UHC Nursing Home Plan AZ-F001 (PPO I-SNP)
H0710-005 • 2026 • Maricopa County, AZ
UHC Nursing Home Plan AZ-F001 (PPO I-SNP) H0710-005 • 2026 • Maricopa County, AZ
This Medicare Institutional plan, identified by CMS Plan ID H0710-005, is offered by UnitedHealthcare for the 2026 plan year. As a Special Needs Plan (SNP), it is intended for individuals who qualify based on specific eligibility requirements.
UHC Nursing Home Plan AZ-F001 Overview
Plan Overview for H0710-005-0 | |
|---|---|
| CMS Plan ID: | H0710-005-0 |
| Plan Type: | PPO I-SNP |
| Plan Year: | 2026 |
| Monthly Premium: | $17.00 Plus your Medicare Part B premium. |
| Medical Deductible: | Coming soon |
| Maximum Out-of-Pocket: | $9250.00 (In-Network) |
| Part B Give Back: | Coming soon |
| Prescription Drug Coverage: | Basic, $615.00 deductible |
| Additional Benefits: | None |
| Service Area: | Maricopa County, AZ |
| Enrollment (Nationwide) | 870 beneficiaries |
| Enrollment (CMS – Local) | 563 beneficiaries in Maricopa County |
| Provided By: | UnitedHealthcare |
Plan Overview and Eligibility
- UHC Nursing Home Plan AZ-F001 is an Institutional Special Needs Plan (I-SNP) for individuals living in an institution or requiring nursing-level care at home.
- This plan is for individuals living in a long-term care facility.
- Eligibility requires Medicare Part A and Part B and residence within the plan’s service area.
- The plan operates on a {network_type} network, which determines how you access covered services.
- Medicare Part D prescription drug coverage is included. The annual Part D deductible is $615.00.
- Care and cost-sharing may be coordinated based on your care environment.
- Extra Help may provide additional assistance with prescription drug costs.
UHC Nursing Home Plan AZ-F001 operates on a Preferred Provider Organization (PPO) network. Members may access care from in-network or out-of-network providers, with lower out-of-pocket costs when using in-network services. Referrals are generally not required for specialist visits. Emergency services and out-of-area dialysis are covered.
Covered Services and Cost Structure
This section outlines in-network costs for primary care and specialist office visits, along with related preventive services.
| Covered Service | In-Network Cost |
|---|---|
| Primary: | Coming soon |
| Specialist: | Coming soon |
This section outlines in-network costs for preventive and wellness services included in the plan.
| Covered Service | In-Network Cost |
|---|---|
| Annual wellness exam: | Coming soon |
| Telehealth benefit: | Coming soon |
| Routine chiropractic: | Coming soon |
| Fitness benefits: | Coming soon |
| Health education: | Coming soon |
| Counseling services: | Coming soon |
| Over-the-counter drug benefits: | Coming soon |
| Health transportation (non-emergency): | Coming soon |
This section outlines in-network costs for diagnostic services, lab tests, x-rays, and other imaging services.
| Covered Service | In-Network Cost |
|---|---|
| Diagnostic radiology services: | Coming soon |
| Lab services: | Coming soon |
| Outpatient x-rays: | Coming soon |
| Diagnostic tests and procedures: | Coming soon |
This section outlines in-network costs for emergency services, urgent care, ambulance transportation, inpatient hospital stays, and skilled nursing facility care.
| Covered Service | In-Network Cost |
|---|---|
| Emergency room care: | Coming soon |
| Worldwide emergency care: | Coming soon |
| Urgent care: | Coming soon |
| Inpatient hospital care: | Coming soon |
| Skilled Nursing Facility: | Coming soon |
| Ground ambulance: | Coming soon |
This section outlines in-network costs for mental health services, including outpatient therapy and inpatient psychiatric care.
| Covered Service | In-Network Cost |
|---|---|
| Outpatient individual therapy: | Coming soon |
| Outpatient group therapy: | Coming soon |
| Inpatient psychiatric hospital care: | Coming soon |
This section outlines in-network costs for rehabilitation services, including physical therapy, speech and language therapy, and occupational therapy.
| Covered Service | In-Network Cost |
|---|---|
| Physical therapy and speech and language therapy: | Coming soon |
| Occupational therapy: | Coming soon |
This section outlines in-network costs for medical equipment and supplies, including diabetes supplies, durable medical equipment, and prosthetics.
| Covered Service | In-Network Cost |
|---|---|
| Diabetes supplies: | Coming soon |
| Durable medical equipment: | Coming soon |
| Prosthetics: | Coming soon |
This section outlines in-network cost sharing for chemotherapy and other Medicare Part B-covered drugs.
| Covered Service | In-Network Cost |
|---|---|
| Chemotherapy: | Coming soon |
| Other Part B drugs (Medicare-covered): | Coming soon |
This section outlines in-network cost sharing for dental services, including preventive care, exams, x-rays, cleanings, and comprehensive dental procedures.
| Covered Service | In-Network Cost |
|---|---|
| Oral exam: | Coming soon |
| Dental x-rays: | Coming soon |
| Cleaning: | Coming soon |
| Periodontics: | Coming soon |
| Endodontics: | Coming soon |
| Restorative services: | Coming soon |
| Implant services: | Coming soon |
| Orthodontics: | Coming soon |
| Oral/Maxillofacial surgery: | Coming soon |
This section outlines in-network cost sharing for vision services, including eye exams, eyeglasses, and contact lenses.
| Covered Service | In-Network Cost |
|---|---|
| Routine eye exam: | Coming soon |
| Contact lenses: | Coming soon |
| Eyeglass frames only: | Coming soon |
| Eyeglass lenses only: | Coming soon |
| Eyeglasses (frames & lenses): | Coming soon |
| Upgrades: | Coming soon |
This section outlines in-network cost sharing for hearing-related services, including exams, fittings, and hearing aids.
| Covered Service | In-Network Cost |
|---|---|
| Hearing exam: | Coming soon |
| Fitting/evaluation: | Coming soon |
| Prescription hearing aids: | Coming soon |
| OTC hearing aids: | Coming soon |
This section outlines in-network cost sharing for additional and special needs services that may be included in the plan.
| Covered Service | In-Network Cost |
|---|---|
| Adult day health services: | Coming soon |
| Home-based palliative care: | Coming soon |
| Personal emergency response system: | Coming soon |
| Weight management programs: | Coming soon |
| Wigs for chemotherapy-related hair loss: | Coming soon |
| Alternative therapies: | Coming soon |
| Massage therapy: | Coming soon |
| Home/bathroom safety devices: | Coming soon |
Prescription Drug Plan Costs & Benefits
Prescription Drug Plan Premium
The following table outlines the prescription drug plan premium details of this plan.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | $17.00 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $17.00 |
| Low Income Premium Subsidy: | $16.95 |
| Low Income Premium Subsidy CMS Pays: | $17.00 |
| Low Income Subsidy Premium: | $0.00 |
For more information about the Low Income Subsidy, refer to the Social Security Extra Help page.
Drug Plan Deductible
The prescription drug annual deductible with this plan is $615.00. This is the amount you must pay at the pharmacy before UnitedHealthcare begins paying its share.
Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and drug plan deductible, UHC Nursing Home Plan AZ-F001 has costs that you must pay out-of-pocket when you pick up your prescriptions. The following table details those costs by formulary tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Cost data not available. | ||
| *Deductible does not apply. | ||
CMS Star Ratings
CMS star ratings reflect how well a Medicare plan performs across key quality measures, such as managing chronic conditions, member satisfaction, and customer service. Ratings range from 1 to 5 stars and are updated each year by Medicare.
CMS Star Ratings for Plan H0710-005-0 – 2026
| CMS Measure | Star Rating (out of 5) |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | Not enough data available |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | Not enough data available |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | Not enough data available |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for UnitedHealthcare
| Contact Type | Details |
|---|---|
| Website: | UnitedHealthcare Plan Page |
| New Members: | Coming soon |
| Existing Members: | Coming soon |
| Plan Address: | Coming soon |
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at medicare.gov.
- CMS.gov, Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance — Last accessed May 2, 2026
- CMS.gov, Plan Benefits Package — Last accessed May 2, 2026
- CMS.gov, Monthly Enrollment by Contract/Plan/State/County — Last accessed May 2, 2026
Data sources and methodology documentation.
- UnitedHealthcare (official source), http://www.UHCretiree.com — Last accessed April 30, 2026
- CMS.gov, "Institutional Special Needs Plans (I-SNPs)" — Last accessed April 28, 2026
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed April 28, 2026
- Medicare.gov, "Joining a plan" — Last accessed April 28, 2026
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