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UHC Preferred Complete Care FL-0003 (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Preferred Complete Care FL-0003 (HMO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Preferred Complete Care FL-0003 (HMO C-SNP) in 2025, please refer to our full plan details page.
UHC Preferred Complete Care FL-0003 (HMO C-SNP) is a HMO C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Miami-Dade County. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Preferred Complete Care FL-0003 (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UHC Preferred Complete Care FL-0003 (HMO C-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Preferred Complete Care FL-0003 (HMO C-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UHC Preferred Complete Care FL-0003 (HMO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $18.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $2900.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The UHC Preferred Complete Care FL-0003 (HMO C-SNP) plan has a $0 deductible for prescription drugs. In the initial coverage phase, you'll pay varying copays or coinsurance depending on the drug tier and pharmacy. For example, you will pay no copay for preferred generic drugs at a standard pharmacy, and a $3 copay for standard generic drugs. For preferred brand drugs, the copay is $45.00 at both standard and mail-order pharmacies. Non-preferred drugs have a 33% coinsurance. Once your total drug costs reach $2000, you enter the catastrophic coverage phase, where you pay nothing for covered drugs.
Additional Benefits
The UHC Preferred Complete Care FL-0003 (HMO C-SNP) plan offers a wide range of benefits, including no copays for inpatient hospital stays, outpatient services, and primary care physician visits. Emergency Services and Urgently Needed Services have no copay, and the plan also covers hearing, vision, and dental services with no copays for exams and routine services. Transportation services and ambulance services are also covered. This plan provides additional coverage for preventive services, including an annual physical exam and additional services like fitness benefits, with no copay. The plan includes coverage for home health services, skilled nursing facilities, and medical equipment, with varying cost-sharing arrangements. Additionally, the plan offers coverage for home infusion services, diagnostic and radiological services, and dialysis services, all with different copay and coinsurance amounts.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered with prior authorization. For Inpatient Hospital-Acute, you have no copay for a Medicare-covered stay, and for additional days (91-999), there is also no copay. However, Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including Outpatient Hospital Services and Observation Services, are covered with copays ranging from $0 to $75. Ambulatory Surgical Center (ASC) Services and Outpatient Blood Services are covered with no copay, and Outpatient Substance Abuse Services are covered with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Preferred Complete Care FL-0003 (HMO C-SNP) plan with no copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services with a $140 copay, and transportation services to plan-approved health-related locations with no copay for up to 60 one-way trips per year via taxi or medical transport. Transportation services to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the UHC Preferred Complete Care FL-0003 (HMO C-SNP) plan. Emergency Services have an $80 copay and no coinsurance, Urgently Needed Services have no copay and no coinsurance, and Worldwide Emergency Services have a copay for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation, which all have no copay.
Primary Care See details
The UHC Preferred Complete Care FL-0003 (HMO C-SNP) plan covers primary care physician services, chiropractic services, occupational therapy services, physician specialist services, mental health specialty services, podiatry services, other health care professional services, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services. Primary care physician services, chiropractic services, physician specialist services, and occupational therapy services have no copay.
Preventive Services See details
Preventive services include Medicare-covered services, an annual physical exam with no copay, and additional preventive services. Additional preventive services include Fitness Benefit and Home and Bathroom Safety Devices and Modifications, both with no copay. Other preventive services include Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit, all with no copay. Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline), and Counseling Services are not covered.
Hearing Services See details
Hearing services include hearing exams with no copay, routine hearing exams, and OTC hearing aids. Routine hearing exams have no copay, with one exam covered per year, and OTC hearing aids have a copay between $99 and $829, with two aids covered per year. Prescription hearing aids are partially covered; while all types of hearing aids are covered, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
The UHC Preferred Complete Care FL-0003 (HMO C-SNP) plan covers vision services, including routine eye exams and eyewear, with no copay for eye exams, contact lenses, eyeglasses (lenses and frames), and upgrades. Eyeglass lenses and frames are not covered.
Dental Services See details
Dental services include oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatment, restorative services, prosthodontics (removable), and oral and maxillofacial surgery, all with no copay. Adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, implant services, prosthodontics (fixed), and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UHC Preferred Complete Care FL-0003 (HMO C-SNP). Medicare Part B Insulin Drugs have a $35 copay and a coinsurance between 0% and 20%, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the UHC Preferred Complete Care FL-0003 (HMO C-SNP) plan. You will pay 20% coinsurance for dialysis services.
Medical Equipment See details
Medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, is covered. Durable medical equipment has no coinsurance and no copay, while diabetic supplies and diabetic therapeutic shoes/inserts have no copay. Prosthetic devices have a coinsurance of up to 20%, and medical supplies have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including diagnostic procedures, tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services, are covered by UHC Preferred Complete Care FL-0003 (HMO C-SNP). Diagnostic Procedures/Tests have no copay, while Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by the UHC Preferred Complete Care FL-0003 (HMO C-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the specific services of Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD are not covered. Prior authorization is required for covered services, and the copay information is listed elsewhere.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered with prior authorization. There is no copay for days 1-20, and a $25 copay for days 21-100; there is no coinsurance. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The UHC Preferred Complete Care FL-0003 (HMO C-SNP) plan covers Over-the-Counter (OTC) Items and Meal Benefits, with no copay. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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