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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 2025, 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 2025.
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 $20.30. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.60. 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 $590.00 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 $6200.00 (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 $6200.00 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) has a $590 deductible for prescription drugs. After you meet your deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000, at which point you enter the next coverage phase. If you qualify for the low-income subsidy (LIS), you will pay $20.30. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Nursing Home Plan FL-F002 (PPO I-SNP) offers a variety of benefits with varying cost-sharing. This plan provides coverage for inpatient hospital stays with a $2000 copay, outpatient services with 0-20% coinsurance, and emergency services with a $110 copay. Primary care, preventive, vision, dental, and hearing services are covered, often with no copay or low coinsurance, and the plan offers additional benefits like home health services, skilled nursing facilities, and OTC items with no copay.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including both Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. Both services have a copay of $2000 for a Medicare-covered stay, while additional days, non-Medicare-covered stays, and upgrades are not covered.
Outpatient Services See details
Outpatient Services includes coverage for outpatient hospital services with a coinsurance of 0% to 20%, observation services with a 20% coinsurance, and ambulatory surgical center (ASC) services with a coinsurance between 0% and 20%. Outpatient substance abuse services are covered with a coinsurance between 0% and 20%, and outpatient blood services are covered with a coinsurance between 0% and 20%.
Partial Hospitalization See details
Partial Hospitalization is covered with no copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services, including ground and air ambulance, are covered. Ground and air ambulance services have a 20% coinsurance, and transportation services to a plan-approved health-related location have no copay and are limited to 36 one-way trips per year. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services are covered by the UHC Nursing Home Plan FL-F002 (PPO I-SNP) with a $110 copay for emergency services, and no coinsurance. Urgently Needed Services have a copay between $0 and $40, with no coinsurance, while Worldwide Emergency Services, including Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation, are not covered.
Primary Care See details
Primary Care benefits include coverage for primary care physician services with no copay, chiropractic services with 0% to 20% coinsurance, occupational therapy services with no copay or coinsurance, physician specialist services with 0% to 20% coinsurance, and mental health specialty services with 0% to 20% coinsurance. This plan also covers podiatry services with 0% to 20% coinsurance and no copay, other health care professional services with no copay, psychiatric services with 0% to 20% coinsurance, physical therapy and speech-language pathology services with no copay, additional telehealth benefits with no copay, and opioid treatment program services with no copay. Routine chiropractic care is not covered.
Preventive Services See details
The UHC Nursing Home Plan FL-F002 (PPO I-SNP) covers preventive services, including an annual physical exam with no copay. Additional preventive services, such as glaucoma screening and EKG following a welcome visit, may have up to 20% coinsurance, while diabetes self-management training and barium enemas have no copay. However, health education, in-home safety assessments, and several other services are not covered.
Hearing Services See details
Hearing services include coverage for routine hearing exams with no copay and at most 20% coinsurance, and prescription hearing aids (all types) with no copay. OTC hearing aids are covered with no copay. Fitting/evaluation for hearing aids, and prescription hearing aids for inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Vision Services includes coverage for eye exams, with a coinsurance of 0% - 20% and routine eye exams with no copay. Eyewear is covered, with no copay for contact lenses, eyeglass lenses, and eyeglass frames, though eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental services offer a maximum plan benefit of $3,250 per year, and include coverage for Medicare dental services with 0% to 20% coinsurance. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable, fixed), maxillofacial prosthetics, implant services, and oral and maxillofacial surgery are covered with no copay.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, and prior authorization is required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the UHC Nursing Home Plan FL-F002 (PPO I-SNP) plan, but require prior authorization. The coinsurance ranges from 0% to 20%.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance and requires authorization, while Durable Medical Equipment for use outside the home is not covered. Medicare-covered Prosthetic Devices have a 0-20% coinsurance, and Medical Supplies have a 20% coinsurance. Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Lab Services and Outpatient X-Ray Services have no copay. Therapeutic Radiological Services have a coinsurance of at most 20%, and a minimum coinsurance of 20%.
Home Health Services See details
Home Health Services are covered by the UHC Nursing Home Plan FL-F002 (PPO I-SNP) with no copay and no coinsurance. Additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the UHC Nursing Home Plan FL-F002 (PPO I-SNP). This includes Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC Nursing Home Plan FL-F002 (PPO I-SNP), with no copay for days 1-100. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The UHC Nursing Home Plan FL-F002 (PPO I-SNP) plan covers Over-the-Counter (OTC) Items with no copay. Acupuncture, Meal Benefit, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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