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

UHC Nursing Home Plan GA-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 Georgia. 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 GA-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 GA-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 GA-F001 (PPO I-SNP) features an annual prescription drug deductible of $615. This means you must pay the full cost of your covered medications up to this amount before the plan begins to cover its portion of your pharmacy costs. Because specific drug coverage tier details and copayments are not currently available, you will want to verify how your specific prescriptions are categorized under this formulary. When evaluating this Medicare Advantage plan, understanding the $615 drug deductible is essential for estimating your yearly out-of-pocket expenses. To ensure your necessary medications are covered affordably, we recommend contacting the plan directly to confirm the exact copay or coinsurance rates for your prescriptions.

Additional Benefits

The UHC Nursing Home Plan GA-F001 (PPO I-SNP) offers comprehensive healthcare coverage with no copay for primary care, specialists, and outpatient services, though some of these medical services may require up to 20% coinsurance. Inpatient hospital stays require a copay of $2,130 for acute care or $2,080 for psychiatric care, while emergency room visits carry a $115 copay that is waived if you are admitted. Standard home health visits, skilled nursing facility stays for the first 100 days, and partial hospitalization services are all covered with no copay and no coinsurance. For supplemental care, the plan features preventive dental, routine hearing exams, and routine eye exams with no copay, although routine vision and hearing exams are subject to a 20% coinsurance. Beneficiaries also receive coverage for prescription hearing aids up to $2,500 every two years and eyewear up to a $300 annual limit with no copay and no coinsurance. Additionally, the plan includes up to 24 one-way transportation trips and over-the-counter items with no copay and no coinsurance, while medical equipment and dialysis require no copay and a 20% coinsurance.