UHC Nursing Home Plan EX-F004 (PPO I-SNP) CY2027
Offered by UnitedHealth Group, Inc. (company name as listed by CMS) · Plan ID H0710-032-000 · Medicare Advantage with drug coverage, Special Needs Plan (I-SNP)
Available in 2027 in: 1 county in District of Columbia; 15 counties in Maryland; 46 counties in Virginia. See full service area
2027 Overall Star Rating: 5 out of 5 stars What star ratings mean
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.
Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.
This plan's 2027 documents
Summary of Benefits (PDF, carrier document, 2027)
The Summary of Benefits is the plan's own description of its costs and benefits. It comes from the plan company.
Key numbers from CMS files
- Monthly plan premium
- $0. You still pay your Part B premium.
- Most you pay in-network in a year (MOOP)
- $9,850
- Drug deductible
- $700
- Part B giveback
- None
- Over-the-counter or benefit card
- Benefit card: $265 every 3 months (covers OTC items, Home and Bathroom Safety Devices and Modifications)
- Extra benefits listed
- Dental, Vision, Hearing, Benefit card
These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.
See all benefits
- Preventive dental, most the plan pays
- $2,000 per year (in and out of network)
- Comprehensive dental, most the plan pays
- one limit shared with preventive dental (amount above)
- Eyewear, most the plan pays
- $300 per year (in and out of network)
- Hearing aids, most the plan pays
- $2,200 every 2 years both ears combined (in and out of network)
Amounts are the most the plan pays, as listed in CMS benefit files.
Compared with 2026
Compared with UHC Nursing Home Plan EX-F004 (PPO I-SNP) (H0710-032-0), the 2026 plan.
| Item | 2026 | 2027 |
|---|---|---|
| Monthly premium | $27.80 | $0 |
| Most you pay in-network (MOOP) | $9,250 | $9,850 |
| Drug deductible | $615 | $700 |
| Overall star rating | 4.5 out of 5 | 5 out of 5 |
Service area
District of Columbia (1)
Maryland (15)
Allegany County, Anne Arundel County, Baltimore County, Baltimore City, Charles County, Frederick County, Garrett County, Harford County, Howard County, Montgomery County, Prince George's County, Queen Anne's County, Washington County, Wicomico County, Worcester County
Virginia (46)
Accomack County, Albemarle County, Alexandria City, Arlington County, Augusta County, Campbell County, Carroll County, Chesapeake City, Chesterfield County, Danville City, Dinwiddie County, Fairfax County, Fairfax City, Franklin County, Galax City, Gloucester County, Goochland County, Halifax County, Hampton City, Hanover County, Henrico County, Hopewell City, Lancaster County, Lee County, Loudoun County, Lynchburg City, Madison County, Mecklenburg County, Middlesex County, Newport News City, Norfolk City, Pittsylvania County, Portsmouth City, Prince Edward County, Prince William County, Richmond City, Roanoke County, Roanoke City, Scott County, Spotsylvania County, Stafford County, Staunton City, Suffolk City, Virginia Beach City, Washington County, York County
Data used on this page
- CMS CY2027 Landscape Source File, November 2026 release (202611)
- CMS CY2027 plan benefit files and the Medicare Plan Finder benefit summary file dated October 15, 2026
- 2027 Star Ratings data tables dated October 8, 2026
- Summary of Benefits files collected from plan company websites, October 28 to November 11, 2026
- How we build these pages