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UHC Nursing Home Plan OK-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 OK-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 OK-F001 (PPO I-SNP) in 2026, please refer to our full plan details page.
UHC Nursing Home Plan OK-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 Oklahoma. 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 OK-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 OK-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 OK-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 OK-F001 (PPO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $28.20. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $24.00. 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 OK-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. Understanding this upfront cost is essential when evaluating your overall yearly healthcare expenses with this plan. Specific drug coverage tier details, including individual copayments and coinsurance rates for different medication levels, are currently unavailable for this plan. To determine how your specific prescriptions are covered, it is recommended to review the plan's formulary or contact the provider directly. This step ensures you have the most accurate cost estimates for your personal medication needs.
Additional Benefits
The UHC Nursing Home Plan OK-F001 (PPO I-SNP) offers comprehensive healthcare coverage with many services featuring no copayments. Inpatient hospital stays require a $725 copay per stay with no coinsurance, while outpatient services, primary care, and specialist visits generally feature no copay and coinsurance ranging from 0% to 20%. Emergency care is covered with a $115 copay, which is waived if you are admitted, and urgent care copays range from no copay to $40. Beneficiaries also benefit from no copay and no coinsurance on skilled nursing facility stays for up to 100 days, home health services, and routine laboratory tests. Routine dental cleanings, hearing aids up to $2,200 every two years, and eyewear up to $250 annually are covered with no copay and no coinsurance. Additionally, the plan covers up to 48 one-way transportation trips per year and over-the-counter items with no copay or coinsurance.
Inpatient Hospital See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) covers inpatient acute and psychiatric hospital stays with a $725.00 copayment per Medicare-covered stay and no coinsurance, though prior authorization is required. Additional days, upgrades, and non-Medicare-covered stays are not covered under this benefit.
Outpatient Services See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) covers outpatient services with no copays, though prior authorization is required for most services. Beneficiaries will pay a coinsurance of 0% to 20% for outpatient hospital, ambulatory surgical, and individual substance abuse sessions, and a 20% coinsurance for observation, group substance abuse, and outpatient blood services.
Partial Hospitalization See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) covers partial hospitalization services with no copay and no coinsurance, although prior authorization is required.
Ambulance and Transportation Services See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) covers ground and air ambulance services with no copay and no coinsurance, subject to prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 48 one-way trips per year to plan-approved health-related locations, though transportation to any other health-related location is not covered.
Emergency Services See details
UHC Nursing Home Plan OK-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 require a copay ranging from no copay to $40 and no coinsurance, while worldwide emergency services cover some services but do not cover worldwide emergency coverage, worldwide urgent coverage, or worldwide emergency transportation.
Primary Care See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) covers primary care, specialist, and mental health services with no copay and 0% to 20% coinsurance, while chiropractic services are not covered. Physical, occupational, and speech therapy, along with telehealth and opioid treatment, are fully covered with no copay and no coinsurance.
Preventive Services See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) provides partially covered preventive services, featuring no copay and no coinsurance for annual physical exams, kidney disease education, and home safety devices. Glaucoma screenings, digital rectal exams, and EKGs are covered with a 20% coinsurance and no copay, while several supplemental benefits—including fitness, health education, weight management, and personal emergency response systems—are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Nursing Home Plan OK-F001 (PPO I-SNP), which offers routine hearing exams with a 20% coinsurance and no copay, but does not cover fitting or evaluation exams. Prescription and OTC hearing aids are covered with no copay and no coinsurance up to a $2,200 maximum limit every two years, though inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) provides partially covered vision services, including one annual routine eye exam with no copay and 20% coinsurance, while other eye exams are not covered. Covered eyewear, such as contact lenses, eyeglass lenses, and frames, features no copay and no coinsurance up to a $250 annual limit, though upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) offers partially covered dental services, providing Medicare-covered dental care with no copay and a 20% coinsurance. Preventive services like oral exams, cleanings, fluoride, and dental X-rays are covered with no copay and no coinsurance, but other diagnostic, restorative, endodontic, periodontic, prosthodontic, implant, oral surgery, and orthodontic services are not covered.
Home Infusion bundled Services See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) covers home infusion bundled services with no copay, subject to prior authorization. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and 0% to 20% coinsurance, while covered Part B insulin drugs require a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Nursing Home Plan OK-F001 (PPO I-SNP) with no copay and a 20% coinsurance, and prior authorization is required.
Medical Equipment See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, with no copays and prior authorization required. Members will pay a 20% coinsurance for durable medical equipment, medical supplies, and diabetic services, while prosthetic devices carry a coinsurance ranging from no coinsurance to 20%.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Nursing Home Plan OK-F001 (PPO I-SNP) with no copays for lab services, diagnostic procedures, therapeutic radiology, and outpatient X-rays. There is also no coinsurance for diagnostic services and diagnostic radiological services, though prior authorization is required.
Home Health Services See details
Home Health Services are covered under the UHC Nursing Home Plan OK-F001 (PPO I-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered by UHC Nursing Home Plan OK-F001 (PPO I-SNP) with no copay and prior authorization required, though only some services are covered. Standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered and carry a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) covers Skilled Nursing Facility (SNF) services for days 1 through 100 with no copay and no coinsurance, and does not require a prior three-day inpatient hospital stay. Prior authorization is required, and additional days beyond the standard Medicare-covered 100 days are not covered.
Other Services See details
UHC Nursing Home Plan OK-F001 (PPO I-SNP) partially covers other services, providing over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and other additional services are not covered under this plan.
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