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UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO). 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 WY-MA01 (PPO) in 2026, please refer to our full plan details page.
UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) is a PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Laramie and Natrona Counties. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) 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 WY-MA01 (PPO).
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 WY-MA01 (PPO), 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 $80.00. 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 combined Maximum Out-Of-Pocket cost of $6700.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $6700.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 WY-MA01 (PPO).
Additional Benefits
The UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) plan offers comprehensive medical coverage with no copay for primary care visits, telehealth services, and annual preventive care. For specialized medical needs, patients will find predictable out-of-pocket costs, including specialist copays ranging from $0 to $60, a $130 copay for emergency room visits, and no copay for home health services. Inpatient hospital stays require a $685 daily copay for the first three days, after which there is no copay for days 4 through 90. This plan also features robust supplemental benefits, including preventive dental care, annual routine eye exams, and yearly hearing exams all with no copay. Vision benefits include a $150 eyewear allowance every two years, while covered preventive and diagnostic dental services feature a $2,000 annual limit. Additionally, diagnostic lab services and diabetic supplies are available with no copay, though durable medical equipment and dialysis services require a 20% coinsurance.
Inpatient Hospital See details
UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $685 daily copay for days 1-3 and no copay for days 4-90. Unlimited additional acute days are covered with no copay, but psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) covers outpatient services with no coinsurance, though prior authorization is required for most services. Ambulatory surgical and blood services feature no copays, while outpatient hospital services range from no copay to a $685 copay, and outpatient substance abuse sessions range from no copay up to a $25 copay.
Partial Hospitalization See details
UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive coverage for this benefit.
Ambulance and Transportation Services See details
UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) covers Medicare-approved ground and air ambulance services with a $290 copay per service, no coinsurance, and prior authorization required. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Emergency services are covered by UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $50 and no coinsurance, while worldwide emergency, urgent, and transportation services are offered with no copay and no coinsurance.
Primary Care See details
Primary care benefits under the UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) plan feature no coinsurance, with no copay for primary care and telehealth services, and copays ranging from $0 to $60 for specialists, mental health, and physical therapy. While general primary care is covered, some chiropractic services are covered but routine and other chiropractic services are not.
Preventive Services See details
Preventive Services are partially covered by UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) with no copay and no coinsurance for covered benefits like annual physical exams, fitness benefits, and kidney disease education. However, several sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge 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, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) offers partially covered hearing services, including one annual routine hearing exam with no copay and no coinsurance, while fitting and evaluation exams are not covered. Up to two prescription hearing aids (copay of $199 to $1,249) and two OTC hearing aids (copay of $199 to $829) are covered yearly with no coinsurance, though inner, outer, and over-the-ear prescription types are excluded.
Vision Services See details
UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) provides partially covered vision services with no coinsurance, featuring no copay for one routine eye exam annually and a $150 combined eyewear limit every two years. Covered eyewear includes contact lenses and frames with no copay, and lenses with a copay ranging from $0 to $153, while other eye exams, upgrades, and packaged eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO), with implant services and orthodontics not covered. Preventive and diagnostic care features no copay and no coinsurance up to a $2,000 annual limit, while covered comprehensive services require no copay and a 50% coinsurance, and Medicare-covered dental services require no copay and a 20% coinsurance.
Home Infusion bundled Services See details
The UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B drugs, including chemotherapy and insulin, have a coinsurance ranging from no coinsurance up to 20%, with insulin specifically requiring a $35 copay.
Dialysis Services See details
Dialysis services are covered by the UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) covers durable medical equipment (DME), prosthetics, medical supplies, and diabetic therapeutic shoes or inserts with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, and prior authorization is required for most of these medical equipment benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by the UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) with no coinsurance, though prior authorization is required. There is no copay for lab services, while diagnostic radiological services start at no copay, diagnostic tests have a $5 copay, outpatient X-rays have a $30 copay, and therapeutic radiological services start at a $60 copay.
Home Health Services See details
The UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) plan covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are not covered under the UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) plan, which offers no coverage for intensive cardiac, pulmonary, or supervised exercise therapy (SET) services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) with no coinsurance, requiring prior authorization but no prior three-day hospital stay. Patients pay no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, with no coverage provided for additional days beyond the Medicare-covered limit.
Other Services See details
UHC Medicare Advantage Patriot No Rx WY-MA01 (PPO) provides coverage for select other services, featuring over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture and other additional services under this category are not covered.
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