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UnitedHealthcare Patriot (HMO-POS) (UnitedHealthcare) — Florida Medicare Advantage Plan

Mitchell Budwig, Licensed Insurance Agent

By Mitchell Budwig, Licensed Insurance Agent

UnitedHealthcare Patriot (HMO-POS) is an HMO-POS Medicare Advantage plan from UnitedHealthcare with a $0 monthly premium, a CMS rating of 4.0 out of 5 stars, and a $6,600 annual out-of-pocket maximum. Prescription drug coverage is not included. Included benefits: dental, vision, hearing, fitness membership.

  • $0 Premium
  • Includes Dental
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At a glance

UnitedHealthcare Patriot (HMO-POS) at a glance
DetailValue
Monthly plan premium$0 per month
Annual medical deductible$0
Annual out-of-pocket maximum$6,600
CMS star rating4.0 out of 5 stars
Plan typeHMO-POS
Contract / plan IDH1045-012

What this plan covers

Medical (Part B)

Part B coverage with a point-of-service option for limited out-of-network care.

Hospital (Part A)

Part A hospital and skilled nursing coverage.

Prescription drugs (Part D)

No Part D included. This plan is designed for veterans who receive prescriptions through the VA and do not need duplicate drug coverage.

Extra benefits

  • Dental
  • Vision
  • Hearing
  • Fitness membership

Costs and copays

Typical copays for UnitedHealthcare Patriot (HMO-POS)
ServiceYou pay in network
Primary care visit$0
Specialist visit$40
Urgent care$40
Emergency room$120 (waived if admitted)
Inpatient hospital (per stay)$350 per day, days 1–5
Lab work$0
Diagnostic imaging (MRI, CT)$150
Generic drugs (Tier 1)Not covered — VA, TRICARE, or a standalone Part D plan
Preferred brand drugs (Tier 3)Not covered — VA, TRICARE, or a standalone Part D plan

Typical in-network cost sharing. Amounts shown are standard cost shares for this plan and can change each plan year — always confirm against the plan's Summary of Benefits before enrolling.

Who this plan may fit

  • Veterans using VA pharmacy benefits
  • People with creditable drug coverage from another source
  • Anyone who wants HMO pricing with some out-of-network flexibility

Who it may not suit

Without other creditable drug coverage you could face a permanent Part D late enrollment penalty, so do not choose this plan unless your prescriptions are already covered.

How to use this plan

Finding in-network providers
Search the carrier's online provider directory by name, specialty, and ZIP code, or call us and we will check your doctors against the network before you enroll.
Do you need referrals?
Referrals are generally required in network, though the point-of-service benefit lets you use some out-of-network providers at a higher cost.
How prior authorization works
Certain services — planned inpatient stays, advanced imaging, some outpatient surgeries, durable medical equipment, and specialty drugs — need approval before the plan pays. Your provider submits the request; ask them to confirm approval before scheduling.
Traveling and coverage away from home
Urgent and emergency care is covered anywhere in the United States. Routine care outside the service area is generally not covered, so schedule check-ups for when you are home.

How to enroll in this plan

You can join this plan when you first become eligible for Medicare, during your seven-month Initial Enrollment Period around your 65th birthday.

After that, the Annual Enrollment Period runs October 15 to December 7 each year, with coverage starting January 1. If you are already in a Medicare Advantage plan, Medicare Advantage Open Enrollment from January 1 to March 31 lets you make one switch.

Outside those windows, a qualifying life event such as a move, a loss of employer coverage, or a change in Medicaid eligibility can open a Special Enrollment Period that lets you enroll right away.

Enroll Into Plan Today

Takes about a minute · A licensed agent completes the application with you

Open enrollment datesSpecial enrollment periods

Answer These Quick Questions to Enroll Into UnitedHealthcare Today

Enroll into UnitedHealthcare Patriot (HMO-POS)

Send your details and a licensed agent will call you to confirm your eligibility, check your doctors and prescriptions against UnitedHealthcare Patriot (HMO-POS), and complete the UnitedHealthcare application with you over the phone. Nothing is submitted to UnitedHealthcare until you approve it.

The plan you're inquiring about

Plan:
UnitedHealthcare Patriot (HMO-POS)
Carrier:
UnitedHealthcare
Plan type:
HMO-POS
Monthly premium:
$0 per month
CMS rating:
4.0 out of 5 stars
Plan ID:
H1045-012

Looking at a different plan? Compare all Florida plans

No cost, no obligation. Medicare caps what an agent can be paid, and the carrier pays it whether you enroll with us or on your own. Your premium is exactly the same either way. We never sell your information, and you can ask us to stop contacting you at any time.

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Monday – Friday, 8:00 am – 8:00 pm ET · Saturday, 9:00 am – 5:00 pm ET

Check whether this plan covers your doctors and prescriptions

A licensed agent will run your providers and medication list against this plan before you enroll, and show you the comparable plans in your county so you can see the trade-offs.

Monday – Friday, 8:00 am – 8:00 pm ET · Saturday, 9:00 am – 5:00 pm ET

Questions about this plan

How much does UnitedHealthcare Patriot (HMO-POS) cost each month?

The plan premium is $0 per month. You also continue to pay your Medicare Part B premium, which goes to Medicare rather than to UnitedHealthcare. Beyond premiums you pay copays as you use services, up to an annual out-of-pocket maximum of $6,600.

Does UnitedHealthcare Patriot (HMO-POS) include prescription drug coverage?

No. This plan does not include Part D, so you need drug coverage from another creditable source such as the VA, an employer plan, or a standalone Part D plan. Going without creditable coverage can trigger a permanent late enrollment penalty.

Do I need a referral to see a specialist on UnitedHealthcare Patriot (HMO-POS)?

Referrals are generally required in network, though the point-of-service benefit lets you use some out-of-network providers at a higher cost.

What is the CMS star rating for UnitedHealthcare Patriot (HMO-POS)?

Medicare rates this plan 4.0 out of 5 stars. Star ratings measure things like preventive care, member experience, customer service, and how quickly problems get resolved. Ratings are published each fall and can change from year to year.

Which Florida counties can I enroll in UnitedHealthcare Patriot (HMO-POS)?

CMS approved this plan in 17 Florida counties. Medicare Advantage plans are approved county by county, so your eligibility depends on the address where you actually live.

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