Health Plan Cost Sharing & Benefits

UHC Nursing Home Plan AZ-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 AZ-F001 has out-of-pocket costs that you must pay when you pick up your prescriptions. The following table shows you those costs.

CMS Rating Marks

The Centers for Medicare & Medicaid Services (CMS) annually rates Medicare Advantage PPO I-SNPs in nine key categories using a 5-star system. These ratings help you gauge the quality of care and service you might receive with this UnitedHealthcare plan.

Eligibility for Enrollment in UHC Nursing Home Plan AZ-F001

To enroll in UHC Nursing Home Plan AZ-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).

SNP Plan Enrollment Periods

Once you’ve confirmed your eligibility for UHC Nursing Home Plan AZ-F001, it’s crucial to enroll during the appropriate Medicare Enrollment Period to ensure you receive the coverage you need without delay. Depending on your situation, you may need to enroll during one of the following periods:

• Initial Enrollment Period (IEP): This is your first opportunity to enroll when you become Medicare-eligible.
• Annual Enrollment Period (AEP): The annual window when you can review and adjust your Medicare coverage.
• Special Enrollment Periods (SEPs): Special situations may allow you to enroll or change plans outside of the standard periods.

To get a deeper understanding of these enrollment periods, click here to learn more and stay informed about your Medicare choices.

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.