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UHC Nursing Home Plan FL-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 FL-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 FL-F001 (PPO I-SNP) in 2025, please refer to our full plan details page.
UHC Nursing Home Plan FL-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 Florida. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that UHC Nursing Home Plan FL-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 FL-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 FL-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 FL-F001 (PPO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.30. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.60. 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 $590.00 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 $6200.00 (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 $6200.00 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 FL-F001 (PPO I-SNP) has a $590 deductible for prescription drugs. After the deductible is met, you will pay the costs for drugs in each tier until your total drug costs reach $2000. This plan's premium may be reduced if you qualify for the low-income subsidy (LIS). If you qualify for LIS, your Part D premium will be $20.30. Once your yearly out-of-pocket drug costs reach $2000, you pay nothing for covered drugs.
Additional Benefits
The UHC Nursing Home Plan FL-F001 (PPO I-SNP) offers comprehensive coverage, including inpatient hospital stays with a $2000 copay, outpatient services with varying coinsurance, and emergency services with an $85 copay. It also includes no copay for primary care, home health, and skilled nursing facility services for the first 100 days. This plan provides additional benefits such as coverage for hearing exams, prescription hearing aids up to $3200 per year, and vision services including eye exams and eyewear. Dental services cover various procedures with no copay for many services, while other benefits include ambulance and transportation services, and medical equipment with coinsurance.
Inpatient Hospital See details
Inpatient Hospital benefits, including Acute and Psychiatric, are covered, each with a copay of $2000 for a Medicare-covered stay. Additional days and non-Medicare-covered stays for both Acute and Psychiatric services are not covered.
Outpatient Services See details
Outpatient Services, including outpatient hospital services, observation services, ambulatory surgical center (ASC) services, outpatient substance abuse services, and outpatient blood services, are covered. Outpatient hospital services have a coinsurance of 0% to 20%, observation services have a 20% coinsurance, and outpatient blood services have a coinsurance of 0% to 20%. Outpatient substance abuse services, which include individual and group sessions, have a coinsurance of 0% to 20%.
Partial Hospitalization See details
Partial Hospitalization is covered, with no copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered under the UHC Nursing Home Plan FL-F001 (PPO I-SNP). Ground and air ambulance services have a 20% coinsurance, and transportation services to a plan-approved health-related location have no copay for up to 36 one-way trips per year via taxi or medical transport.
Emergency Services See details
Emergency Services are covered by UHC Nursing Home Plan FL-F001 (PPO I-SNP) with an $85 copay, and no coinsurance. Urgently Needed Services are covered with a copay between $0-$20 and no coinsurance. Worldwide Emergency Services, Worldwide Urgent Coverage, and Worldwide Emergency Transportation are not covered.
Primary Care See details
The UHC Nursing Home Plan FL-F001 (PPO I-SNP) covers primary care physician services with no copay. Chiropractic services have a coinsurance of 0-20%, and occupational therapy services have no coinsurance and no copay. Physician specialist services and mental health specialty services have a coinsurance of 0-20%, while podiatry services have a coinsurance of 0-20% and no copay. Other health care professional services have no copay. Psychiatric services have a coinsurance of 0-20%, and physical therapy and speech-language pathology services have no copay. Additional telehealth benefits and opioid treatment program services have no copay.
Preventive Services See details
Preventive services include an annual physical exam with no copay, while additional preventive services may have a copay. Other preventive services include glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a welcome visit; these services may have a coinsurance of up to 20% or a copay. Health education, in-home safety assessments, personal emergency response systems, and other services are not covered.
Hearing Services See details
Hearing Services include coverage for hearing exams, with a coinsurance of up to 20%, and routine hearing exams with no copay. Prescription hearing aids are covered up to $3200 per year, and OTC hearing aids are covered with no copay.
Vision Services See details
Vision services include eye exams and eyewear. Routine eye exams have no copay and have a 0% to 20% coinsurance, and eyewear has a $300 combined maximum plan benefit per year.
Dental Services See details
The UHC Nursing Home Plan FL-F001 (PPO I-SNP) plan covers a range of dental services. Medicare Dental Services have a coinsurance of 0% to 20%, while other dental services like oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable, fixed), maxillofacial prosthetics, implant services, and oral and maxillofacial surgery have no copay. Orthodontics is not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, and require prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the UHC Nursing Home Plan FL-F001 (PPO I-SNP), with a coinsurance between 0% and 20%. Prior authorization is required for coverage.
Medical Equipment See details
The UHC Nursing Home Plan FL-F001 (PPO I-SNP) covers Durable Medical Equipment with a 20% coinsurance and no copay, Prosthetic Devices with a 0-20% coinsurance and no copay, and Medical Supplies with a 20% coinsurance and no copay. Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are covered with a 20% coinsurance, and the plan does not cover Durable Medical Equipment for use outside the home.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the UHC Nursing Home Plan FL-F001 (PPO I-SNP). Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Lab Services and Outpatient X-Ray Services have no copay. Therapeutic Radiological Services have a coinsurance of at least 20%.
Home Health Services See details
Home Health Services are covered by the UHC Nursing Home Plan FL-F001 (PPO I-SNP) with no copay and no coinsurance. However, additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover any specific services. Prior authorization is required.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the UHC Nursing Home Plan FL-F001 (PPO I-SNP), with no copay for days 1-100. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services includes coverage for Over-the-Counter (OTC) Items with no copay, while Acupuncture, Meal Benefit, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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