Maine UnitedHealthcare® Nursing Home Plan

UHC Nursing Home Plans are Institutional Special Needs Plans (ISNPs) that provide individualized, closely monitored care to members who reside in contracted skilled nursing facilities. These plans help coordinate care through Optum nurse practitioners and physician assistants on behalf of UnitedHealthcare. UHC Nursing Home Plans do not require referrals for specialty care.

  • UHC Nursing Home Plan (HMO I-SNP)
  • UHC Nursing Home Plan (HMO-POS I-SNP)
  • UHC Nursing Home Plan (PPO I-SNP)

Health Maintenance Organization (HMO) plans have a defined network of contracted physicians and hospitals to provide member care. Generally, members must use these providers to receive benefits for covered services, except in emergencies.

Point of Service (HMO-POS) plans include all the features of HMO plans plus the ability to go outside the contracted network for certain health care services - typically at a higher cost. Some POS plans only cover out-of-network dental care.

Preferred Provider Organization (PPO) plans offer members access to a network of contracted physicians and hospitals, but also allow them the flexibility to seek covered services from outside of the contracted network, usually at a higher cost.

UnitedHealthcare offers Medicare Advantage Special Needs Plans (SNPs) that combine the hospital and doctor coverage of Medicare Parts A and B with Part D prescription drug coverage, plus additional benefits and services designed to meet the unique needs of identified Medicare consumer populations.