UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS) Medicare Advantage Plan H5435-001 • 2026 • Powder River County, MT

UHC MedicareDirect Patriot No Rx PF-MA01 Overview

Coverage Overview for UHC MedicareDirect Patriot No Rx PF-MA01

With a monthly premium of $0.00, this Private Fee-for-Service Medicare Advantage plan covers Medicare Part A and Part B services and allows access to Medicare-approved providers who agree to the plan’s terms. Referrals are not required, and provider participation is determined at the time services are received.

Primary care visits have a $0-$20 copay, specialist visits come with a $0-$55 copay, urgent care services carry a $0-$50 copay, and ambulance transportation is $290 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $6700.00. After this limit is reached, covered services are fully paid.

This plan is listed by CMS under Plan ID H5435-001. A breakdown of cost sharing is provided below.

Cost-Sharing Overview

Cost-sharing for UHC MedicareDirect Patriot No Rx PF-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 H5435-001.

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

Prescription Drug Coverage

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

CMS 5-Star Ratings

CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.