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UHC Complete Care FL-14 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care FL-14 (HMO-POS C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Complete Care FL-14 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care FL-14 (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Florida. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Complete Care FL-14 (HMO-POS 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 Complete Care FL-14 (HMO-POS 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 Complete Care FL-14 (HMO-POS 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 Complete Care FL-14 (HMO-POS 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 $35.00. 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 $270.00 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 $2600.00 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 Complete Care FL-14 (HMO-POS C-SNP) prescription drug plan features an annual drug deductible of $270. Beneficiaries enjoy no copay for Tier 1 preferred generic and Tier 2 generic drugs filled at standard pharmacies or through standard mail order. For higher-tier medications, Tier 3 preferred brand drugs require a 25% coinsurance. Tier 4 non-preferred drugs have a 44% coinsurance, and Tier 5 specialty drugs carry a 30% coinsurance for standard one-month supplies.
Additional Benefits
The UHC Complete Care FL-14 (HMO-POS C-SNP) offers comprehensive coverage with predictable out-of-pocket costs for essential medical services. For inpatient hospital stays, you will pay a $175 copay per admission with no coinsurance, while primary care visits, telehealth services, and annual preventive physicals feature no copay. Emergency room visits require a $150 copay, whereas specialist visits and outpatient diagnostic lab services range from no copay up to a $40 copay with no coinsurance. This plan also provides robust supplemental benefits, including routine dental, vision, and hearing exams with no copay. While prescription hearing aids require copays ranging from $199 to $1,249, durable medical equipment and dialysis services are covered with no copay and a 20% coinsurance. Additionally, members benefit from home health care and over-the-counter items with no copay and no coinsurance.
Inpatient Hospital See details
UHC Complete Care FL-14 (HMO-POS C-SNP) offers partially covered inpatient hospital services with no coinsurance and a $175 copay per admission for Medicare-covered acute and psychiatric stays. While unlimited additional acute days are covered with no copay, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copay. Outpatient hospital services require a copay of up to $175 (plus a $175 daily copay for observation), while outpatient substance abuse sessions feature no coinsurance and copays ranging from no copay up to $25.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Complete Care FL-14 (HMO-POS C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by UHC Complete Care FL-14 (HMO-POS C-SNP), with ground and air ambulance services requiring a $100 copay and no coinsurance. Routine transportation services to plan-approved or any health-related locations are not covered.
Emergency Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay ranging from $0 to $65 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
UHC Complete Care FL-14 (HMO-POS C-SNP) provides primary care, telehealth, and opioid treatment with no copay and no coinsurance. Specialist visits range from a $0 to $40 copay, mental health services range from a $0 to $25 copay, and physical, occupational, and speech therapies require a $5 copay, all with no coinsurance. Podiatry services have a $40 copay with no coinsurance, while chiropractic services are covered for some services but routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by UHC Complete Care FL-14 (HMO-POS C-SNP) with no copay and no coinsurance, including annual physicals, kidney disease education, and fitness benefits. However, the benefit is partially covered as health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling are not covered.
Hearing Services See details
Hearing services are covered by UHC Complete Care FL-14 (HMO-POS C-SNP), with hearing exams being partially covered to include annual routine exams with no copay and no coinsurance, but excluding fitting and evaluation services. Prescription hearing aids are also partially covered with a $199 to $1,249 copay and no coinsurance, excluding inner ear, outer ear, and over the ear types, while OTC hearing aids are covered with a $199 to $829 copay and no coinsurance.
Vision Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) vision services are partially covered with no coinsurance, featuring routine eye exams, contact lenses, and eyeglass frames with no copay. Eyeglass lenses have a copay of $0 to $153 under a $250 maximum eyewear allowance every two years, while other eye exams, upgrades, and packaged eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) partially covers dental services, offering preventive and diagnostic care with no copay and no coinsurance up to a $3,000 yearly maximum. Medicare-covered dental services require no copay and 20% coinsurance, while covered comprehensive services require no copay and 50% coinsurance, though implant services and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers home infusion bundled services with no copay and no coinsurance, though prior authorization is required. Medicare Part B drugs associated with these services, including chemotherapy, radiation, and insulin, carry a 0% to 20% coinsurance, with Part B insulin specifically capped at a $35 copay.
Dialysis Services See details
Dialysis Services are covered by UHC Complete Care FL-14 (HMO-POS C-SNP) with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these covered services.
Medical Equipment See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic equipment, supplies, and therapeutic shoes or inserts are also covered with no copay and no coinsurance, though diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care FL-14 (HMO-POS C-SNP) with no coinsurance, though prior authorization is required. Under this plan, there is no copay for lab services and diagnostic radiology, a $5 copay for diagnostic procedures and outpatient X-rays, and a $10 copay for therapeutic radiology services.
Home Health Services See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers home health services with no copay and no coinsurance. Prior authorization and a referral are required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered with no copay and no coinsurance under the UHC Complete Care FL-14 (HMO-POS C-SNP) plan. However, only some services are covered in practice, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care FL-14 (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization and referrals are required, but a prior three-day inpatient hospital stay is not, and coverage does not extend beyond the standard 100 days.
Other Services See details
Other services are partially covered by UHC Complete Care FL-14 (HMO-POS C-SNP), featuring over-the-counter items and chronic illness meals with no copay and no coinsurance. Acupuncture is not covered, and the meal benefit requires prior authorization.
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