are enrolled in AARP-branded plans.

About AARP

AARP is a nonprofit interest group and advocacy organization. It advocates for local, state and national policies on behalf of older Americans. AARP members can access benefits through the organization, including discounts on products and services.

Read the NerdWallet reviews of these other AARP/UnitedHealthcare Medicare offerings:

Read the NerdWallet reviews of these other AARP insurance products:

Compare Medicare Advantage providers

Find the right Medicare Advantage plan

It’s important to do your research before selecting a Medicare Advantage plan for yourself. Here are some questions to consider asking:

  • What are the plan’s costs? Do you understand what the plan’s premium, deductibles, copays and/or coinsurance will be? Can you afford them?

  • Is your doctor in-network? If you have preferred medical providers, make sure they participate in the plan’s network.

  • Are your prescriptions covered? If you’re on medication, it’s crucial to understand how the plan covers it. What tier are your prescription drugs on, and are there any coverage rules that apply to them?

  • Is there dental coverage? Does the plan offer routine coverage for vision, dental and hearing needs?

  • Are there extras? Does the plan offer any extra benefits, such as fitness memberships, transportation benefits or meal delivery?

If you have additional questions about Medicare, visit Medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).

Backed by insurance heavyweight UnitedHealthcare, $0-premium AARP plans are widely available and have lower annual caps on out-of-pocket costs than many major competitors. But AARP's government quality ratings are just so-so, and its hospital copays can be pricey.
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on NerdWallet
Backed by insurance heavyweight UnitedHealthcare, $0-premium AARP plans are widely available and have lower annual caps on out-of-pocket costs than many major competitors. But AARP's government quality ratings are just so-so, and its hospital copays can be pricey.
$0 plan availability 69% (Average)
Members in high-quality plans Medium (50% to 84%)
Member experience 3.04 (Below average)
IS THIS PROVIDER AVAILABLE IN MY STATE?

NerdWallet writers are subject matter authorities who use primary, trustworthy sources to inform their work, including peer-reviewed studies, government websites, academic research and interviews with industry experts. All content is fact-checked for accuracy, timeliness and relevance. You can learn more about NerdWallet's high standards for journalism by reading our editorial guidelines.

Medicare Advantage review methodology

NerdWallet’s Medicare Advantage ratings are based on premiums, out-of-pocket costs, prescription drug coverage, quality data from the Centers for Medicare & Medicaid Services, consumer experience and more. We analyze and calculate ratings for every Medicare Advantage plan sold throughout the U.S. on a curved 5-point scale.

At the national level, we calculate ratings for companies as the average of their plans’ scores, weighted by enrollment.

NerdWallet’s editorial team analyzed companies covering about 87% of all Medicare Advantage beneficiaries in the United States. We reviewed 23 Medicare Advantage brands, with some insurance companies having more than one brand under their umbrella. (For example, Blue Cross Blue Shield includes the brands Anthem and Highmark.)

The Medicare Advantage marketplace is concentrated among just a handful of companies. In many places, one company serves more than half of the market. At the national level, NerdWallet’s reviews include each of the 10 largest brands by enrollment.

We research and analyze all commercial Medicare Advantage plans and publish reviews for selected companies. At the state level, we review at least one major insurer in every state where Medicare Advantage plans are sold, and we review both of the top two insurers in 40 of those 49 states. (Alaska doesn't offer Medicare Advantage plans.) We also look at online search volume to identify regional and other notable players in the space.

These reviews are a guide, but we encourage you to shop around and compare several plans to find the best coverage and rate for you. NerdWallet does not receive compensation for any reviews. Read our editorial guidelines and full ratings methodology for Medicare Advantage.

Compare Medicare Advantage plans

Insurance company
NerdWallet rating
$0 plan availability
Members in high-quality plans
Member experience
Learn more
UnitedHealthcare Medicare Advantage logo
UnitedHealthcare
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on NerdWallet
3.8/5
68% (Average)Medium (50% to 84%)3.26 (Below average)
(855) 432-0512 / TTY 711
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on NerdWallet
Humana Medicare Advantage logo
Humana
(855) 432-0512 / TTY 711
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on NerdWallet
4.6/5
80% (Above average)High (85% to 100%)3.86 (Above average)
(855) 432-0512 / TTY 711
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on NerdWallet
Aetna Medicare Advantage logo
Aetna
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on NerdWallet
4.2/5
78% (Above average)Medium (50% to 84%)3.4 (Average)
(855) 432-0512 / TTY 711
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on NerdWallet