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UHC Nursing Home Plan RI-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 RI-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 RI-F001 (PPO I-SNP) in 2026, please refer to our full plan details page.
UHC Nursing Home Plan RI-F001 (PPO I-SNP) is a PPO I-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of Rhode Island. 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 RI-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 RI-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 RI-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 RI-F001 (PPO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $35.80. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.30. 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 RI-F001 (PPO I-SNP) features an annual prescription drug deductible of $615. This deductible represents the amount you must pay out-of-pocket for your covered medications before the plan begins to pay its share. Specific drug coverage tier details, including individual copays and coinsurance rates, are not available for this plan. We recommend contacting the plan provider directly to verify coverage and costs for your specific medications before enrolling.
Additional Benefits
The UHC Nursing Home Plan RI-F001 (PPO I-SNP) offers robust medical coverage with no copayments for primary care visits, outpatient services, and skilled nursing facility stays for up to 100 days. While inpatient hospital stays require a flat copayment of $2,230 per acute stay or $2,080 per psychiatric stay, many other services like home health and partial hospitalization feature no copays or coinsurance. Most other medical services, including diagnostic tests and medical equipment, generally require no copay and a coinsurance of up to 20 percent. Additionally, this plan provides generous supplemental benefits, including up to $2,400 annually for dental care and up to $300 for eyewear with no copays or coinsurance. Members also benefit from no copays or coinsurance on over-the-counter hearing aids, up to $2,200 every two years for prescription hearing aids, and up to 24 one-way transportation trips to plan-approved locations. Routine annual vision and hearing exams are also available with no copay and a 20 percent coinsurance.
Inpatient Hospital See details
UHC Nursing Home Plan RI-F001 (PPO I-SNP) partially covers inpatient hospital services, requiring no coinsurance and a $2,230 copayment per Medicare-covered acute stay, or a $2,080 copayment per psychiatric stay. Prior authorization is required, and additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Nursing Home Plan RI-F001 (PPO I-SNP) covers outpatient services with no copay, though coinsurance ranges from no coinsurance up to 20% depending on the service. These covered services include outpatient hospital care, ambulatory surgical center visits, substance abuse treatment, and blood services, which generally require prior authorization.
Partial Hospitalization See details
Partial hospitalization is covered under the UHC Nursing Home Plan RI-F001 (PPO I-SNP) with no copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
UHC Nursing Home Plan RI-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 24 one-way trips per year to plan-approved locations, while transportation to any health-related location is not covered.
Emergency Services See details
UHC Nursing Home Plan RI-F001 (PPO I-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from no copay to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are not covered.
Primary Care See details
UHC Nursing Home Plan RI-F001 (PPO I-SNP) covers primary care, specialist, therapy, and mental health services with no copays and coinsurance ranging from 0% to 20%. Telehealth and opioid treatment services are available with no copays and no coinsurance, while chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by the UHC Nursing Home Plan RI-F001 (PPO I-SNP), offering no copay and no coinsurance for annual physical exams, kidney disease education, diabetes self-management training, and home safety modifications. Many supplemental benefits such as fitness programs, health education, and in-home support are not covered, while specific screenings like glaucoma tests, post-welcome-visit EKGs, and digital rectal exams require a 20% coinsurance.
Hearing Services See details
UHC Nursing Home Plan RI-F001 (PPO I-SNP) partially covers hearing services, offering one annual routine hearing exam with a 20% coinsurance and no copay, as well as OTC hearing aids with no copay or coinsurance. Prescription hearing aids are covered up to $2,200 every two years with no copay or coinsurance, though fitting and evaluation exams, along with inner-ear, outer-ear, and over-the-ear prescription hearing aid types, are not covered.
Vision Services See details
UHC Nursing Home Plan RI-F001 (PPO I-SNP) partially covers vision services, offering one routine eye exam annually with no copay and a 20% coinsurance, while other eye exams are not covered. Covered eyewear, including contact lenses, eyeglass lenses, and frames, has no copay and no coinsurance up to a $300 annual limit, though upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Nursing Home Plan RI-F001 (PPO I-SNP) partially covers dental services, providing up to a $2,400 annual maximum for preventive and comprehensive care with no copay and no coinsurance. Medicare-covered dental services require no copay and a 20% coinsurance, while orthodontic services are not covered.
Home Infusion bundled Services See details
UHC Nursing Home Plan RI-F001 (PPO I-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B drugs for these services, including chemotherapy and insulin, carry no coinsurance to 20% coinsurance, with insulin drug copays capped at $35.
Dialysis Services See details
Dialysis Services are covered under the UHC Nursing Home Plan RI-F001 (PPO I-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
UHC Nursing Home Plan RI-F001 (PPO I-SNP) covers medical equipment, including durable medical equipment, diabetic supplies, and prosthetics, with no copays. A 20% coinsurance applies to most equipment and supplies, while prosthetic devices range from no coinsurance up to 20% coinsurance, and prior authorization is required.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under the UHC Nursing Home Plan RI-F001 (PPO I-SNP) with prior authorization, though costs vary by service. Diagnostic procedures and tests require a copay and 20% coinsurance, whereas lab services have no copay but require coinsurance. Radiological services have no copay, with diagnostic radiology requiring no coinsurance, and therapeutic radiology and outpatient X-rays carrying a 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the UHC Nursing Home Plan RI-F001 (PPO I-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered by UHC Nursing Home Plan RI-F001 (PPO I-SNP) with no copay and a prior authorization requirement, meaning some services are covered. However, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Nursing Home Plan RI-F001 (PPO I-SNP) covers Skilled Nursing Facility (SNF) services for days 1 through 100 with no copay and no coinsurance, without requiring a prior three-day inpatient hospital stay. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Nursing Home Plan RI-F001 (PPO I-SNP) partially covers other services, offering 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 plan.
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