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UHC Nursing Home Plan FL-F001 (PPO I-SNP)
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Your plan details for
34108 Collier County

Extra Help is applied

Look for the green-colored pricing as you shop for plans to see your potential cost savings shown by the crossed out dollar amount.

Learn More about Extra Help

UHC Nursing Home Plan FL-F001 (PPO I-SNP) H0710-010-000

The information provided in this document may be subject to change over time and may become outdated. For the most current and up-to-date information, please refer to our website at UHC.com/medicare.

  • Monthly premium

    new former $4.80

  • $9,250
    In-network
    $13,900

    combined in and out-of-network

  • $0
    In-network
    $0
    Out-of-network
  • 20% of the cost
    In-network
    30% of the cost
    Out-of-network
  • Covered for urgent and emergency care only

  • Estimated annual drug cost
Enroll by phone: 1-877-840-0872 / TTY 711

Call a UnitedHealthcare sales agent to enroll, 7 a.m. to 7 p.m. CT, 7 days a week.

Discover the benefits

  • Dental benefits

    $0 copay for network dental like exams, x-rays, routine cleanings and fluoride
  • OTC credit

    $145 credit every quarter for OTC products
  • Routine hearing benefits

    $2,500 allowance for a broad selection of OTC and brand-name hearing aids

Explore the plan details

Jump To:

Explore the plan details

Eligibility

Special eligibility requirement

For those who need a level of care usually provided in a nursing home.

Doctor visits

Find out about this plan’s copays for primary care providers and specialists.

Primary care provider (PCP)

20% of the cost
In-network
30% of the cost
Out-of-network

Specialist

$0 - 20% of the cost
In-network
30% of the cost
Out-of-network

Virtual visits

$0 copay

to talk with a network telehealth provider online through live audio and video.

Annual routine physical

$0 copay

1 per year

In-network
30% of the cost

combined visits in and out-of-network

Preventive services (such as covered screenings, vaccinations, etc.)

$0 copay

for covered services

In-network
$0 - 30% of the cost

(depending on the service)

Out-of-network

Group therapy visit

20% of the cost
In-network
30% of the cost
Out-of-network

Individual therapy visit

20% of the cost
In-network
30% of the cost
Out-of-network

Opioid treatment services

$0 copay
In-network
$0 copay
Out-of-network

Medical benefit information

See this plan's benefits, costs and copays. For full plan details, see the Evidence of Coverage or Summary of Benefits under the Plan Documents section.

Inpatient hospital care

$2,200

per stay for unlimited days

In-network
$2,200

per stay for unlimited days

Out-of-network

Skilled nursing facility

$0 copay

per day: days 1-100

In-network
30% of the cost
Out-of-network

Outpatient hospital services (including surgery and observation)

$0 copay - 20% of the cost
In-network
30% of the cost
Out-of-network

Ambulatory surgical center

20% of the cost
In-network
30% of the cost
Out-of-network

Physical and speech therapy

20% of the cost
In-network
30% of the cost
Out-of-network

Occupational therapy

20% of the cost
In-network
30% of the cost
Out-of-network

Lab services

$0 copay
In-network
$0 copay
Out-of-network

Outpatient X-rays

$0 copay
In-network
30% of the cost
Out-of-network

Diagnostic tests and procedures, non-radiological (such as EKG/ECG tests, etc.)

$0 copay
In-network
30% of the cost
Out-of-network

Diagnostic radiology services (such as MRIs, CT scans, etc.)

$0 - 20% of the cost
In-network
30% of the cost
Out-of-network

Diabetes monitoring supplies

20% of the cost
In-network
30% of the cost
Out-of-network
Covered items include: Continuous glucose monitors (CGMs), blood glucose monitors, blood glucose test strips, lancet devices, lancets and glucose-control solutions for checking the accuracy of test strips and monitors. Insulin and syringes are covered under your Part D prescription drug benefit.

Home health care

$0 copay
In-network
30% of the cost
Out-of-network

Urgent care

$40 copay

per visit covered whenever you need it

Emergency care

$115 copay

per visit covered whenever you need it

Ambulance services

20% of the cost

for ground or air

Prescription drug benefits

Learn about this plan's costs for prescription drug coverage.

Annual prescription deductible

$0

if you qualify for Extra Help

$615

if you do not qualify for Extra Help

Retail network pharmacy (30-day supply)

All covered drugs

25% of the cost

Insulin

Up to $35 copay

Mail order pharmacy

All covered drugs

25% of the cost

Insulin

Up to $105 copay

Cost shares if you receive Extra Help

Brand Drugs

Up to $12.65 copay

Generic Drugs

Up to $5.10 copay

Cost shares if you receive Extra Help

Brand Drugs

$12.65

Generic Drugs

$5.10

Cost shares if you receive Extra Help

Brand Drugs

$4.90

Generic Drugs

$1.60

Cost shares if you receive Extra Help

Brand Drugs

$0

Generic Drugs

$0

Dental coverage

Learn about this plan’s dental coverage options and costs.

Routine dental

$0 copay

for covered preventive services such as oral exams, routine cleanings, X-rays and fluoride


You will have access to one of Medicare Advantage's largest dental networks, or you can choose any dentist.

Extra benefits and programs

See more of the benefits and programs offered by this plan that are not provided under Original Medicare.

See the UnitedHealthcare plan difference

Access to one of Medicare Advantage’s largest national networks of vision providers and retail providers. Eyewear available from many online providers, including Warby Parker and GlassesUSA.

Home-delivered eyewear available nationwide only through UnitedHealthcare Vision (select products only).

Routine eye exam

$0 copay

1 per year

In-network
30% of the cost

combined visits in and out-of-network

Routine eyewear

$0 copay

for standard prescription lenses

$300 allowance

every year for 1 pair of lenses/frames or contacts.

Hearing sounds better with more access

Choose from a broad selection of OTC and brand-name prescription hearing aids through UnitedHealthcare Hearing.

Access to one of the largest national networks with thousands of hearing professionals.

Routine hearing exam

$0 copay

1 per year

In-network
30% of the cost

combined visits in and out-of-network

Hearing aids

$2,500 allowance

up to 2 hearing aids every 2 years

Get more for your everyday needs

OTC credit

$145 credit

per quarter for OTC products like vitamins, pain relievers, first aid supplies and more in-store or online. Shop at thousands of participating stores, including Walmart, Walgreens and Dollar General, or at neighborhood stores near you.

$145 credit

per quarter for OTC products like vitamins, pain relievers, first aid supplies and more in-store or online. Shop at thousands of participating stores, including Walmart, Walgreens and Dollar General, or at neighborhood stores near you.

Routine transportation

$0 copay

for 36 one-way rides to or from doctor visits or the pharmacy to get prescriptions. Curb-to-curb service, including wheelchair-accessible vans on request. Bring another companion, 18 or older, to help during your ride and visit. Out-of-network:

75% of the cost

rides combined in and out-of-network.

$0 copay

for 36 one-way rides to or from doctor visits or the pharmacy to get prescriptions. Curb-to-curb service, including wheelchair-accessible vans on request. Bring another companion, 18 or older, to help during your ride and visit. Out-of-network:

75% of the cost

rides combined in and out-of-network.

Routine foot care

$0 copay

6 visits per year

In-network
30% of the cost

combined visits in and out-of-network

Plan documents

Important documents that provide the details you need about this plan's coverage and benefits, prescription drugs, enrollment, providers and more.

Language

Medical Providers

Online Medical and Behavioral Health Directory Opens in a new window

General Plan Information

Prescription Drug Coverage

Pharmacy Directory

Online Pharmacy Directory Opens in a new tab

Medical Providers

General Plan Information

Prescription Drug Coverage

Pharmacy Directory

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Footnotes & disclaimers

footnote
Disclaimer information

 

Enrollment Disclaimer Information:

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies. For Medicare Advantage and/or Prescription Drug Plans: A Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. For Dual Special Needs Plans: A Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan's contract renewal with Medicare.

 

AARP-related Disclaimer:

UnitedHealthcare Insurance Company pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. You do not need to be an AARP member to enroll in a Medicare Advantage or Prescription Drug Plan. AARP encourages you to consider your needs when selecting products and does not make specific product recommendations for individuals. AARP does not employ or endorse agents, producers or brokers.

 

Extra Help: 

If you are receiving Extra Help from Medicare, your copays may be lower or you may have no copays. 

 

Featured Benefits:

- Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

 

- Optum HouseCalls may not be available in all areas.

 

- OTC, food, and/or utility benefits have expiration timeframes. Review your Evidence of Coverage (EOC) for more information. The healthy food and utilities benefit is a special supplemental benefit only available to chronically ill enrolles with a qualifying condition, such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol, and who also meet all applicable plan coverage criteria. There may be other qualified chronic conditions not listed.

 

- The Giveback benefit is a reduction in your Medicare Part B premium.

 

- A 50% coinsurance applies to covered dental comprehensive services. If your plan offers out-of-network dental coverage and you see an out-of-network dentist, you might be billed more. Network size varies by local market.

 

- Reward offerings may vary by plan. Reward program Terms of Service apply.

 

- If your plan offers out-of-network dental coverage and you see an out-of-network dentist, you might be billed more. Network size varies by local market.

 

- Routine transportation not for use in emergencies. A trip is one-way and roundtrip is two trips.

 

- Annual routine eye exam and an allowance for contacts or one pair of frames, with standard (single, bi-focal, tri-focal or standard progressive) lenses covered in full every one or two years. Review your Evidence of Coverage (EOC) for more information.

 

- CareFlex benefit credits can only be used by members of AARP Medicare Advantage CareFlex plans for cost-shares for certain Medicare Parts A and B covered items and services. CareFlex credits are loaded on a Visa debit card. Unused credits will rollover each quarter and expire Dec. 31. Credits not redeemable for cash.

 

- The fitness benefit and gym network varies by plan/area and participating locations may change. The fitness benefit includes a standard fitness membership at participating locations. Not all plans offer access to premium locations. Consult your doctor prior to beginning an exercise program or making changes to your lifestyle or health care routine.

 

- The plan only covers hearing aids from a UnitedHealthcare Hearing network provider. Other hearing exam providers are available in the UnitedHealthcare network.

 

Out-of-network:

Out-of-network/non-contracted providers are under no obligation to treat members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. 

 

The Medicare Prescription Payment Plan: 

If you have high out-of-pocket costs for your covered Part D prescription drugs each year, you may want to participate in the Medicare Prescription Payment Plan. This payment plan spreads your out-of-pocket prescription drug costs over the remainder of the calendar year. Learn more about the Medicare Prescription Payment Plan.
 

Out-of-network:

Out-of-network/non-contracted providers are under no obligation to treat members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. 

 

State-Level Medicaid, D-SNP Disclaimer:

D-SNP and C-SNP: The values shown in-network represent a range based upon the amount of the Medicare Parts A and B plan cost sharing covered by the state. Depending on your Medicaid eligibility, your Medicaid program may have cost sharing. For complete information, and for costs for those without Medicare Parts A and B plan cost sharing covered by the state, and applicable Medicaid cost sharing, please refer to your Summary of Benefits or Evidence of Coverage. Limitations, exclusions, and restrictions may apply.

 

Other Languages:

This information is available for free in other languages. Please contact Customer Service for additional information. 

 

Esta información está disponible sin costo en otros idiomas. Para obtener más información comuníquese con nuestro Servicio al Cliente. 

 

本資訊可以其他語言免費提供。如需更多資訊,請聯絡客戶服務部。 

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