2022 UnitedHealthcare Medicare Advantage Patriot (Regional PPO


UnitedHealthcare Medicare Advantage Patriot (Regional PPO R2604-005 is a 2022 Medicare Advantage Plan or Part-C by UnitedHealthcare available to residents in South Carolina and Georgia. This plan does not provide additional prescription drug (Part-D) coverage. The UnitedHealthcare Medicare Advantage Patriot (Regional PPO has a monthly premium of $0 and has an in-network maximum out-of-pocket limit of $6,700 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $6,700 out-of-pocket. This can be a extremely nice safety net.

UnitedHealthcare Medicare Advantage Patriot (Regional PPO is a Regional PPO *. A preferred provider organization (PPO) is a Medicare plan that has created contracts with a network of "preferred" providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.

UnitedHealthcare works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for UnitedHealthcare Medicare Advantage Patriot (Regional PPO you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from UnitedHealthcare and not Original Medicare. With Medicare Advantage you are always covered for urgently needed and emergency care. Plus you receive all the benefits of Original Medicare from UnitedHealthcare except hospice care. Original Medicare still provides you with hospice care even if you sign up for Medicare Advantage.




Ready to Enroll?

Click Here

Or Call
1-855-778-4180
Mon-Fri 8am-9pm EST
Sat 9am-9pm EST




2022 UnitedHealthcare Medicare Advantage Plan Costs

Name:
UnitedHealthcare Medicare Advantage Patriot (Regional PPO
Plan ID:
R2604-005
Provider:UnitedHealthcare
Year:2022
Type: Regional PPO *
Monthly Premium C+D: $0
Part C Premium:
MOOP: $6,700
Similar Plan: R2604-001




2021 UnitedHealthcare Medicare Advantage Patriot (Regional PPO Summary of Benefits

*This will be updated with 2022 data when available.



Additional Benefits


No



Comprehensive Dental


Diagnostic services $0 copay
Diagnostic services $0 copay (Out-of-Network)
Endodontics Not covered
Extractions Not covered
Non-routine services Not covered
Periodontics Not covered
Prosthodontics, other oral/maxillofacial surgery, other services $0 copay (Out-of-Network)
Prosthodontics, other oral/maxillofacial surgery, other services $0 copay
Restorative services $0 copay (Out-of-Network)
Restorative services $0 copay



Deductible


$0



Diagnostic Tests and Procedures


Diagnostic radiology services (e.g., MRI) $0-100 copay (Out-of-Network)
Diagnostic radiology services (e.g., MRI) $0-100 copay
Diagnostic tests and procedures $0-100 copay (Out-of-Network)
Diagnostic tests and procedures $25 copay
Lab services $0 copay (Out-of-Network)
Lab services $0 copay
Outpatient x-rays $15 copay (Out-of-Network)
Outpatient x-rays $15 copay



Doctor Visits


Primary $0 copay
Primary $0 copay (Out-of-Network)
Specialist $45 copay per visit
Specialist $45 copay per visit (Out-of-Network)



Emergency care/Urgent Care


Emergency $90 copay per visit (always covered)
Urgent care $30-40 copay per visit (always covered)



Foot Care (podiatry services)


Foot exams and treatment $0 copay
Foot exams and treatment $0 copay (Out-of-Network)
Routine foot care $0 copay (Out-of-Network)
Routine foot care $0 copay



Ground Ambulance


$250 copay
$250 copay (Out-of-Network)



Hearing


Fitting/evaluation Not covered
Hearing aids $375 copay (Out-of-Network)
Hearing aids $375-2,075 copay
Hearing exam $0 copay
Hearing exam $45 copay (Out-of-Network)



Inpatient Hospital Coverage


$395 per day for days 1 through 4
$0 per day for days 5 through 90
$0 per day for days 91 and beyond
$395 per day for days 1 through 4
$0 per day for days 5 and beyond (Out-of-Network)



Medical Equipment/Supplies


Diabetes supplies 20% coinsurance per item (Out-of-Network)
Diabetes supplies $0 copay
Durable medical equipment (e.g., wheelchairs, oxygen) 50% coinsurance per item (Out-of-Network)
Durable medical equipment (e.g., wheelchairs, oxygen) 20% coinsurance per item
Prosthetics (e.g., braces, artificial limbs) 20% coinsurance per item
Prosthetics (e.g., braces, artificial limbs) 20% coinsurance per item (Out-of-Network)



Medicare Part B Drugs


Chemotherapy 20% coinsurance (Out-of-Network)
Chemotherapy 20% coinsurance
Other Part B drugs 20% coinsurance (Out-of-Network)
Other Part B drugs 20% coinsurance



Mental Health Services


Inpatient hospital - psychiatric $395 per day for days 1 through 4
$0 per day for days 5 through 90 (Out-of-Network)
Inpatient hospital - psychiatric $395 per day for days 1 through 4
$0 per day for days 5 through 90
Outpatient group therapy visit $15 copay
Outpatient group therapy visit $15-25 copay (Out-of-Network)
Outpatient group therapy visit with a psychiatrist $15-25 copay (Out-of-Network)
Outpatient group therapy visit with a psychiatrist $15 copay
Outpatient individual therapy visit $15-25 copay (Out-of-Network)
Outpatient individual therapy visit $25 copay
Outpatient individual therapy visit with a psychiatrist $25 copay
Outpatient individual therapy visit with a psychiatrist $15-25 copay (Out-of-Network)



MOOP


$6,700 In and Out-of-network
$6,700 In-network



Option


No



Optional supplemental benefits


Yes



Outpatient Hospital Coverage


$0-335 copay per visit (Out-of-Network)
$0-335 copay per visit



Package #1


Deductible
Monthly Premium $38.00



Preventive Care


$0 copay (Out-of-Network)
$0 copay



Preventive Dental


Cleaning $0 copay
Cleaning $0 copay (Out-of-Network)
Dental x-ray(s) $0 copay
Dental x-ray(s) $0 copay (Out-of-Network)
Fluoride treatment $0 copay (Out-of-Network)
Fluoride treatment $0 copay
Oral exam $0 copay (Out-of-Network)
Oral exam $0 copay



Rehabilitation Services


Occupational therapy visit $40 copay
Occupational therapy visit $40 copay (Out-of-Network)
Physical therapy and speech and language therapy visit $40 copay (Out-of-Network)
Physical therapy and speech and language therapy visit $40 copay



Skilled Nursing Facility


$225 per day for days 1 through 30
$0 per day for days 31 through 100 (Out-of-Network)
$0 per day for days 1 through 20
$184 per day for days 21 through 57
$0 per day for days 58 through 100



Transportation


Not covered



Vision


Contact lenses $0 copay
Contact lenses $0 copay (Out-of-Network)
Eyeglass frames Not covered
Eyeglass lenses Not covered
Eyeglasses (frames and lenses) $0 copay (Out-of-Network)
Eyeglasses (frames and lenses) $0 copay
Other Not covered
Routine eye exam $0 copay (Out-of-Network)
Routine eye exam $0 copay
Upgrades Not covered



Wellness Programs (e.g. fitness nursing hotline)


Covered




CMS Star Ratings for UnitedHealthcare Medicare Advantage Patriot (Regional PPO R2604



2021 Overall Rating
Part C Summary Rating
Part-D Summary Rating
Staying Healthy: Screenings, Tests, Vaccines
Managing Chronic (Long Term) Conditions
Member Experience with Health Plan
Complaints and Changes in Plans Performance
Health Plan Customer Service
Drug Plan Customer Service
Complaints and Changes in the Drug Plan
Member Experience with the Drug Plan
Drug Safety and Accuracy of Drug Pricing


Staying Healthy, Screening, Testing, & Vaccines

Total Preventative Rating
Breast Cancer Screening
Colorectal Cancer Screening
Annual Flu Vaccine
Monitoring Physical Activity


Managing Chronic And Long Term Care for Older Adults

Total Rating
SNP Care Management
Medication Review
Functional Status Assessment
Osteoporosis Management
Diabetes Care - Eye Exam
Diabetes Care - Kidney Disease
Diabetes Care - Blood Sugar
Rheumatoid Arthritis
Reducing Risk of Falling
Improving Bladder Control
Medication Reconciliation
Statin Therapy


Member Experience with Health Plan

Total Experience Rating
Getting Needed Care
Getting Appointments
Customer Service
Health Care Quality
Rating of Health Plan
Care Coordination


Member Complaints and Changes in UnitedHealthcare Medicare Advantage Patriot (Regional PPO Plans Performance

Total Rating
Complaints about Health Plan
Members Leaving the Plan
Health Plan Quality Improvement


Health Plan Customer Service Rating for UnitedHealthcare Medicare Advantage Patriot (Regional PPO

Total Customer Service Rating
Timely Decisions About Appeals
Reviewing Appeals Decisions
Call Center, TTY, Foreign Language


UnitedHealthcare Medicare Advantage Patriot (Regional PPO Drug Plan Customer Service Ratings

Total Rating
Call Center, TTY, Foreign Language


Ratings For Member Complaints and Changes in the Drug Plans Performance

Total Rating
Complaints about the Drug Plan
Members Choosing to Leave the Plan
Drug Plan Quality Improvement


Member Experience with the Drug Plan

Total Rating
Rating of Drug Plan
Getting Needed Prescription Drugs


Drug Safety and Accuracy of Drug Pricing

Total Rating
MPF Price Accuracy
Drug Adherence for Diabetes Medications
Drug Adherence for Hypertension (RAS antagonists)
Drug Adherence for Cholesterol (Statins)
MTM Program Completion Rate for CMR
Statin with Diabetes



Ready to Enroll?

Click Here

Or Call
1-855-778-4180
Mon-Sat 8am-11pm EST
Sun 9am-6pm EST




Coverage Area for UnitedHealthcare Medicare Advantage Patriot (Regional PPO

(Click county to compare all available Advantage plans)

State: South Carolina
Georgia
County:


Go to top

Source: CMS.
Data as of September 1, 2021.
Notes: Data are subject to change as contracts are finalized. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit. Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.

*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

Call For A licensed Sales Agent


Or Enroll Online Here

Call to Enroll!