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UnitedHealthcare Medicare Advantage Patriot (Regional PPO)

Medicare Plan Details (2023 Plan)

Monthly Premium

 

by UnitedHealthcare
Additional Coverage
HearingVisionDental
Overall Government Star Rating
 4.0
out of 5 stars

Ready to Enroll Online?

Plan Type

Medicare Advantage (Part C)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B

 

Plan Details

$0
$0
$0
$0
$6,700 In and Out-of-network
$6,700 In-network
No
Yes
Yes
Yes
http://UHC.com/Medicare
http://UHC.com/Medicare

Medical Benefits

Doctor Services

In-network: $0 copay
Out-of-network: $0 copay
In-network: $45 copay per visit
Out-of-network: $45 copay per visit

Tests, labs, & imaging

In-network: $25 copay
Out-of-network: $0-100 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0-100 copay
Out-of-network: $0-100 copay
In-network: $15 copay
Out-of-network: $15 copay
$90 copay per visit (always covered)
$40 copay per visit (always covered)

Hospital Services

In-network: $395 per day for days 1 through 4
$0 per day for days 5 through 90
$0 per day for days 91 and beyond
Out-of-network: $395 per day for days 1 through 4
$0 per day for days 5 and beyond
In-network: $0-335 copay per visit
Out-of-network: $0-335 copay per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$196 per day for days 21 through 55
$0 per day for days 56 through 100
Out-of-network: $225 per day for days 1 through 30
$0 per day for days 31 through 100

Preventive services

In-network: $0 copay
Out-of-network: $0 copay

Ambulance

In-network: $250 copay
Out-of-network: $250 copay

Therapy services

In-network: $40 copay
Out-of-network: $40 copay
In-network: $40 copay
Out-of-network: $40 copay

Mental health services

In-network: $15 copay
Out-of-network: $15-25 copay
In-network: $25 copay
Out-of-network: $15-25 copay
In-network: $15 copay
Out-of-network: $15-25 copay
In-network: $25 copay
Out-of-network: $15-25 copay

Opioid treatment services

Covered

Other services

In-network: 20% coinsurance per item
Out-of-network: $55 copay or 50% coinsurance per item
In-network: 20% coinsurance per item
Out-of-network: $55 copay or 50% coinsurance per item
In-network: $0 copay
Out-of-network: $55 copay or 50% coinsurance per item

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

In-network: 20% coinsurance
Out-of-network: 0-20% coinsurance
In-network: 0-20% coinsurance
Out-of-network: 0-20% coinsurance

Extra Benefits

Hearing

In-network: $0 copay
Out-of-network: $45 copay
Not covered
In-network: $175-1,225 copay
Out-of-network: $175-1,225 copay

Preventive Dental

In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay

Vision

In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Not covered
Not covered
Not covered

Other benefits

Limited coverage
Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Limited coverage

Health Plan Star Ratings

(government star ratings are out of 5 stars)
 4
 4
 4
 4
 4
 5

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

 

 

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