UHC Nursing Home Plan EX-F001 (PPO I-SNP)

UHC Nursing Home Plan EX-F001 (PPO I-SNP) is a PPO I-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in AL, FL, and MS. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that UHC Nursing Home Plan EX-F001 (PPO I-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about UHC Nursing Home Plan EX-F001 (PPO I-SNP).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

The UHC Nursing Home Plan EX-F001 (PPO I-SNP) features a $615.00 prescription drug deductible for its Defined Standard drug benefit. After meeting this deductible, you will pay cost-sharing drug prices during the initial coverage phase until your total drug costs reach $2,100.00. If you qualify for the low-income subsidy, your Part D premium may be reduced to $22.50. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase where you will have no copay for Medicare Part D covered drugs. This ensures you pay nothing for covered prescriptions for the rest of the plan year. Be sure to check the plan's formulary for the specific drugs covered under this plan.

Additional Benefits

The UHC Nursing Home Plan EX-F001 (PPO I-SNP) offers robust medical coverage, featuring no copays for primary care, outpatient hospital services, and home health care. Inpatient hospital stays require a copay of $2,230 for acute care and $2,080 for psychiatric care, both with no coinsurance. Emergency services are available with a $115 copay, while urgent care costs range from no copay to a $40 copay. This plan also provides valuable supplemental benefits, including skilled nursing facility care for days 1 through 100 with no copay and no coinsurance. Members benefit from no copays or coinsurance for routine dental care up to a $2,400 annual limit, eyewear up to a $300 annual limit, and up to 18 one-way transportation trips to approved locations. For diagnostic tests, medical equipment, and dialysis, members will generally pay no copay and a coinsurance of up to 20 percent.