Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Nursing Home Plan AZ-F001 (PPO I-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Nursing Home Plan AZ-F001 (PPO I-SNP) in 2026, please refer to our full plan details page.
UHC Nursing Home Plan AZ-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 Arizona. 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 AZ-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.
Important:
UHC Nursing Home Plan AZ-F001 (PPO I-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Below are a few key facts and commonly-asked questions about UHC Nursing Home Plan AZ-F001 (PPO I-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For UHC Nursing Home Plan AZ-F001 (PPO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $17.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $7.30. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $13900.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $13900.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The UHC Nursing Home Plan AZ-F001 (PPO I-SNP) features a defined standard prescription drug benefit with an annual deductible of $615.00. If you qualify for the low-income subsidy, also known as Extra Help, your Part D premium is reduced to $17.00. These structured costs help you easily plan your budget for essential medications throughout the year. After meeting the deductible, you pay for your covered medications during the initial coverage phase until total drug costs reach $2,100.00. Once your yearly out-of-pocket spending reaches $2,100.00, you enter the catastrophic coverage phase and will have no copay for Medicare Part D covered drugs. This benefit structure offers peace of mind by eliminating copays for covered prescriptions once you reach the out-of-pocket limit.
The UHC Nursing Home Plan AZ-F001 (PPO I-SNP) provides medical coverage featuring no copay for primary care visits, home health services, and skilled nursing facility stays for the first 100 days. Outpatient services and diagnostic tests are also highly accessible, requiring no copay and coinsurance ranging from 0% to 20%. For inpatient hospital stays, members pay a $75 daily copay for the first 34 days, with no copay or coinsurance required for days 35 through 90. This plan also includes essential routine benefits, such as preventive dental care, annual eye exams, and up to $2,200 every two years for hearing aids with no copay. Additionally, emergency room visits carry a $115 copay, while up to 60 one-way transportation trips to approved locations and select over-the-counter items are covered with no copay or coinsurance. Most specialized services, including dialysis and durable medical equipment, are covered with no copay and a 20% coinsurance.
Inpatient hospital benefits are partially covered by UHC Nursing Home Plan AZ-F001 (PPO I-SNP), requiring a $75 copay per day for days 1 to 34 and no copay or coinsurance for days 35 to 90. Prior authorization is required, and non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered.
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) covers outpatient services with no copay and coinsurance ranging from no coinsurance up to 20%. Covered benefits include outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, with prior authorization required for most of these services.
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) covers partial hospitalization services with no copay and no coinsurance. Prior authorization is required to receive these covered benefits.
Ambulance and Transportation Services are partially covered by the UHC Nursing Home Plan AZ-F001 (PPO I-SNP). Ground and air ambulance services require a 20% coinsurance and no copay, while up to 60 one-way trips per year to plan-approved locations are covered with no copay or coinsurance. Transportation to any other health-related location is not covered.
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) partially covers emergency services, with a $115 copay and no coinsurance for emergency room visits, and no copay to a $40 copay with no coinsurance for urgent care. Worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation are not covered under this plan.
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) covers primary care and specialist services with no copay and no coinsurance to 20% coinsurance. Therapy and telehealth services are covered with no copay and no coinsurance, while chiropractic services are partially covered, with routine chiropractic care not covered.
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) partially covers preventive services, offering annual physicals, kidney disease education, diabetes training, and home safety modifications with no copay or coinsurance. Glaucoma screenings, digital rectal exams, and EKGs are covered with a 20% coinsurance and no copay. Non-covered services include fitness benefits, weight management, health education, in-home safety assessments, personal emergency response systems, alternative therapies, and therapeutic massage.
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) provides partially covered hearing services, featuring one annual routine hearing exam with a 20% coinsurance and no copay, and up to $2,200 every two years for OTC and select prescription hearing aids with no copay and no coinsurance. Fitting and evaluation exams, along with inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) covers vision services with no deductibles, including one annual routine eye exam with no copay and a 20% coinsurance. Eyewear is partially covered with no copay and no coinsurance up to a $300 annual limit, though upgrades and bundled eyeglasses (lenses and frames) are not covered.
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) partially covers dental services, offering Medicare-covered dental care with a 20% coinsurance and no copay, as well as preventive services like oral exams and cleanings at no copay and no coinsurance. Comprehensive services, including restorative treatment, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics, are not covered.
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) covers home infusion bundled services with prior authorization, requiring a $35 copay and no coinsurance to 20% coinsurance for Medicare Part B insulin drugs. Other covered Part B drugs, including chemotherapy and radiation, have no copay and coinsurance ranging from no coinsurance to 20%.
Dialysis services are covered by the UHC Nursing Home Plan AZ-F001 (PPO I-SNP) with a 20% coinsurance and no copay. Prior authorization is required to receive this benefit.
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) covers medical equipment, including durable medical equipment, diabetic supplies, and therapeutic shoes, with no copay and a 20% coinsurance. Prosthetic devices are also covered with no copay and coinsurance ranging from no coinsurance to 20%, with prior authorization required for these benefits.
Diagnostic and Radiological Services are covered by UHC Nursing Home Plan AZ-F001 (PPO I-SNP), though prior authorization is required. Members pay no copay and no coinsurance for diagnostic tests, lab services, and outpatient X-rays, while diagnostic radiological services carry up to 20% coinsurance and therapeutic radiological services have no copay.
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization is required to receive these benefits.
Cardiac Rehabilitation Services are not covered under the UHC Nursing Home Plan AZ-F001 (PPO I-SNP). In practice, none of the sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are covered, meaning there is no copay or coinsurance coverage available.
Skilled Nursing Facility (SNF) benefits are partially covered by UHC Nursing Home Plan AZ-F001 (PPO I-SNP) with no copay and no coinsurance for days 1 through 100, although prior authorization is required. Additional days beyond the standard Medicare-covered limit are not covered under this plan.
Other Services are partially covered by UHC Nursing Home Plan AZ-F001 (PPO I-SNP), which offers Over-the-Counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and highly integrated services for dual eligible SNPs are not covered under this plan.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved