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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 2026, 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 2026.
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 $4.80. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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 FL-F001 (PPO I-SNP) features an annual prescription drug deductible of $615. This means you will need to pay this amount out of pocket for your covered medications before the plan begins to pay its share. Specific drug coverage tier details, including individual copayments and coinsurance rates for different medication levels, are currently unavailable for this plan. To understand your exact out-of-pocket costs for specific prescriptions under this plan, it is recommended to contact the provider directly or review the plan's formulary.
Additional Benefits
The UHC Nursing Home Plan FL-F001 (PPO I-SNP) offers robust healthcare coverage with no copays for primary care, specialist visits, outpatient services, and home health care. While inpatient hospital stays require a flat copay of $2,200 for acute care or $2,080 for psychiatric care, other critical services like skilled nursing facility stays up to 100 days and partial hospitalization feature no copay and no coinsurance. For outpatient treatments, diagnostic tests, and durable medical equipment, members can expect to pay no copay alongside a coinsurance ranging from 0% to 20%. This plan also includes valuable supplemental benefits to minimize out-of-pocket expenses, such as preventive dental care, annual physicals, and home infusion services with no copay and no coinsurance. Routine hearing and vision exams are covered with no copay and a 20% coinsurance, which are supported by allowances with no copay or coinsurance of up to $2,500 every two years for hearing aids and $300 annually for eyewear. Additionally, members benefit from up to 36 free one-way transportation trips per year to plan-approved locations and select over-the-counter items with no copay or coinsurance.
Inpatient Hospital See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) partially covers inpatient hospital services, requiring no coinsurance and a $2,200 copay per acute stay, or a $2,080 copay per psychiatric stay. Prior authorization is required for these services, and additional days, non-Medicare-covered stays, and acute upgrades are not covered.
Outpatient Services See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) covers outpatient services with no copays, although prior authorization and coinsurance may apply. Outpatient hospital, ambulatory surgical center, and individual substance abuse services feature coinsurance ranging from no coinsurance to 20%, while observation services, group substance abuse sessions, and outpatient blood services require a 20% coinsurance.
Partial Hospitalization See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) covers partial hospitalization services with no copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved locations, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency services under the UHC Nursing Home Plan FL-F001 (PPO I-SNP) are covered with a $115 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance, while urgently needed services require no copay to a $40 copay and no coinsurance. Some worldwide emergency services are covered, but worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation are not covered.
Primary Care See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) covers primary care, specialist, therapy, and mental health services with no copay and coinsurance ranging from 0% to 20%. Telehealth and opioid treatment services are covered with no copay and no coinsurance, though chiropractic services are not covered since routine and other chiropractic care are not covered.
Preventive Services See details
Preventive services are partially covered under the UHC Nursing Home Plan FL-F001 (PPO I-SNP), offering annual physicals, kidney disease education, and home safety modifications with no copay and no coinsurance, while diabetes self-management has no copay and glaucoma screenings, digital rectal exams, and EKGs require a 20% coinsurance. Supplemental benefits such as fitness programs, health education, personal emergency response systems, and in-home support are not covered.
Hearing Services See details
Hearing services are partially covered by the UHC Nursing Home Plan FL-F001 (PPO I-SNP), offering routine hearing exams with no copay and a 20% coinsurance. OTC and prescription hearing aids are covered with no copay and no coinsurance up to $2,500 every two years, but fitting evaluations and inner ear, outer ear, or over-the-ear prescription hearing aids are not covered.
Vision Services See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) partially covers vision services with no deductible, offering one routine eye exam per year with no copay and 20% coinsurance, while other eye exam services are not covered. Covered eyewear has no copay and no coinsurance up to a $300 annual limit for contact lenses, eyeglass lenses, and eyeglass frames, though upgrades and eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) partially covers dental services, offering Medicare-covered dental with no copay and 20% coinsurance, and preventive services like exams, cleanings, fluoride, and x-rays with no copay and no coinsurance. Sub-services that are not covered under this plan include other diagnostic, orthodontic, restorative, adjunctive general, endodontics, periodontics, prosthodontics, maxillofacial prosthetics, implant, and oral and maxillofacial surgery services.
Home Infusion bundled Services See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) covers home infusion bundled services with no copay and no coinsurance, although prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs have no copay and 0% to 20% coinsurance, while Part B insulin requires a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Nursing Home Plan FL-F001 (PPO I-SNP) with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, with no copay and a prior authorization requirement. Patients will pay a 20% coinsurance for durable medical equipment, medical supplies, and diabetic equipment, while prosthetic devices range from no coinsurance to 20% coinsurance.
Diagnostic and Radiological Services See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) covers diagnostic and radiological services with prior authorization required, offering lab services, diagnostic tests, and outpatient X-rays with no copay. Diagnostic services carry no coinsurance, while therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Home health services are covered under the UHC Nursing Home Plan FL-F001 (PPO I-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) covers some cardiac rehabilitation services with no copay, but cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by UHC Nursing Home Plan FL-F001 (PPO I-SNP) with no copay and no coinsurance for days 1 through 100, and do not require a prior three-day inpatient hospital stay. Prior authorization is required for these services, and any additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Nursing Home Plan FL-F001 (PPO I-SNP) partially covers other services, featuring over-the-counter (OTC) items with no copay and no coinsurance, while acupuncture and meal benefits are not covered. Covered OTC benefits include nicotine replacement therapy and naloxone with no maximum coverage limit, available through reimbursement and claims processing.
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