UHC MedicareDirect PF-0001 (PFFS)
Kansas Medicare Advantage Plan (2024 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
UHC MedicareDirect PF-0001 (PFFS) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Kansas and offered by the health insurance company UnitedHealthcare. This plan’s network type is PFFS which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
UHC MedicareDirect PF-0001 (PFFS) has a monthly premium cost of $81 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $6,700. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for UHC MedicareDirect PF-0001 (PFFS) are defined below.
Additional Benefits and Coverage
UHC MedicareDirect PF-0001 (PFFS) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. UHC MedicareDirect PF-0001 (PFFS) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. UHC MedicareDirect PF-0001 (PFFS) includes coverage for the following additional benefits:
Other benefits
Comparing the Quality Score of UHC MedicareDirect PF-0001 (PFFS) to Other Plans in Kansas
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, UHC MedicareDirect PF-0001 (PFFS) received an overall government quality rating of 3.0 stars out of 5 stars.
UHC MedicareDirect PF-0001 (PFFS) performed worse than Kansas’s State average overall quality score of 3.9 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
UHC MedicareDirect PF-0001 (PFFS) received 3 stars for its health plan quality score which is worse than the Kansas State average health plan quality score of 3.8 stars.
UHC MedicareDirect PF-0001 (PFFS) received 3 stars for its drug plan quality score which is worse than the Kansas State average drug plan quality score of 3.8 stars.
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Tests, labs, & imaging
Hospital Services
$0 per day for days 6 through 90
$0 per day for days 91 and beyond
Skilled nursing facility
$203 per day for days 21 through 100
Preventive services
Ambulance
Therapy services
Mental health services
Opioid treatment services
Other services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Gap coverage phase1 | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic | $4.00 copay | $0 copay | |
| Generic | $14.00 copay | $14.00 copay | $0 copay |
| Preferred Brand | $47.00 copay | $0 copay | |
| Non-Preferred Drug | $100.00 copay | $0 copay | |
| Specialty Tier | 28% | $0 copay | |
| 1 * The above cost-sharing only applies to some drugs on this tier. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. | |||
Part B Drugs
Extra Benefits
Hearing
Preventive Dental
Comprehensive dental
Vision
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