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UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) in 2026, please refer to our full plan details page.
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) is a HMO-POS plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of Connecticut. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $110.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $6700.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
Prescription drugs are not covered by UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS).
Additional Benefits
The UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) plan offers robust medical coverage with no copay and no coinsurance for primary care, telehealth visits, preventive services, and home health care. For inpatient hospital stays, members pay a $455 copay for the first several days, while emergency room visits carry a $130 copay, with no coinsurance required for either service. Specialist visits and outpatient therapies are also highly accessible, with copays ranging up to $50 and no coinsurance. In addition to core medical care, this plan provides routine dental, vision, and hearing benefits with no copay. Members also receive a $200 eyewear allowance every two years and coverage for prescription and over-the-counter hearing aids with copays starting at $199. Other specialized services, such as durable medical equipment and dialysis, require no copay and a 20% coinsurance.
Inpatient Hospital See details
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) covers inpatient hospital services with no coinsurance, but requires a $455 copay for days 1 to 6 of acute stays and days 1 to 5 of psychiatric stays, with no copay for subsequent covered days. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copay. Outpatient hospital and observation services require a copay of $0 to $455, while outpatient substance abuse sessions carry a copay of $0 to $25.
Partial Hospitalization See details
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS), with ground and air ambulance services requiring a $290 copay and no coinsurance. Prior authorization is required for ambulance services, and transportation services to health-related locations are not covered.
Emergency Services See details
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay of $0 to $50 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) covers primary care and telehealth services with no copay and no coinsurance. Other medical services like specialist visits, physical therapy, occupational therapy, and mental health care are covered with copays ranging from $0 to $50 and no coinsurance, though routine chiropractic care is not covered.
Preventive Services See details
Preventive services are partially covered by UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) with no copay and no coinsurance for covered options like annual physicals, fitness benefits, and select screenings. However, several sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) features partially covered hearing services with no coinsurance, including one routine hearing exam per year with no copay. Prescription hearing aids (copays of $199 to $1,249) and OTC hearing aids (copays of $199 to $829) are covered for up to two devices per year with no coinsurance, though fitting/evaluation, inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) partially covers vision services with no deductibles, offering one routine yearly eye exam with no copay or coinsurance. Eyewear is covered up to a $200 limit every two years with no coinsurance, featuring contact lenses and frames with no copay, and lenses with a $0 to $153 copay; however, other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
The UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) plan partially covers dental services, offering preventive care like cleanings, exams, and X-rays with no copay and no coinsurance. Medicare-covered dental services require no copay and a 20% coinsurance, while comprehensive treatments such as restorative care, endodontics, periodontics, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) with no copay and no coinsurance, subject to prior authorization. Medicare Part B chemotherapy and other drugs have no copay and 0% to 20% coinsurance, while Part B insulin requires a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
The UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) plan covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for this covered benefit.
Medical Equipment See details
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services under the UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) plan require prior authorization, with lab services and diagnostic radiological services offering no copay and no coinsurance. Diagnostic procedures and tests require a $55 copay and no coinsurance, outpatient X-rays require a $30 copay and coinsurance, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) requires prior authorization for Cardiac Rehabilitation Services, which feature no copay and no coinsurance. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy for symptomatic peripheral artery disease services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) with no coinsurance, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, a prior three-day inpatient hospital stay is not required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit, and prior authorization is required for the meal benefit.
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