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UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional 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 GS-MA01 (Regional PPO) in 2026, please refer to our full plan details page.
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) is a Regional PPO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in States of Georgia and South Carolina. 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 GS-MA01 (Regional 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 GS-MA01 (Regional 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 GS-MA01 (Regional 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.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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 $9250.00 (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 $9250.00 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 GS-MA01 (Regional PPO).
Additional Benefits
The UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) offers robust coverage with many essential services featuring no copay and no coinsurance. You will enjoy no copay or coinsurance for primary care visits, preventive screenings, annual routine eye and hearing exams, and home health services. For specialized medical care, the plan features predictable copays, such as $0 to $55 for specialist visits and $115 for emergency room services. Inpatient hospital stays require a daily copay of $470 for the first few days with no copay thereafter, while skilled nursing care is covered with no copay for the first 20 days. Routine dental exams and cleanings are fully covered with no copay or coinsurance, though certain services like medical equipment and dialysis require a 20% coinsurance. Additionally, the plan provides valuable allowances for eyewear and hearing aids, alongside over-the-counter benefits with no copay.
Inpatient Hospital See details
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) covers inpatient acute and psychiatric hospital stays with no coinsurance, although upgrades, additional psychiatric days, and non-Medicare-covered stays are not covered. Covered acute stays require a $470 daily copay for days 1-5 and no copay thereafter, while psychiatric stays require a $470 daily copay for days 1-4 and no copay for days 5-90.
Outpatient Services See details
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) covers outpatient services with no coinsurance, featuring copays of $0 to $470 for outpatient hospital services and a $470 daily copay for observation services. Ambulatory surgical center and blood services are covered with no copay and no coinsurance, while outpatient substance abuse services have no coinsurance and copays ranging from $0 to $25.
Partial Hospitalization See details
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) covers Medicare-approved ground and air ambulance services with a $290 copay and no coinsurance, though prior authorization is required. Routine transportation services to health-related locations are not covered.
Emergency Services See details
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care benefits offered by UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) feature no copay and no coinsurance for primary care and telehealth visits, while specialist visits require a $0 to $55 copay and no coinsurance. Physical, speech, and occupational therapies require a $35 to $55 copay and no coinsurance, whereas chiropractic services are only partially covered, with routine and other chiropractic care not covered.
Preventive Services See details
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) covers preventive services, including annual physical exams, kidney disease education, and diabetes training, with no copay and no coinsurance. Additional preventive services are partially covered with no copay and no coinsurance for fitness benefits and home safety devices, but sub-services such as health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO), offering one annual routine hearing exam with no copay and no coinsurance, though hearing aid fittings and evaluations are not covered. Up to two prescription or OTC hearing aids are covered per year with copays ranging from $199 to $1,249 and $199 to $829 respectively (both with no coinsurance), but inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) offers partially covered vision services with no deductible and no coinsurance, featuring no copay for annual routine eye exams. Eyewear is covered up to a $250 combined limit every two years with no copay for contacts and frames, and a $0 to $153 copay for lenses. Other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) partially covers dental services, offering preventive care such as exams, cleanings, and X-rays with no copay and no coinsurance. Medicare-covered dental services require no copay and a 20% coinsurance, but comprehensive services like restorative care, endodontics, periodontics, prosthodontics, implants, orthodontics, and oral surgery are not covered.
Home Infusion bundled Services See details
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs have a coinsurance ranging from no coinsurance up to 20%, while Part B insulin is covered with a $35 copay and up to 20% coinsurance.
Dialysis Services See details
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical Equipment is covered under the UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) with no copay, though a 20% coinsurance applies to durable medical equipment, prosthetics, medical supplies, and diabetic shoes or inserts. Diabetic supplies feature no copay, and prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under the UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) with prior authorization. Diagnostic procedures require a $50 copay with no coinsurance, lab services and diagnostic radiology have no copay and no coinsurance, while outpatient X-rays have a $30 copay and therapeutic radiology requires a 20% coinsurance.
Home Health Services See details
The UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional 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 covered by UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) with no copay and no coinsurance; however, only some services are covered as standard cardiac, intensive cardiac, pulmonary, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by the UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) plan, which offers Over-the-Counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and other miscellaneous services are not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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