UnitedHealthcare MedicareDirect Patriot (PFFS)


Medicare Plan Details

2021 Plan
Monthly Premium
(select county for price)

 

by UnitedHealthcare
Additional Coverage
Hearing Vision
Overall Government Star Rating
 3.0
out of 5 stars

State: Nebraska

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C)

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

 

$40
$40
$0
$0
$6,700
No
Yes
Yes
No

Medical Benefits

Doctor Services

$25 copay per visit
$50 copay per visit

Tests, labs, & imaging

$25 copay
$0 copay
$0-150 copay
$15 copay
$90 copay per visit (always covered)
$40 copay per visit (always covered)

Hospital Services

$395 per day for days 1 through 4
$0 per day for days 5 through 90
$0 per day for days 91 and beyond
$0-395 copay per visit

Skilled nursing facility

$0 per day for days 1 through 20
$184 per day for days 21 through 57
$0 per day for days 58 through 100

Preventive services

$0 copay

Ambulance

$250 copay

Therapy services

$40 copay
$40 copay

Mental health services

$15 copay
$25 copay
$15 copay
$25 copay

Opioid treatment services

Covered

Other services

20% coinsurance per item
20% coinsurance per item
$0 copay per item

Prescription Drug Benefits

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

Part B Drugs

20% coinsurance
20% coinsurance

Extra Benefits

Hearing

$20 copay
Not covered
Not covered
Not covered
Not covered

Preventive Dental

Not covered
Not covered
Not covered
Not covered

Comprehensive dental

Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered

Vision

$0 copay
Not covered
Not covered
Not covered
Not covered
Not covered

Other benefits

Not covered
Not covered
Not covered
Not covered
Not covered
Limited coverage
Limited coverage
 3
 3
 2
 3
 4
 5

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