UHC Nursing Home Plan EX-F004 (PPO I-SNP)
Available to residents of Fairfax City County, VA for 2026. Contract H0710, plan 032, segment 0.
Plan details
| Monthly drug premium | $27.80 |
|---|---|
| Drug deductible | $615.00 |
| Plan type | Institutional SNP |
| Special needs plan | Institutional SNP |
| Contract / plan | H0710-032-0 |
| Offered by | UnitedHealthcare |
| Parent organization | UnitedHealth Group, Inc. |
| Formulary drugs | 3,609 |
CMS star ratings
- Overall
- 4.5 out of 5 stars for Overall
- Health plan (Part C)
- 4 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H0710 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | 25% |
| Tier 2 | 25% |
| Tier 3 | 25% |
| Tier 4 | 25% |
| Tier 5 | 25% |
Also available in 42 other VA counties
- Accomack
- Albemarle
- Alexandria City
- Arlington
- Augusta
- Campbell
- Carroll
- Chesapeake City
- Chesterfield
- Danville City
- Fairfax
- Franklin
- Galax City
- Gloucester
- Goochland
- Halifax
- Hampton City
- Hanover
- Henrico
- Hopewell City
- James City
- Lancaster
- Loudoun
- Lynchburg City
- Madison
- Mecklenburg
- Middlesex
- Newport News City
- Norfolk City
- Pittsylvania
- Portsmouth City
- Prince Edward
- Prince William
- Richmond City
- Roanoke
- Roanoke City
- Scott
- Spotsylvania
- Stafford
- Suffolk City
- Virginia Beach City
- York
Plan facts come from the CMS quarterly prescription drug plan public use files.