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

UHC Nursing Home Plan OH-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 Ohio. 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 OH-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 OH-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 OH-F001 (PPO I-SNP) features an annual prescription drug deductible of $615. Under this Medicare Advantage plan, you will pay the first $615 out-of-pocket for covered medications before your benefits kick in. Because specific drug tier details, copays, and coinsurance are not available, you should contact the plan directly to see how your specific prescriptions are covered. Evaluating your medication costs is a crucial step when choosing a specialized plan like this PPO Institutional Special Needs Plan. While the $615 deductible is the key cost factor disclosed, your final costs will depend on the plan's drug formulary once the deductible is met. Reviewing the complete formulary will help ensure your necessary prescriptions are covered and help you estimate your annual healthcare expenses.

Additional Benefits

The UHC Nursing Home Plan OH-F001 (PPO I-SNP) offers comprehensive coverage for essential medical services, with many routine benefits requiring no copay. Primary and specialist care, outpatient services, and diagnostic lab tests feature no copays, though some of these services may require a coinsurance of up to 20%. For inpatient hospital stays, members will pay a copay of $2,230 per acute care stay and $2,080 per psychiatric stay, while emergency room visits carry a $115 copay. This plan also provides valuable coverage for recovery and daily wellness, offering skilled nursing facility care for the first 100 days, home health services, and partial hospitalization with no copay and no coinsurance. Routine preventive care, annual dental exams, and select over-the-counter items are also available with no copay or coinsurance. Additionally, members benefit from generous allowances for hearing aids and eyewear with no copay or coinsurance, alongside up to 60 covered one-way trips per year for medical transportation.