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UHC Nursing Home Plan FL-F002 (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-F002 (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-F002 (PPO I-SNP) in 2026, please refer to our full plan details page.
UHC Nursing Home Plan FL-F002 (PPO I-SNP) is a PPO I-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Hillsborough County. 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-F002 (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-F002 (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-F002 (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-F002 (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-F002 (PPO I-SNP) features an annual prescription drug deductible of $615. You must pay this deductible amount out-of-pocket for your covered medications before the plan begins to pay its share. Detailed information regarding drug coverage tiers, copayments, and coinsurance is currently unavailable for this specific plan. To fully understand your potential out-of-pocket medication costs, we recommend reviewing the plan's complete formulary.
Additional Benefits
The UHC Nursing Home Plan FL-F002 (PPO I-SNP) offers robust medical coverage with many essential services featuring no copay. Inpatient hospital stays require a $2,000 copay per benefit period with no coinsurance, while emergency care has a $115 copay that is waived upon admission. Routine preventive care, primary care visits, and skilled nursing facility stays for up to 100 days are all covered with no copay. For specialized care, diagnostic services like lab tests and X-rays feature no copays or coinsurance, whereas dialysis, durable medical equipment, and physical therapy require a 20% coinsurance and no copay. Additionally, the plan provides valuable routine dental, vision, and hearing benefits, including a $300 annual eyewear allowance and hearing aid coverage with no copays.
Inpatient Hospital See details
Inpatient hospital services are partially covered by the UHC Nursing Home Plan FL-F002 (PPO I-SNP), requiring a $2,000 copay per Original Medicare benefit period and no coinsurance for both acute and psychiatric stays. Prior authorization is required, and additional days, non-Medicare-covered stays, and acute care upgrades are not covered.
Outpatient Services See details
UHC Nursing Home Plan FL-F002 (PPO I-SNP) covers outpatient services with no copay, though prior authorization is required for these services. Covered benefits feature a coinsurance ranging from no coinsurance to 20% for outpatient hospital, ambulatory surgical center, and substance abuse services, while observation and outpatient blood services carry a 20% coinsurance with no deductible.
Partial Hospitalization See details
UHC Nursing Home Plan FL-F002 (PPO I-SNP) covers partial hospitalization services with no copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
UHC Nursing Home Plan FL-F002 (PPO I-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved health-related locations, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by the UHC Nursing Home Plan FL-F002 (PPO I-SNP) with a $115 copay—waived if admitted to the hospital within 24 hours—and no coinsurance. Urgently needed services require no copay to a $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are not covered.
Primary Care See details
UHC Nursing Home Plan FL-F002 (PPO I-SNP) covers primary care, specialist, podiatry, and mental health services with no copays and coinsurance between 0% and 20%. Physical, occupational, and speech therapies require a 20% coinsurance and no copay, while telehealth and opioid treatments have no copays or coinsurance, and chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by UHC Nursing Home Plan FL-F002 (PPO I-SNP), featuring no copay and no coinsurance for annual physical exams, kidney disease education, and home safety modifications. Other services are partially covered, with glaucoma screenings, digital rectal exams, and post-welcome-visit EKGs requiring a 20% coinsurance and no copay, while many supplemental benefits like fitness programs, health education, and in-home safety assessments are not covered.
Hearing Services See details
Hearing services under the UHC Nursing Home Plan FL-F002 (PPO I-SNP) are partially covered, featuring one annual routine hearing exam with no copay and 20% coinsurance, though fitting and evaluation services are not covered. Prescription hearing aids up to $2,200 and up to two OTC hearing aids are covered every two years with no copay and no coinsurance, though inner ear, outer ear, and over-the-ear prescription models are excluded.
Vision Services See details
Vision Services are partially covered by the UHC Nursing Home Plan FL-F002 (PPO I-SNP), offering one routine eye exam per year with no copay and 20% coinsurance, while other eye exams, upgrades, and eyeglasses (lenses and frames) are not covered. Covered eyewear options like contact lenses, individual eyeglass lenses, and frames have no copay or coinsurance under a combined $300 annual maximum benefit.
Dental Services See details
Dental Services are partially covered by the UHC Nursing Home Plan FL-F002 (PPO I-SNP), with preventive care such as exams, cleanings, fluoride, and x-rays available with no copay and no coinsurance, and Medicare-covered dental services requiring no copay and a 20% coinsurance. Non-covered services include other diagnostic dental, restorative, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics.
Home Infusion bundled Services See details
UHC Nursing Home Plan FL-F002 (PPO I-SNP) covers Home Infusion bundled Services with no copay and no coinsurance, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy, radiation, and insulin, have a coinsurance ranging from no coinsurance up to 20%, with insulin drugs also requiring a $35 copay.
Dialysis Services See details
Dialysis services are covered by the UHC Nursing Home Plan FL-F002 (PPO I-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by UHC Nursing Home Plan FL-F002 (PPO I-SNP) with no copays, though prior authorization is required. A 20% coinsurance applies to durable medical equipment (DME), medical supplies, and diabetic equipment, while prosthetic devices range from no coinsurance to 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under the UHC Nursing Home Plan FL-F002 (PPO I-SNP) with no copay and no coinsurance for lab services, diagnostic tests, X-rays, and diagnostic radiology. Therapeutic radiological services feature no copay but may require coinsurance, and prior authorization is required for these diagnostic and radiological benefits.
Home Health Services See details
UHC Nursing Home Plan FL-F002 (PPO I-SNP) covers home health services with no copay and no coinsurance. Prior authorization is required for these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the UHC Nursing Home Plan FL-F002 (PPO I-SNP) with no copay and require prior authorization. While some services are covered, specific programs including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation are not covered in practice and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Nursing Home Plan FL-F002 (PPO I-SNP) with no copay and no coinsurance for days 1 through 100, though prior authorization is required and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
UHC Nursing Home Plan FL-F002 (PPO I-SNP) provides partial coverage for other services, which includes over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and dual eligible SNP services are not covered under this plan.
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