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UHC Nursing Home Plan CO-F001 (PPO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Nursing Home Plan CO-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 CO-F001 (PPO I-SNP) in 2026, please refer to our full plan details page.
UHC Nursing Home Plan CO-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 Colorado. 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 CO-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 CO-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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Nursing Home Plan CO-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.
For UHC Nursing Home Plan CO-F001 (PPO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $35.20. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.10. 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.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The UHC Nursing Home Plan CO-F001 (PPO I-SNP) features an annual prescription drug deductible of $615. This deductible is the amount you must pay out-of-pocket for covered medications before your plan coverage begins to pay. Understanding this upfront cost is a key step in evaluating your overall healthcare expenses for the year. Specific details regarding drug coverage tiers, copays, and coinsurance are currently not available for this plan. To determine how your specific medications are covered and what your final costs will be, you should review the plan's formulary. This will help you estimate your actual out-of-pocket prescription expenses before making an enrollment decision.
Additional Benefits
The UHC Nursing Home Plan CO-F001 (PPO I-SNP) offers comprehensive medical coverage with a focus on minimizing out-of-pocket costs through low copays and competitive coinsurance rates. For inpatient hospital stays, members pay a seventy-five dollar daily copay for the first thirty-four days and no copay thereafter, while outpatient and home health services are available with no copays and coinsurance up to twenty percent. Emergency care requires a one hundred fifteen dollar copay, which is waived upon admission, and primary, specialist, and telehealth visits are provided with no copays. This plan also features robust coverage for routine care, including preventive dental, annual physical exams, and home health services with no copay and no coinsurance. Members benefit from no copays on routine hearing and vision exams, which feature a twenty percent coinsurance, alongside generous allowances for hearing aids and eyewear. Additionally, skilled nursing facility care for the first one hundred days and over-the-counter items require no copay or coinsurance, while medical equipment is covered with no copay and a twenty percent coinsurance.
Inpatient Hospital See details
UHC Nursing Home Plan CO-F001 (PPO I-SNP) covers inpatient hospital services with no coinsurance, though prior authorization is required. For both acute and psychiatric stays, you will pay a $75 copay per day for days 1 to 34 and no copay for days 35 to 90, with unlimited additional acute days covered at no copay. Non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered by this plan.
Outpatient Services See details
Outpatient services under the UHC Nursing Home Plan CO-F001 (PPO I-SNP) are covered with no copays, though prior authorization and coinsurance apply to most services. Covered outpatient hospital, ambulatory surgical center, and substance abuse services have no copay and coinsurance ranging from no coinsurance up to 20%, while outpatient blood services feature no copay and a 20% coinsurance with no deductible.
Partial Hospitalization See details
UHC Nursing Home Plan CO-F001 (PPO I-SNP) covers partial hospitalization services with no copay and no coinsurance. Prior authorization is required for these covered benefits.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under the UHC Nursing Home Plan CO-F001 (PPO I-SNP), with ground and air ambulance services requiring a 20% coinsurance and no copay. Transportation services are partially covered, offering up to 60 one-way trips per year to plan-approved health-related locations with no copay or coinsurance, though transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by UHC Nursing Home Plan CO-F001 (PPO I-SNP) with a $115 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours, and urgently needed services range from no copay to a $40 copay with no coinsurance. Worldwide emergency coverage, urgent coverage, and emergency transportation are not covered.
Primary Care See details
UHC Nursing Home Plan CO-F001 (PPO I-SNP) covers primary care, specialist, mental health, and psychiatric services with no copay and 0% to 20% coinsurance. Physical, occupational, and speech therapies require no copay and 20% coinsurance, while telehealth and opioid treatments have no copay and no coinsurance. For chiropractic care, some services are covered with no copay and 20% coinsurance, but routine and other chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by the UHC Nursing Home Plan CO-F001 (PPO I-SNP), with no copay and no coinsurance for annual physical exams, kidney disease education, and home safety devices. Glaucoma screenings, digital rectal exams, and EKGs require a 20% coinsurance, while several supplemental benefits—such as fitness benefits, health education, personal emergency response systems, and nutritional therapy—are not covered.
Hearing Services See details
UHC Nursing Home Plan CO-F001 (PPO I-SNP) partially covers hearing services, including one routine hearing exam per year with no copay and 20% coinsurance, while fitting and evaluation exams are not covered. Prescription hearing aids (up to $2,200 every two years) and OTC hearing aids (up to two every two years) are covered with no copay and no coinsurance, although inner ear, outer ear, and over the ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by the UHC Nursing Home Plan CO-F001 (PPO I-SNP), which features one routine eye exam per year with no copay and a 20% coinsurance, while other eye exams are not covered. Covered eyewear options including contact lenses, eyeglass lenses, and frames have no copay and no coinsurance up to a $300 annual limit, though upgrades and eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Nursing Home Plan CO-F001 (PPO I-SNP) provides partially covered dental services, including Medicare-covered dental care with no copay and a 20% coinsurance. Preventive dental services like oral exams, cleanings, fluoride, and X-rays are covered with no copay and no coinsurance, while restorative, endodontic, periodontic, and orthodontic services are not covered.
Home Infusion bundled Services See details
UHC Nursing Home Plan CO-F001 (PPO I-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy and insulin, carry a coinsurance ranging from no coinsurance up to 20%, with insulin drugs specifically requiring a $35 copay.
Dialysis Services See details
UHC Nursing Home Plan CO-F001 (PPO I-SNP) covers Dialysis Services with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
UHC Nursing Home Plan CO-F001 (PPO I-SNP) covers durable medical equipment, medical supplies, and diabetic services with no copay and a 20% coinsurance. Prosthetic devices are also covered with no copay and a coinsurance ranging from no coinsurance to 20%, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
UHC Nursing Home Plan CO-F001 (PPO I-SNP) covers diagnostic and radiological services under prior authorization, with no copays for lab services, X-rays, and radiological services. Diagnostic procedures require a copay and 20% coinsurance, therapeutic radiology and outpatient X-rays require a 20% coinsurance, and diagnostic radiology is covered with no coinsurance.
Home Health Services See details
The UHC Nursing Home Plan CO-F001 (PPO I-SNP) covers home health services with no copay and no coinsurance, although prior authorization is required for these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Nursing Home Plan CO-F001 (PPO I-SNP), as all sub-services—including intensive cardiac, pulmonary, and SET for PAD rehabilitation—are not covered and require a 20% coinsurance with no copay.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by UHC Nursing Home Plan CO-F001 (PPO I-SNP), offering coverage for days 1 through 100 with no copay and no coinsurance. A prior three-day hospital stay is not required, though prior authorization is necessary, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Nursing Home Plan CO-F001 (PPO I-SNP) partially covers other services, providing over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and highly integrated dual-eligible SNP services are not covered under this benefit.
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