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

UHC Nursing Home Plan NY-F001 (PPO I-SNP) is a PPO I-SNP plan offered by Care Improvement Plus South Central Insurance Co. available for the 2026 plan year to people living in Select Counties in New York. 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 NY-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 NY-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 NY-F001 (PPO I-SNP) requires an annual prescription drug deductible of $615. This is the amount you must pay out of pocket for your medications before the plan's drug coverage begins. Specific drug tier details, including copayments and coinsurance, are currently unavailable for this plan. To fully understand your potential drug costs, you should review the plan's formulary to verify how your specific prescriptions are covered. Knowing this $615 deductible amount is a crucial first step in evaluating if this PPO I-SNP meets your budget and medication needs.

Additional Benefits

The UHC Nursing Home Plan NY-F001 (PPO I-SNP) provides robust coverage for core medical services, featuring a $1,900 copay per stay with no coinsurance for inpatient hospital care and no copays for outpatient hospital services. Doctors' visits, specialists, and telehealth services require no copays, with coinsurance ranging from 0% to 20% depending on the provider. Additionally, diagnostic labs, outpatient X-rays, home health services, and the first 100 days of skilled nursing facility care are covered with no copays and no coinsurance. For supplemental care, the plan covers routine dental cleanings, annual physical exams, and up to 18 one-way transportation trips to approved medical locations with no copays or coinsurance. Routine vision and hearing exams are available with no copays and 20% coinsurance, alongside allowances for eyewear and hearing aids that feature no copays or coinsurance up to specified plan limits. Members also benefit from covered over-the-counter items, including nicotine replacement therapy, with no copays and no coinsurance.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.