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UHC Preferred Dual Complete FL-D01P (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Preferred Dual Complete FL-D01P (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Preferred Dual Complete FL-D01P (HMO D-SNP) in 2025, please refer to our full plan details page.
UHC Preferred Dual Complete FL-D01P (HMO D-SNP) is a HMO D-SNP 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 Dual Complete FL-D01P (HMO D-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 Dual Complete FL-D01P (HMO D-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 Dual Complete FL-D01P (HMO D-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 Dual Complete FL-D01P (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.30. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.60. 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 $590.00 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 $9350.00 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 Dual Complete FL-D01P (HMO D-SNP) plan has a $590 deductible for prescription drugs. After the deductible, you will pay the costs for your drugs, but the specific costs for drugs in each tier are not provided. Once your total drug costs reach $2000, you enter the next coverage phase. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Preferred Dual Complete FL-D01P (HMO D-SNP) plan offers comprehensive coverage with a focus on affordability. It features no copays for many services, including primary care, mental health, hearing and vision exams, dental services, home health, and skilled nursing facility stays for the first 100 days. Emergency services have a $110 copay. Inpatient hospital stays have a $1970 copay per admission. The plan also includes benefits like no-copay ambulance and transportation services, preventive services, and coverage for prescription hearing aids up to $2500 annually. Outpatient services, some specialist visits, and diagnostic services have coinsurance, but the plan also covers OTC items and a meal benefit with no copay.
Inpatient Hospital See details
Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, with a copay of $1970 per admission or stay for Medicare-covered stays; additional days for Inpatient Hospital-Acute have no copay, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered, as are Additional Days and Non-Medicare-covered Stays for Inpatient Hospital Psychiatric. Prior authorization is required for all services.
Outpatient Services See details
Outpatient services include coverage for outpatient hospital services with a coinsurance between 0% and 20%, observation services with a 20% coinsurance, and ambulatory surgical center services with a coinsurance between 0% and 20%. Outpatient substance abuse services include no copay for both individual and group sessions. Outpatient blood services have no copay.
Partial Hospitalization See details
Partial Hospitalization is covered with no copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by UHC Preferred Dual Complete FL-D01P (HMO D-SNP). Ground and air ambulance services have no coinsurance and no copay. Transportation services to a plan-approved health-related location have no copay and no coinsurance, and are unlimited.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. For emergency services, you will pay a $110 copay, and there is no coinsurance. For urgently needed services, there is no copay and no coinsurance. For worldwide emergency services, there is no copay or coinsurance.
Primary Care See details
Primary Care Physician Services are covered with a coinsurance between 0% and 20%. Chiropractic Services are covered with no copay. Occupational Therapy Services are covered with a coinsurance between 0% and 20%. Physician Specialist Services, Mental Health Specialty Services (Individual and Group Sessions), Other Health Care Professional, Psychiatric Services (Individual and Group Sessions), and Additional Telehealth Benefits are covered with no copay. Podiatry Services are covered, with Routine Foot Care services subject to a 20% coinsurance. Physical Therapy and Speech-Language Pathology Services are covered with a coinsurance between 0% and 20%. Opioid Treatment Program Services are covered with no copay.
Preventive Services See details
Preventive Services, including Medicare-covered zero-dollar services and an annual physical exam, are covered with no copay. Additional preventive services are covered, including Fitness Benefit and Home and Bathroom Safety Devices and Modifications, with no copay. Some services, such as Health Education, In-Home Safety Assessment, and others, are not covered.
Hearing Services See details
Hearing exams are covered with no copay, while routine hearing exams are covered with no copay, and fitting/evaluation for hearing aids are not covered. Prescription hearing aids are covered with a maximum plan benefit of $2500 every year, and OTC hearing aids are covered with no copay.
Vision Services See details
The UHC Preferred Dual Complete FL-D01P (HMO D-SNP) plan covers vision services, including eye exams and eyewear. Eye exams and eyewear have no copay, while contact lenses, eyeglasses (lenses and frames), and upgrades have no copay. However, eyeglass lenses and eyeglass frames are not covered.
Dental Services See details
Dental Services includes coverage for oral exams, dental x-rays, prophylaxis (cleaning), and fluoride treatment with no copay. Restorative Services, Prosthodontics (removable), and Oral and Maxillofacial Surgery are covered with no copay, but 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. Medicare Part B Insulin Drugs and Medicare Part B Chemotherapy/Radiation Drugs have no copay, while Other Medicare Part B Drugs have a copay of $0.
Dialysis Services See details
Dialysis Services are covered by the UHC Preferred Dual Complete FL-D01P (HMO D-SNP) plan, with no copay. Prior authorization is required for these services.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has no coinsurance and a copay, and Prosthetic Devices and Medical Supplies have no coinsurance and no copay, while Diabetic Equipment has a copay for some supplies and services.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including all diagnostic services, diagnostic procedures/tests, and lab services, are covered. Lab Services have no copay, while Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the UHC Preferred Dual Complete FL-D01P (HMO D-SNP) plan with no copay and no coinsurance. However, additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Preferred Dual Complete FL-D01P (HMO D-SNP). However, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, with no copay for days 1-100. Additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
Other services include coverage for Over-the-Counter (OTC) Items and a Meal Benefit with no copay, while acupuncture and several other services are not covered. The plan offers OTC items with no copay, and a meal benefit with no copay that requires prior authorization.
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