Health Plan Cost Sharing & Benefits

UHC Nursing Home Plan CO-F001 is a Preferred Provider Organization (PPO) plan. As a member of this PPO plan, you typically access care through in-network providers, but you have the flexibility to see out-of-network providers if needed. Keep in mind that visits to non-network providers may result in higher out-of-pocket costs.

Prescription Drug Plan Costs & Benefits

Prescription Drug Plan Premium

The following table outlines the prescription drug plan premium details of this plan.

Prescription Drug Plan Deductible

The Medicare Part D annual deductible with this plan is $615.00. This is the amount you must pay at the pharmacy before UnitedHealthcare begins paying its share.

Prescription Drug Plan Out-of-Pocket Costs

In addition to the plan's monthly premium and deductible, UHC Nursing Home Plan CO-F001 has out-of-pocket costs that you must pay when you pick up your prescriptions. The following table shows you those costs.

CMS 5-Star Rating Marks

Each year, Medicare Advantage PPO I-SNPs are rated by the Centers for Medicare & Medicaid Services (CMS) across nine categories using a 5-star system. These star ratings are designed to help you assess the quality of care and service offered by this UnitedHealthcare plan.

Eligibility for Enrollment in UHC Nursing Home Plan CO-F001

To enroll in UHC Nursing Home Plan CO-F001, you must meet the following three criteria:

1. You are eligible for Medicare;
2. You reside within the plan’s service area; and
3. You require the level of care typically provided in an institutional setting, such as a long-term care nursing facility, for 90 days or more.

This plan is for individuals living in a long-term care facility.

If you live at home and need a similar level of skilled care, you may qualify for an Institutional Equivalent Special Needs Plan (IE-SNP).

Medicare Special Needs Plan Enrollment Periods

After determining your eligibility for UHC Nursing Home Plan CO-F001, it’s important to be aware of the Medicare Enrollment Periods, which determine when you can enroll in or change your plan. Depending on your circumstances, one of the following periods will apply:

• Initial Enrollment Period (IEP): Your first opportunity to enroll when you become eligible for Medicare.
• Annual Enrollment Period (AEP): The time each year when you can change your Medicare plan or enroll in a new one.
• Special Enrollment Periods (SEPs): Times outside of AEP when you can make changes due to specific circumstances, such as moving to a new area or losing other insurance coverage.

For comprehensive information on these enrollment periods, learn more here and make well-informed Medicare decisions.

Contact UnitedHealthcare

If you qualify for Medicare benefits but have not yet enrolled or verified your status, visit Social Security Administration website or Medicare.gov.