A non-government entity
UHC Preferred Medicare Advantage FL-002P (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Preferred Medicare Advantage FL-002P (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Preferred Medicare Advantage FL-002P (HMO) in 2025, please refer to our full plan details page.
UHC Preferred Medicare Advantage FL-002P (HMO) is a HMO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Palm Beach County. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Preferred Medicare Advantage FL-002P (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Preferred Medicare Advantage FL-002P (HMO).
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 Medicare Advantage FL-002P (HMO), 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 $21.00. 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 a $175.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3400.00 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:
Sign up for UHC Preferred Medicare Advantage FL-002P (HMO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The UHC Preferred Medicare Advantage FL-002P (HMO) plan has a $175 deductible for prescription drugs. After the deductible is met, you will pay a copay or coinsurance depending on the drug tier and pharmacy. For example, you will pay no copay for preferred generic drugs at a standard pharmacy, while standard generic drugs have a $15 copay. Preferred brand drugs have a $100 copay, and non-preferred drugs have a 31% 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 Medicare Advantage FL-002P (HMO) plan offers a range of benefits with varying costs. Many services have no copay, including primary care, preventive services, vision exams, dental services, and home health. Other services have copays, such as inpatient hospital stays, outpatient services, and emergency services. The plan also covers hearing exams and hearing aids, with copays for hearing aids. In addition, it provides coverage for ambulance, transportation, and home infusion services. There is coinsurance for services like dialysis, medical equipment, and certain drugs.
Inpatient Hospital See details
Inpatient Hospital coverage includes a $150 copay for days 1-5 and no copay for days 6-90 for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. Additional days for Inpatient Hospital-Acute have no copay for days 91-999. Non-Medicare-covered stays and upgrades are not covered.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services, with a copay between $0 and $150, and observation services with a $150 copay. Ambulatory Surgical Center (ASC) Services and Outpatient Blood Services have no copay, and Individual Sessions for Outpatient Substance Abuse have a copay between $0 and $25, while Group Sessions have a $15 copay.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Preferred Medicare Advantage FL-002P (HMO) plan. You will have a $20 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the UHC Preferred Medicare Advantage FL-002P (HMO) plan. Ground and air ambulance services have a $120 copay, and transportation services to a plan-approved health-related location have no copay for up to 36 one-way trips per year via taxi or medical transport; transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Preferred Medicare Advantage FL-002P (HMO) plan. Emergency Services have a $140 copay, while Urgently Needed Services have a copay between $0 and $20. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.
Primary Care See details
Primary Care Physician Services are covered with no copay. Chiropractic Services have a $20 copay, but routine care is not covered. Occupational Therapy Services have a copay between $0 and $10 with no coinsurance. Physician Specialist Services have a copay between $0 and $10. Mental Health Specialty Services, including individual and group sessions, and Psychiatric Services, including individual and group sessions, have copays between $0 and $25 and $15, respectively. Podiatry Services, including Routine Foot Care, have a $10 copay with a limit of 6 visits per year. Other Health Care Professional, Physical Therapy and Speech-Language Pathology Services, and Additional Telehealth Benefits have copays between $0 and $10, no coinsurance, and no copay, respectively. Opioid Treatment Program Services have no copay.
Preventive Services See details
Preventive Services, including Medicare-covered services and an annual physical exam, are covered with no copay. Additional preventive services, including Fitness Benefit and Home and Bathroom Safety Devices and Modifications, are covered with no copay.
Hearing Services See details
The UHC Preferred Medicare Advantage FL-002P (HMO) plan covers hearing exams with no copay, and covers routine hearing exams once per year with no copay. This plan also covers OTC hearing aids with a copay between $99 and $829, and prescription hearing aids (all types) with a copay between $199 and $1249, up to two per year. Fitting/Evaluation for Hearing Aid, Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, and Prescription Hearing Aids - Over the Ear are not covered.
Vision Services See details
Vision services include eye exams and eyewear, with a $0 copay for eye exams, contact lenses, eyeglasses (lenses and frames), and upgrades. Eyeglass lenses and eyeglass frames are not covered. There is a combined maximum plan benefit coverage amount of $100 per year for all eyewear.
Dental Services See details
The UHC Preferred Medicare Advantage FL-002P (HMO) plan covers dental services including oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatments, restorative services, prosthodontics, removable and oral and maxillofacial surgery 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, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. There is a $35 copay for Medicare Part B Insulin Drugs and the coinsurance ranges from 0% to 20% for Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization. You will pay a 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance, and Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices have a 0-20% coinsurance, while Medical Supplies have no copay. Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the UHC Preferred Medicare Advantage FL-002P (HMO) plan. Diagnostic Procedures/Tests have a copay of $15, Lab Services have no copay, Diagnostic Radiological Services have a copay of up to $250, Therapeutic Radiological Services have a copay of $25, and Outpatient X-Ray Services have a $5 copay.
Home Health Services See details
Home Health Services are covered by the UHC Preferred Medicare Advantage FL-002P (HMO) 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 Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered. The plan requires prior authorization for Cardiac Rehabilitation Services, but the copay is not specified in the provided information.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the UHC Preferred Medicare Advantage FL-002P (HMO) plan, requiring prior authorization. There is no copay for days 1-20, and a $150 copay for days 21-100, with additional days beyond Medicare-covered and non-Medicare-covered stays not covered.
Other Services See details
Other Services for UHC Preferred Medicare Advantage FL-002P (HMO) includes coverage for Over-the-Counter (OTC) Items and Meal Benefits with no copay, while 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.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved