UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS) Medicare Advantage Plan H0755-032 • 2026 • Windham County, CT

UHC Medicare Advantage Patriot No Rx CT-MA01 Overview

Plan Details for UHC Medicare Advantage Patriot No Rx CT-MA01

UHC Medicare Advantage Patriot No Rx CT-MA01 is a Medicare Advantage HMO-POS plan that provides Medicare Part A and Part B coverage through a network of participating providers, with limited coverage available for out-of-network services in certain situations. The monthly premium is $0.00, and costs are generally lower when services are received from in-network providers.

Primary care visits have a $0 copay, specialist visits come with a $0-$50 copay, urgent care services carry a $0-$50 copay, and ambulance transportation is $290 copay. These costs apply toward the maximum out-of-pocket (MOOP) limit of $6700.00. Once this limit is reached, in-network services are fully covered for the remainder of the year.

This plan is listed by CMS under Plan ID H0755-032. Cost-sharing details are provided below.

Cost Sharing Expenses

Cost-sharing for UHC Medicare Advantage Patriot No Rx CT-MA01 includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H0755-032.

Certain preventive services are covered 100% by UHC Medicare Advantage Patriot No Rx CT-MA01 as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS Star Ratings

Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.