UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS) in Scott County, Kansas — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS) (H5435-001) is a $0-premium Medicare Advantage PFFS from UnitedHealth Group, Inc. available in Scott County, Kansas in 2026, with a 2.5-star overall rating, a $6,700 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | UnitedHealth Group, Inc. |
|---|---|
| Plan name | UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS) |
| Contract ID | H5435 |
| Plan ID | 001 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA |
| Plan type | PFFS |
| SNP | No |
| Monthly consolidated premium | — |
| Part C premium | $0.00 |
| Part D basic premium | — |
| Part D total premium | — |
| Annual Part D deductible | — |
| Maximum out-of-pocket (in-network) | $6700.00 |
| Overall star rating | 2.5 |
How this plan is structured
- $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- PFFS plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $6,700 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Scott County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Scott County
The CMS CY2026 Landscape file lists 3 Medicare Advantage plans in Scott County, Kansas, of which 0 carry a 5.0-star overall rating and 1 have a $0 consolidated monthly premium. Consolidated premiums range from $21.70 to $118.00 per month, and in-network out-of-pocket maximums range from $6700.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Scott County, Kansas.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5435-001.
- Call the plan (UnitedHealth Group, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H5435-001 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5435-001, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5435 are the contract number issued to the organization, and the three-digit 001 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS) an HMO or PPO?
UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS) is a PFFS Medicare Advantage plan.
Does UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS) include prescription drug coverage?
UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS) does not include Part D prescription drug coverage in its consolidated benefits.
What is the maximum out-of-pocket cost for UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS)?
The 2026 in-network maximum out-of-pocket limit for UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS) is $6700.00, per the CMS CY2026 Landscape file.
What counties offer UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS) (H5435-001)?
UHC MedicareDirect Patriot No Rx PF-MA01 (PFFS) (H5435-001) is offered in nine Kansas counties: Cheyenne County, Decatur County, Ellis County, Lane County, Logan County, Rawlins County, Scott County, Sheridan County, and Thomas County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.